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psnet.ahrq.gov/curated-library/diagnostic-error
September 14, 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/web-mm/misconnection-leading-arterial-thrombosis
January 29, 2021 - If cyanosis of the hand and fingers is detected following an inadvertent arterial injection, a vascular … appropriate to correct hypotension with intraosseous fluid infusion or vasoactive drugs before inserting a vascular … Consult early and emergently with specialists A vascular surgeon and a radiologist should be consulted … Urgent consultation with a vascular surgeon, a radiologist and an anesthesiologist may help to avert
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psnet.ahrq.gov/node/49754/psn-pdf
February 01, 2016 - their 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/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/issue/combined-sna-and-lda-methods-understand-adverse-medical-events
November 15, 2023 - August 17, 2016
WebM&M Cases
Complications of Vascular
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psnet.ahrq.gov/issue/diagnostic-errors-intensive-care-unit-systematic-review-autopsy-studies
March 10, 2021 - which included 31 separate studies, found an overall class I error rate of 8% in ICU patients, with vascular
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psnet.ahrq.gov/node/49593/psn-pdf
October 01, 2009 - https://psnet.ahrq.gov/web-mm/who-nose-where-airway
The Case
A 70-year-old man with peripheral vascular … disease was brought to the operating room to undergo vascular
bypass surgery on his right upper extremity … After 2 hours of surgery, the vascular surgeon decided that they would need to use a vein from the patient's
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psnet.ahrq.gov/issue/association-simulation-training-rates-medical-malpractice-claims-among-obstetrician
December 02, 2020 - 2, 2020
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
November 21, 2021 - 7, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/does-checklist-reduce-number-errors-made-nurse-assembled-discharge-prescriptions
March 24, 2019 - June 15, 2016
WebM&M Cases
Complications of Vascular
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psnet.ahrq.gov/issue/diagnostic-error-internal-medicine
May 25, 2022 - 28, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/impact-diagnostic-management-team-patient-time-diagnosis-and-percent-accurate-and-clinically
October 19, 2022 - 6, 2021
Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular
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psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
July 17, 2019 - Author(s)
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
June 03, 2020 - March 21, 2012
Determinants of adverse events in vascular surgery.
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psnet.ahrq.gov/web-mm/breakage-picc-line
June 21, 2023 - homeostasis (hypothermia, hypoglycemia) during the procedure, and negotiating the curves within the vascular … Neonatal vascular catheters and their complications. Radiol Clin North Am. 1999;37:1109-1125. … Complications of vascular catheters in the neonatal intensive care unit.
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psnet.ahrq.gov/web-mm/navigating-complications-unintended-journey-guidewire-during-dialysis-catheter-placement
February 23, 2022 - KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update [published correction appears in Am … Recommendations on the use of ultrasound guidance for central and peripheral vascular access in adults … Risks of Intraosseous Vascular Access
August 21, 2014
WebM&M Cases
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psnet.ahrq.gov/issue/types-and-origins-diagnostic-errors-primary-care-settings
January 19, 2012 - WebM&M commentary examines the role of faulty data synthesis in a delayed diagnosis of peripheral vascular
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psnet.ahrq.gov/node/843736/psn-pdf
February 01, 2023 - This situation, in conjunction with increased plasma volume
and decreased systemic vascular resistance … Any acute change in
volume status, sudden loss of SVR, or increase in pulmonary vascular resistance
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psnet.ahrq.gov/web-mm/outpatient-zebra
January 23, 2020 - symptoms, and yet another provider noted a decreased pulse in the left foot and referred urgently for vascular … ultimately received a diagnosis of left superficial femoral artery occlusion and underwent successful vascular
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psnet.ahrq.gov/web-mm/pathologic-mistake
February 15, 2010 - Lymph node pathology was reported as "Castleman disease, of hyaline vascular type," while the small bowel … Castleman's disease—hyaline vascular type—clinical, cytological and histological features with review … B-cell lymphoma with hyaline vascular Castleman disease-like features: a clinicopathologic study.