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psnet.ahrq.gov/issue/diagnostic-errors-orthopedic-surgery-evaluation-resident-documentation-neurovascular
December 31, 2014 - trauma patients in this study had a complete neurovascular examination (sensory, motor function, and vascular
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psnet.ahrq.gov/issue/complication-rates-weekends-and-weekdays-us-hospitals
August 31, 2011 - complication rates were modestly but significantly increased for some obstetric indicators and for vascular
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - conditions necessary for air embolism formation: (i) direct
connection between a source of air and the vascular … necessary for its
formation: (i) physically blocking the direct connection between the air and the vascular … Diagnosis and treatment of vascular air embolism.
Anesthesiology. 2007;106:164-177.
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psnet.ahrq.gov/node/49674/psn-pdf
December 01, 2012 - According to the CDC, when a vascular access device is required, clinicians should choose the least … US Market for Vascular Access Devices and Accessories 2008. [Available at]
2. iData Research. … US Market for Vascular Access Devices and Accessories 2010. [Available at]
3.
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psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
May 06, 2020 - Following lower extremity vascular bypass, approximately 1 in 7 patients were readmitted.
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psnet.ahrq.gov/issue/implementation-centers-medicare-medicaid-services-nonpayment-policy-preventable-hospital
September 16, 2020 - adverse outcomes: pressure ulcers, falls with injuries, catheter-associated urinary tract infections, and vascular
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psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
January 01, 2024 - Major vascular injury (e.g., left common iliac vein, inferior vena cava, or iliolumbar vein), occurs … surgically, the patient may need evaluation for an endovascular solution with interventional radiology or vascular … Vascular injury and complication in neurosurgical spine surgery.
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psnet.ahrq.gov/node/73334/psn-pdf
August 01, 2024 - use, to cause serious complications, such as cardiac
arrhythmias, myocardial ischemia, peripheral vascular … administered concurrently with other compatible medications though a Y-site multi-port connector
when vascular … However, in situations with limited vascular access, co-administration may occur during the process … and disconnecting IV infusions from
central venous catheter access ports,
Limited availability of vascular … Journal of cardiothoracic and
vascular anesthesia. 2018 Apr 1;32(2):1013-22.
5.
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psnet.ahrq.gov/web-mm/picking-cause-stroke
August 07, 2024 - patient had a PICC, despite one being in place.( 13 ) Because clinicians make decisions regarding vascular … focus on device insertion, care, and management, MAGIC provides guidance for when use of a particular vascular … The recently introduced MAGIC guidelines offer an evidence-based approach to improve vascular access
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psnet.ahrq.gov/issue/audibility-patient-clinical-alarms-hospital-nursing-personnel
November 15, 2023 - August 17, 2016
WebM&M Cases
Complications of Vascular
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - The ED care team obtained vascular access, sent a battery of laboratory tests, and ordered imaging studies … The emergency physicians immediately consulted the Vascular Surgery team, which evaluated the patient … Surgery was scheduled at 7:54am as a 0-2 hour case while surgical staff prepared the specialized vascular … have been unavoidable, it is likely that improved communication between the ED physicians and nurses, vascular … Four separate teams attended to the patient in this case: the emergency physicians, the ED nurses, the vascular
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psnet.ahrq.gov/issue/iatrogenic-harm-caused-diagnostic-errors-fibrodysplasia-ossificans-progressiva
November 16, 2022 - 2023
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
November 20, 2019 - November 20, 2019
Performance of vascular exposure and fasciotomy among surgical residents
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psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
March 18, 2020 - 30, 2021
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/increasing-compliance-safe-medication-administration-pediatric-anesthesia-use-standardized
December 11, 2024 - 2, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/node/866205/psn-pdf
July 10, 2024 - Major vascular injury (e.g., left common iliac vein, inferior vena cava, or iliolumbar vein), occurs … surgically, the patient may need evaluation for an
endovascular solution with interventional radiology or vascular … Vascular injury and complication in neurosurgical spine surgery.
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psnet.ahrq.gov/curated-library/diagnostic-error
August 10, 2025 - Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular … Emerging Classic
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular … that three groups of diagnoses accounted for the majority of closed claims and high-severity events: vascular
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psnet.ahrq.gov/issue/educational-levels-hospital-nurses-and-surgical-patient-mortality
February 09, 2011 - Investigators studied more than 230,000 general, orthopedic, and vascular surgery patients discharged
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psnet.ahrq.gov/issue/diagnostic-errors-pediatric-and-neonatal-icu-systematic-review
October 29, 2012 - Other prevalent missed diagnoses included vascular events and congenital conditions.
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psnet.ahrq.gov/issue/perioperative-covid-19-defense-evidence-based-approach-optimization-infection-control-and
November 30, 2012 - Recommendations address (1) hand hygiene , (2) environmental cleaning , (3) patient decolonization, (4) vascular