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The PSNet Collection: All Content
The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.
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Displaying 1 - 11 of 11 Results
WebM&M Cases
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WebM&M Case
September 25, 2024
… Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote … documented that “foreign bodies were removed, the wounds were scrubbed and sutured with loose closure.” No … in emergency departments (EDs). In the U.S. in 2005, these injuries accounted for more than 11 million ED visits, 1,2 …
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WebM&M Case
January 31, 2024
… Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote … hand examination. Recognize the risk of occult hand tendon injuries. Describe the various human factors that contribute … the hand in the same position as it was during the injury. Wounds should be evaluated for active bleeding, and perfusion …
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WebM&M Case
April 27, 2022
… Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote … attacked by a dog and sustaining multiple penetrating injuries to her head and neck. On arrival to the ED, she was … traumatic injuries after being attacked by a dog. Her wounds led to significant blood loss. She was critically ill …
Perspectives on Safety
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Perspective on Safety
September 24, 2024
… do no harm,” serves as the cornerstone of medical ethics and core value of healthcare: Patients should not be harmed … and decreases in preventable harm: 39% decrease in injuries with falls, 37% fewer pressure injuries and a 34% … hope, and trust that we will restore health and heal wounds. When errors and mistakes result in harm, we fail in …
Carole Stockmeier, MHA, BS, is the Senior Vice President of Safety and Reliability Solutions at Press Ganey, with over 20 years of experience in safety science and high reliability organizations. We spoke to her about zero harm and patient safety.
Eric Thomas, MD, MPH, is the Director of the University of Texas Houston Memorial Hermann Center for Healthcare Quality and Safety and is Associate Dean for Healthcare Quality. We spoke to him about zero harm and patient safety.
WebM&M Cases
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WebM&M Case
October 27, 2022
… Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote … causes of mortality in laparoscopic surgery. 1,2 Vascular injuries occur in 0.1-0.64% of laparoscopic cases, have a 15% … Unintended retention of drain material in contaminated wounds is a known problem, but studies documenting this …
WebM&M Cases
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WebM&M Case
December 1, 2011
… linear lacerations on her right arm that were superficial and did not require suturing. She also had a 3 cm linear … (ED) visits and comprise 3.5% of all occupational injuries in the United States.( ref 1 ) All emergency … out the possibility of globe penetration. Lacerations and wounds involving the eyelid must be carefully evaluated for …
WebM&M Cases
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WebM&M Case
May 1, 2009
… the patient unresponsive, with poor respiratory effort and a barely palpable pulse. Initial treatment included fluid … in two major categories: blunt or penetrating. Blunt injuries are the result of falls, motor vehicle or motorcycle … a reasonably high survival rate for penetrating cardiac wounds treated aggressively and promptly with volume …
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WebM&M Case
October 1, 2012
… of a cutaneous abscess. Describe steps schools, coaches, and athletes can take to prevent infection. Describe steps … have been associated with 17% practice-time loss injuries in wrestling.( ref 19 ) In this case, the patient … should be established to identify athletes with skin wounds and infections prior to play to ensure that wounds are …
WebM&M Cases
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WebM&M Case
March 27, 2024
… a history of diabetes, hypertension, alcohol use disorder, and cirrhosis of the liver was brought into the emergency … setting of hemodynamic instability and/or cirrhosis. Liver injuries are classified according to their size and relative … ] Schellenberg M, Benjamin E, Piccinini A, et al. Gunshot wounds to the liver: no longer a mandatory operation. J …
WebM&M Cases
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WebM&M Case
December 1, 2007
… sepsis was receiving maintenance intravenous (IV) fluid and IV antibiotics via a peripheral line in the left … Commonly used agents that cause severe extravasation injuries include antineoplastic, inotropic, or osmotically … were lower and oxygen tension higher in acute and chronic wounds treated with warming therapies, this study had a …
WebM&M Cases
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WebM&M Case
November 1, 2006
… Describe unintended consequence of public reporting and interventions to prevent these. … The Case … A … to PubMed] 18. Treadwell T. Intramuscular injection site injuries masquerading as pressure ulcers. Wounds. 2003;15:302-312. … Table … Hospital Quality Alliance: …
