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Total Results: 601 records

Showing results for "author year description".

401. Cups of Error | PSNet
     psnet.ahrq.gov/web-mm/cups-error
     January 12, 2011 - The Case An 87-year-old man was 5 days postoperative from a decompressive laminectomy. … Sections The Case The Commentary References Related Resources From the Same Author

402. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
     December 01, 2007 - elopement has been identified Identify legal risks associated with elopement Case: Elopement A 61-year-old … Notification of the operator by unit staff indicating a Code Green/Elopement Notification of security with description

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49608/psn-pdf
     August 01, 2010 - https://psnet.ahrq.gov/web-mm/emergent-triage-miss The Case A 42-year-old woman presented to a busy … Triage Level 1 Triage Level 2 Triage Level 3 Triage Level 4 Triage Level 5 Description Resuscitation

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49694/psn-pdf
     October 01, 2013 - A was a 78-year-old man admitted with non-ST elevation myocardial infarction with acute kidney injury … B was a 62-year-old man admitted to the same medicine unit with hypoglycemia and a diabetic foot ulcer … Detection Method Wrong Patient Errors per 100,000 Medication Orders Type of Errors Description … and near miss errors 120 CPOE facilities that voluntarily reported medication errors in calendar year

405. Rescue Improvement Conference Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
     September 23, 2024 - Date First Implemented 2018 Description of the Innovative Activity … Healthcare Policy and Innovation at the University of Michigan reports that at least 100,000 people die each year … Twitter Linkedin Copy URL Related Resources From the Same Author

406. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet
     psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
     July 23, 2024 - resources and supports, such as housing support, food banks, and financial assistance programs. 3 Description … providers and to sustain the innovation, UNC Health only required screening for one domain in the first year … Twitter Linkedin Copy URL Related Resources From the Same Author

407. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
     January 01, 2024 - Timing and Triggers Approach to the Diagnosis of Acute Dizziness 15 Syndrome Description Benign causesa … HINTS-Plus Examination (for patients with ongoing dizziness and nystagmus) Test Brief description

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49597/psn-pdf
     February 01, 2010 - Case & Commentary: Part 1 A 15-year-old adolescent presented to her pediatrician for ongoing management … The estimated incidence rates (per 100,000 person-years) of T2DM among 15- to 19-year-old youth by race … eventually can help distinguish types 1 and 2, but levels in the two types may overlap for up to a year … The patient description in the first sentence prepares us for, and may bias us toward, discounting the … The incidence of T2DM in children and adolescents is highest in 15- to 19-year-old females who are Native

409. Diagnostic Safety Improvement | PSNet
     psnet.ahrq.gov/curated-library/diagnostic-safety-improvement
     July 21, 2025 - PSNet Team Date Created: October 10, 2022 Last Updated: July 21, 2025 Description … The author reviews previously described CDRs, such... … Investigators examined adverse event reports from patients and families over a 6-year period and found

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49733/psn-pdf
     May 01, 2015 - https://psnet.ahrq.gov/web-mm/transitions-adolescent-medicine The Case A 21-year-old woman with a history … under 18 years old, or an estimated 12.8 million children, have a chronic medical condition.(1) Each year … Consensus Statements for Transition Care.(4) Guideline Organization(s) Brief Description A consensus

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49618/psn-pdf
     February 01, 2011 - Case & Commentary: Part 1 A 50-year-old man was diagnosed with chronic hepatitis C (viral load of 2,500,000 … Regulatory Process Description Credentialing Usually a local process that determines the privileges

412. Difficult Encounters: A CMO and CNO Respond | PSNet
     psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
     March 01, 2018 - The Case   An 89-year-old man was admitted to the orthopedic service after sustaining a hip fracture … I respect his view that patient safety is a CMO's first responsibility, and his description of how he … Commentary: Part 2 The Commentary: Part 3 References Related Resources From the Same Author

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49591/psn-pdf
     October 01, 2009 - The Case   An 89-year-old man was admitted to the orthopedic service after sustaining a hip fracture … I respect his view that patient safety is a CMO's first responsibility, and his description of how he

414. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia | PSNet
     psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia
     February 23, 2022 - The Case A 54-year-old man was brought to the emergency department by his family members who stated … Commentary Take Home/Teaching Points References Related Resources From the Same Author … January 10, 2018 Hospital quality and patient safety competencies: development, description

415. Dependence vs. Pain | PSNet
     psnet.ahrq.gov/web-mm/dependence-vs-pain
     October 30, 2019 - Case & Commentary: Part 1   A 56-year-old man with a long history of heroin use presented to the … Although not stated explicitly in the case presentation, the covering provider may have been biased by the description … Year-end 2000 Emergency Department Data from the Drug Abuse Warning Network. … Overview of 5-year followup outcomes in the drug abuse treatment outcome studies (DATOS). … : Part 1 Case & Commentary: Part 2 References Related Resources From the Same Author

416. In Conversation With…Kaveh G. Shojania, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
     September 01, 2011 - I can tell you at my hospital we get 15,000 incident reports a year now. … They're not going to do that 100 times a year, they're probably not even going to do it 40 times a year … And you can get away with that for a year or two. … investment up front of somebody who's knowledgeable reviewing the incident, even just the actual briefest description … Most hospitals already receive thousands of reports per year.

417. The Evolution of Patient Safety in Surgery | PSNet
     psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
     August 01, 2017 - His description of one Morbidity and Mortality (M&M) conference captures the zeitgeist. … First, I made a fundamental error this early in the training year in allowing the chief resident to operate … Sections Perspective References Related Resources From the Same Author

418. Dangerous Dialysis | PSNet
     psnet.ahrq.gov/web-mm/dangerous-dialysis
     June 12, 2024 - The Case A 48-year-old man with a long history of diabetes and end-stage renal disease (ESRD) on hemodialysis … Case The Commentary References Tables Figure Related Resources From the Same Author

419. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
     psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
     December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

420. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49821/psn-pdf
     February 01, 2018 - https://psnet.ahrq.gov/web-mm/right-place-right-drug-wrong-strength The Case A 2-year-old girl was … Description of the development and validation of the Canadian Paediatric Trigger Tool.