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psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
August 02, 2015 - Reduction in hospital-wide mortality after implementation of a rapid response team: a long-term cohort
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psnet.ahrq.gov/web-mm/risks-absent-interoperability-medication-induced-hemolysis-patient-known-allergy
April 08, 2019 - After 3 weeks in the hospital, the patient was transferred to a long-term care facility with a poor likelihood
-
psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
August 14, 2024 - neuropathy, osteoarthritis, and spinal stenosis, status/post two previous spine surgeries and long-term
-
psnet.ahrq.gov/node/49759/psn-pdf
May 01, 2016 - Clinical guidance for the assessment and implementation of bed rails
in hospitals, long term care facilities
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psnet.ahrq.gov/web-mm/unseen-perils-urinary-catheters
January 31, 2024 - patients may have an IUC inserted sometime during their hospital stay, with most only used for the short-term
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psnet.ahrq.gov/web-mm/monitoring-fetal-health
September 08, 2010 - year-old woman had an uncomplicated pregnancy with a healthy fetus and presented to the hospital at term
-
psnet.ahrq.gov/node/836794/psn-pdf
March 31, 2022 - The term “palliative care” is often confused with “end-of-life care” or “terminal care” or “comfort care
-
psnet.ahrq.gov/sites/default/files/2022-03/final_spotlight_case_mistaken_capacity.pdf
January 01, 2022 - Approach to Improving Systemic Safety (3)
31
• The term “palliative care” is often confused with “end-of-life
-
psnet.ahrq.gov/perspective/equity-patient-safety
September 24, 2024 - Efforts to improve equity and patient safety are long-term and ongoing.
-
psnet.ahrq.gov/web-mm/hidden-danger-insidious-postpartum-bleeding-after-emergency-cesarean-delivery
November 25, 2020 - She had significant obstetric history with 5 prior vaginal deliveries, all at term, with no attendant
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psnet.ahrq.gov/web-mm/room-without-orders
September 01, 2011 - Author(s)
WebM&M Cases
The Safety and Quality of Long Term
-
psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
February 26, 2025 - delays in the recognition of abnormal test results and the absence of a tracking system to ensure short-term
-
psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - continuing discontinued medications, potentially resulting in ADEs.( 29,30 ) For patients admitted to long-term
-
psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - Due to the anesthesia care provider’s prompt intervention, the patient did not suffer any long-term sequelae
-
psnet.ahrq.gov/node/867359/psn-pdf
December 18, 2024 - Case #2:
A 3-day-old male newborn was born at full term via spontaneous vaginal delivery.
-
psnet.ahrq.gov/node/851389/psn-pdf
July 31, 2023 - delays in the recognition of abnormal test results and the absence of a
tracking system to ensure short-term
-
psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - Health Equity and Maternal Health
October 6, 2021
Sustainability and long-term
-
psnet.ahrq.gov/web-mm/one-got-away-elopement-suicidal-patient-emergency-department
September 27, 2023 - These high-risk injuries make medical clearance for psychiatric confinement impossible in the near term
-
psnet.ahrq.gov/webmm-case-studies
March 25, 2025 - 23)
Operating Room
(107)
Specialty Hospitals
(3)
Long-Term
-
psnet.ahrq.gov/node/846171/psn-pdf
July 26, 2022 - They tend to be more comfortable and preferred for long-term feeding or
medication administration.3