Clinical Areas

Browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nursing or medical specialty, featured in the resources.

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When Taking an SGLT2 inhibitor, Remember To SSTOP (Stop SGLT2 Inhibitor Three days bef-O-re Procedures)!

Berit Bagley, RN, MSN, CDCES, BC-ADM, Charity L. Tan, MSN, ACNP-BC, CDCES, BC-ADM, Deborah Plante, MD | November 30, 2023

A 67-year-old man with well-controlled type 2 diabetes mellitus underwent elective cardiac... Read More

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Medication Mix-Up Leads to Patient Death.

Luciano Sanchez, PharmD and Patrick Romano, MD, MPH | November 30, 2023

An 81-year-old man was admitted to the intensive care unit (ICU) with a gastrointestinal bleed and referred for a diagnostic colonoscopy. The nurse preparing... Read More

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Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon.

Christian Bohringer, MBBS, and Sharon Ashley, MD. | November 30, 2023

A 38-year-old woman with class 3 obesity required removed of a gastric balloon under general anesthesia.... Read More

In Conversation with Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety

Joan Stanley, PhD, NP, FAAN, FAANP |

November 27, 2023

All Clinical Areas (15762)

Displaying 15741 - 15760 of 15762 Results

Not a Miscarriage

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WebM&M Case June 1, 2003

A woman was told she miscarried, even though she was still pregnant.

Missed Appendicitis

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WebM&M Case June 1, 2003

Abdominal pain misdiagnosed in an ED patient leads to ruptured appendix, multiple complications, and prolonged hospitalization.

Inappropriate Antibiotic Use

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WebM&M Case June 1, 2003

Antibiotics continued in a patient with no clear source of infection for 3 weeks results in hospital-acquired superinfections.

Suicidal Man With Gun

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WebM&M Case May 1, 2003

Suicidal patient who admits having firearm refuses to remove gun from home for nearly 3 months.

Central Line Clot

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WebM&M Case May 1, 2003

An infant codes due to pulmonary emboli after a central line flush.

Ectopic or Not?

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WebM&M Case May 1, 2003

A woman is given methotrexate prematurely for suspected ectopic pregnancy and ultimately has salpingectomy.

Bloody BP Cuff

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WebM&M Case May 1, 2003

A blood-soaked BP cuff used on one trauma patient is re-used on the next trauma patient, with no regard to universal precautions.

The Dropped Lung

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WebM&M Case May 1, 2003

A chest x-ray incorrectly read as pleural effusion, rather than lung collapse, leads to iatrogenic pneumothorax following thoracentesis.

Safety paradoxes and safety culture.

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Reason J. Inj Control Safety Promot. 2003;7:3-14.

Achieving a culture of safety is paramount in any high-risk industry, such as healthcare. This article discusses four safety paradoxes and how high reliability organizations (HROs) can overcome these paradoxes to foster a culture of safety.

The 2-Week Itch

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WebM&M Case April 1, 2003

Antipsychotic, rather than antihistamine, mistakenly dispensed to woman with bipolar disorder with new urticaria.

Medication Overdose

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WebM&M Case April 1, 2003

A boy received an overdose of phenytoin due to ambiguous use of abbreviations.

Premature or Overdue?

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WebM&M Case April 1, 2003

Incorrect dating criteria in a woman late entering prenatal care nearly leads to induction of a pre-term infant.

Which End Is Which?

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WebM&M Case April 1, 2003

Laparoscopic colostomy completed in reverse induces total bowel obstruction.

Another Fall

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WebM&M Case April 1, 2003

Delirious and coagulopathic patient with subdural hematomas falls out of bedtwice!

When "Psychiatric" Symptoms Are Not

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WebM&M Case February 1, 2003

An elderly man with delusions and progressive neurological symptoms initially attributed to psychosis is found to have metastatic cancer.

Flying Object Hits MRI

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WebM&M Case February 1, 2003

An infusion pump being used for routine sedation in a child undergoing a magnetic resonance imaging (MRI) scan flew across the room and hit the MRI magnet, narrowly missing the child.

Procedural Mishap: Learning Curve?

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WebM&M Case February 1, 2003

A woman required emergency vascular surgery due to a complication during routine laparoscopic tubal ligation.

Unexplained Apnea Under Anesthesia

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WebM&M Case February 1, 2003

A boy undergoing knee surgery stopped breathing after inadvertently being given a paralytic medication instead of an antibiotic.

Patient Mix-Up

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WebM&M Case February 1, 2003

A man almost received a medication intended for another patient with the same last name in the same room.

Unequal Treatment: Confronting Racial and Ethnic Disparities in Health Care.

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Smedley BD, Stith AY, Nelson AR, eds and Institute of Medicine. Washington, DC; The National Academies Press: 2003. ISBN 9780309082655.

Patient race and socioeconomic disparities result in biases that affect patient safety. This publication examines strategies to minimize these impacts such as interpreter use, localized care delivery, and improved data collection to better ascertain the true state of the problem and design initiatives to address it.

Clinical Areas

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