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Showing results for "vascular".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/836934/psn-pdf
    March 12, 2025 - concerns, oversight of artificial intelligence and the "big three" diagnostic errors: cancer, major vascular … parent-experiences-process-sharing-inpatient-safety-concerns-children-medical-complexity https://psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections

22. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-04/final_spotlight_case_and_commentatry_io_line_extravasation-04.08.2022.pdf
    January 01, 2022 - this educational activity, participants should be able to: • Describe the role of intraosseous (IO) vascular … • The case reminds us that even straightforward procedures, like vascular access, are not without … Intraosseous Vascular Access. StatPearls 2021; 3. Mendelson J. … Intraosseous vascular access: A review. Trauma 2012;14(3):195–232. 10. … Intraosseous infusion: A re-discovered procedure as an alternative for pediatric vascular access.

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867190/psn-pdf
    November 20, 2024 - core-elements-hospital-diagnostic-excellence-dxex https://psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections … https://psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections

24. Intraosseous Line Extravasation in a Pediatric Trauma Patient | PSNet
    psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
    September 29, 2021 - The case reminds us that even straightforward procedures, like vascular access, are not without risk. … They can also be used to draw blood for laboratory testing. 2 Prompt vascular access with a peripheral … Intraosseous Vascular Access. In: StatPearls . … Intraosseous vascular access: a review. … Intraosseous infusion: A re-discovered procedure as an alternative for pediatric vascular access.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72688/psn-pdf
    October 06, 2022 - examine quality measures to motivate excellence in  three primary areas of diagnostic concern:  acute vascular … measurement-essential-improving-diagnosis-and-reducing-diagnostic-error-report-institute https://psnet.ahrq.gov/issue/serious-misdiagnosis-related-harms-malpractice-claims-big-three-vascular-events-infections

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49389/psn-pdf
    February 01, 2003 - Pressure was applied and vascular surgery was consulted. … Such vascular injuries carry a reported mortality of 6%-11%.(2,3) There is probably a great degree of … underreporting of vascular injury. … Use of the Hasson cannula producing major vascular injury at laparoscopy. … Major vascular injuries during laparoscopic procedures.

27. Burden of serious harms from diagnostic error in the USA. | PSNet
    psnet.ahrq.gov/issue/burden-serious-harms-diagnostic-error-usa
    June 03, 2020 - Previous research  has found that three diseases (vascular events, infections, and cancers) account for … Author(s) Rate of diagnostic errors and serious misdiagnosis-related harms for major vascular … 3, 2020 Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49595/psn-pdf
    December 01, 2009 - that 26% of internists presented with a thrombosis of the SFV advised anticoagulation.(4) Ask any vascular … Despite this standard among anatomists, most vascular clinicians (surgeons, radiologists, vascular laboratory … deep femoral vein and the common femoral vein.(3) For these specialists (many of whom visualize the vascular … From on-the-job experience and interactions with vascular clinicians and reports, they must re-learn … With increased awareness of this common and dangerous error, many vascular laboratories and radiologists

29. Using patient safety science to explore strategies for improving safety in intravenous medication administration. | PSNet
    psnet.ahrq.gov/issue/using-patient-safety-science-explore-strategies-improving-safety-intravenous-medication
    June 02, 2021 - Journal of the Association for Vascular Access. 2006. 11(3):157–160. … Journal of the Association for Vascular Access. 2006. 11(3):157–160. … Journal of the Association for Vascular Access. 2006. 11(3):157–160.

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49545/psn-pdf
    September 01, 2007 - Vascular closure devices (mechanical and biochemical devices that help "seal" the artery) were developed … Decisions regarding whether to use manual compression or a vascular closure device, as well as which … Vascular complications are the most common, although other complications include procedure- associated … Arterial puncture closing devices do not necessarily decrease local vascular complications, and patients … Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous

31. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
    psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
    March 03, 2021 - Though laparoscopic vascular and bowel injury are rare, they account for the 2 nd and 3 rd leading … causes of mortality in laparoscopic surgery. 1,2 Vascular injuries occur in 0.1-0.64% of laparoscopic … If there is brisk bleeding from major vascular injury, then laparotomy should be undertaken immediately … Areas of clotted blood should be inspected to rule out ongoing minor vascular injury. … Vascular injury at laparoscopy: a guide to management.

