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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/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/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/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/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/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/missed-diagnosis-cardiovascular-disease-outpatient-general-medicine-insights-malpractice
December 22, 2018 - 7, 2019
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular
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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/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/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/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
May 05, 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/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/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/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/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/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/issue/medical-and-surgical-comanagement-after-elective-hip-and-knee-arthroplasty-randomized
January 22, 2014 - June 28, 2011
Performance of vascular exposure and fasciotomy among surgical residents