32. Coming Undone: Failure of Closure Device | PSNet
    psnet.ahrq.gov/web-mm/coming-undone-failure-closure-device
    April 01, 2006 - Vascular closure devices (mechanical and biochemical devices that help "seal" the artery) were developed … Decisions regarding whether to use manual compression or a vascular closure device, as well as which … Vascular complications are the most common, although other complications include procedure-associated … Arterial puncture closing devices do not necessarily decrease local vascular complications, and patients … Vascular complications associated with arteriotomy closure devices in patients undergoing percutaneous

33. "Superficial" Report Leads to "Deep" Problem | PSNet
    psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - that 26% of internists presented with a thrombosis of the SFV advised anticoagulation.( 4 ) Ask any vascular … Despite this standard among anatomists, most vascular clinicians (surgeons, radiologists, vascular laboratory … From on-the-job experience and interactions with vascular clinicians and reports, they must re-learn … pre- or postgraduate efforts to educate clinicians about this singular aspect of the lower extremity vascular … With increased awareness of this common and dangerous error, many vascular laboratories and radiologists

34. Spotlight (pdf file)
    psnet.ahrq.gov/sites/default/files/2022-10/trocar_injury_final.pdf
    January 01, 2022 - FROM LAPAROSCOPIC TROCAR INJURY: A ROUTINE OPERATION GOES WRONG This case highlights the risk of vascular … 5% mortality rate, and account for 19% of the deaths from trocar-related injury. – The majority of vascular … If there is brisk bleeding from major vascular injury, then laparotomy should be undertaken immediately … – Areas of clotted blood should be inspected to rule out ongoing minor vascular injury. … Vascular injury at laparoscopy: a guide to management. J Obstet Gynaecol. 2018;38(5):598-606.

35. The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications | PSNet
    psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-consortium-hms-finds-infectious-diseases-id-physician
    July 23, 2024 - developing shared definitions of potential harms, the characteristics of appropriate device use, and vascular … As a first step in HMS’ focus on improving PICC use, in 2015, a group of vascular access experts from … Vineet Chopra, convened to develop guidelines for the appropriate selection of vascular access devices … Certain approaches, such as the use of vascular access teams, have shown promise in reducing adverse … A cross-sectional survey of vascular access practices in the ICU.

36. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838900/psn-pdf
    October 27, 2022 - Though laparoscopic vascular and bowel injury are rare, they account for the 2nd and 3rd leading causes … of mortality in laparoscopic surgery.1,2 Vascular injuries occur in 0.1-0.64% of laparoscopic cases … If there is brisk bleeding from major vascular injury, then laparotomy should be undertaken immediately … Areas of clotted blood should be inspected to rule out ongoing minor vascular injury. … Vascular injury at laparoscopy: a guide to management. J Obstet Gynaecol. 2018;38(5):598-606.

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/840175/psn-pdf
    November 16, 2022 - arterial thromboembolism, needed to be urgently assessed by an experienced cardiovascular surgeon and vascular … If the hospital that this patient was admitted to did not have a skilled vascular specialist available … , she should have been transferred to a tertiary hospital that did have a vascular specialist on call … In hospitals where vascular surgical consultations are not available due to staffing issues, ED physicians … Appropriate consultation to vascular surgery, interventional radiology or interventional cardiology

38. Limb Loss after Vasopressor Use | PSNet
    psnet.ahrq.gov/web-mm/limb-loss-after-vasopressor-use
    March 14, 2012 - Vascular Surgery was consulted in the evening, but their assessment was that she had Rutherford Grade … Mimmie Kwong, MD, MAS Background: Limb ischemia associated with pressor use In septic shock, vascular … endothelial injury and decreased vascular tone result in hypotension that can often be difficult to … In this patient’s case, there was poor documentation of the initial vascular exam as well as insufficient … Mimmie Kwong, MD, MAS Assistant Professor Department of Surgery, Division of Vascular Surgery UC

39. The Unfamiliar Catheter | PSNet
    psnet.ahrq.gov/web-mm/unfamiliar-catheter
    November 01, 2006 - patient outcomes.( 14 ) In addition, health professionals from a variety of disciplines may pursue vascular … Presentation at: The 22nd Annual Scientific Meeting of the Association for Vascular Access. … Care and maintenance to reduce vascular access complications: guideline supplement. … Raise the bar in vascular access. Herriman, UT: Vascular Access Certification Corporation. … Risks of Intraosseous Vascular Access August 21, 2014 WebM&M Cases

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60857/psn-pdf
    August 26, 2020 - Penrose drains), and vascular loops, which are often held in place with a surgical clamp. 1–4  These … Excessive tourniquet pressures cause ischemic injury by vascular compression, which can lead to intimal … damage and vascular thrombosis. 9,16  Additionally, excessive tourniquet pressure causes direct nerve … compression, which can exacerbate the effect of the vascular injury, because the digit becomes insensate … First, the use of a self- made tourniquet likely applied excessive pressure, which caused vascular injury