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Total Results: 601 records

Showing results for "author year description".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851555/psn-pdf
     July 31, 2023 - psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation The Case A 56-year-old … perforation is considered rare due to the relative paucity of case reports, since its first dramatic description

442. Critical Radiology Alert Process | PSNet
     psnet.ahrq.gov/innovation/critical-radiology-alert-process
     November 16, 2022 - plans for 888 out of 932 (95%) targeted ED patient care episodes with abnormal radiologic findings. 3 Description … Twitter Linkedin Copy URL Related Resources From the Same Author

443. Sick and Pregnant | PSNet
     psnet.ahrq.gov/web-mm/sick-and-pregnant
     August 25, 2021 - The Case A 35-year-old woman with chronic asthma presented to the emergency department (ED) with … Pregnancy Category Description Examples A Controlled studies show no risk. … The Case The Commentary References Table Related Resources From the Same Author

444. Multifactorial Medication Mishap | PSNet
     psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
     September 01, 2016 - The Case A previously healthy 50-year-old man was hospitalized while recovering from an uncomplicated … ISMP's Key Elements of the Medication-Use System.( 4 )   KEY ELEMENT DESCRIPTION Patient … Order of Risk Reduction Strategies.( 5,6 )   POWER (LEVERAGE) ERROR REDUCTION STRATEGY DESCRIPTION … The Case The Commentary References Tables Related Resources From the Same Author

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49699/psn-pdf
     February 01, 2014 - The Case A previously healthy 50-year-old man was hospitalized while recovering from an uncomplicated … ISMP's Key Elements of the Medication-Use System.(4)   KEY ELEMENT DESCRIPTION Patient information … Rank Order of Risk Reduction Strategies.(5,6)   POWER (LEVERAGE) ERROR REDUCTION STRATEGY DESCRIPTION

446. The PeaceHealth Governance Journey in Support of Quality and Safety | PSNet
     psnet.ahrq.gov/perspective/peacehealth-governance-journey-support-quality-and-safety
     August 01, 2007 - hospitals championed improved stroke care to the governing board, it resulted in a highly successful year-long … So when they read in the paper that 50,000 to 100,000 people were being killed in hospitals each year … them in the eye and say, the board is expecting us to come back in 3 months with a plan and within a year … In the last year or two, we've seen three fairly large studies of boards and how they work and how they … Citation Sections Perspective Related Resources From the Same Author

447. The Forgotten Radiographic Read | PSNet
     psnet.ahrq.gov/web-mm/forgotten-radiographic-read
     June 07, 2016 - The Case A 60-year-old woman with peripheral artery disease and chronic mesenteric ischemia was admitted … Since its description in 2001 ( 6 ), the weekend effect has been the subject of more than 100 studies … The Commentary Take-Home Points References Related Resources From the Same Author

448. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - Download Citation Perspective For the field of diagnostic error, 2015 was a busy year … correct or timely diagnosis based on the available evidence, regardless of patient harm.( 5 ) This description … after year after year. … MG : I have to tell you one of the most pleasurable things I did this year was to read your book on … Citation Sections Perspective Related Resources From the Same Author

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49805/psn-pdf
     September 01, 2017 - https://psnet.ahrq.gov/web-mm/forgotten-radiographic-read The Case A 60-year-old woman with peripheral … Since its description in 2001 (6), the weekend effect has been the subject of more than 100 studies

450. Complications of ECMO During Transport | PSNet
     psnet.ahrq.gov/web-mm/complications-ecmo-during-transport
     January 27, 2021 - The Case A 54-year-old woman with end-stage chronic obstructive pulmonary disease (COPD) was admitted … introduction of the patient and the current situation, explanation of the purpose of ECMO, and a clear description … One to two simulation days per staff per year at high-volume centers and more often in low-volume ECMO … centers (<5-10 treatments per year) are adequate for training and education. 14-17 Use of a dedicated … Commentary Take-Home Points References Appendix Related Resources From the Same Author

451. Patient Safety Events Involving Opioid Dose Stacking | PSNet
     psnet.ahrq.gov/web-mm/patient-safety-events-involving-opioid-dose-stacking
     July 08, 2022 - strategies that can help address the multifactorial nature of pain  The Case Case #1: A 35-year-old … Case #2: A 56-year-old female was sent to the Emergency Department (ED) from a skilled nursing facility … Pasero Opioid-induced Sedation Scale (POSS) 4-6 Description Intervention … The Commentary Take Home Points References Related Resources From the Same Author

452. New Oral Anticoagulants | PSNet
     psnet.ahrq.gov/web-mm/new-oral-anticoagulants
     July 01, 2011 - Case & Commentary—Part 1 A 39-year-old woman with a history of deep venous thrombosis (DVT) underwent … Case & Commentary—Part 2 References Table Related Resources From the Same Author

453. In Conversation with David W. Bates about Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/conversation-david-w-bates-about-are-we-safer-today
     February 26, 2025 - outpatient study and found that about one in 15 patients suffers some type of harm over the course of a year … A description of the variation in quality and patient safety structures within a health system. … 1980s and 1990s, the report estimated that preventable errors cause between 44,000 to 98,000 deaths per year … electronic health records, researchers found that 7% of patients had at least one adverse event over one year … February 26, 2025 Related Resources From the Same Author(s)

454. Are We Safer Today? | PSNet
     psnet.ahrq.gov/perspective/are-we-safer-today
     February 26, 2025 - 1980s and 1990s, the report estimated that preventable errors cause between 44,000 to 98,000 deaths per year … electronic health records, researchers found that 7% of patients had at least one adverse event over one year … outpatient study and found that about one in 15 patients suffers some type of harm over the course of a year … A description of the variation in quality and patient safety structures within a health system. … PubMedId RIS Download Citation Related Resources From the Same Author

455. Diagnostic Failure: The Growing Deficit | PSNet
     psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
     June 01, 2005 - The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's … Sentinel Event Data—Event Type by Year. The Joint Commission. [Available at] 9. … Proposed Solutions Take-Home Points References Related Resources From the Same Author

456. CYP450 Drugs: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
     October 19, 2022 - The Case A 42-year-old man with acquired immunodeficiency syndrome (AIDS) (CD4 count 198), hip dystocia … Iatrogenic Cushing's syndrome in HIV-infected patients receiving ritonavir and inhaled fluticasone: description … The Case The Commentary References Table Related Resources From the Same Author

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49854/psn-pdf
     February 01, 2019 - https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with … Sentinel Event Data—Event Type by Year. The Joint Commission. [Available at] 9.

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49658/psn-pdf
     July 01, 2012 - https://psnet.ahrq.gov/web-mm/misleading-complaint The Case A 54-year-old homeless man with a history

459. Patient Advocacy in Patient Safety: Have Things Changed? | PSNet
     psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed
     June 01, 2014 - Sciences in 1996, participants were asked to hold pictures of little Ben Kolb while listening to a description … Famously, one of my radiology reports identified me as a 53-year-old woman. … His 14-year-old daughter, on the way out of the pediatrician's office, told the office assistant to " … A year after my own case, I bumped into a marvelous elderly oncologist, and he talked about how it used … Citation Sections Perspective Related Resources From the Same Author

460. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - We conducted quarterly follow-up interviews with the implementation team for 1 year to coach and assess … having to suffer a surgical adverse event because the team conducted a briefing could be a more powerful description … teamwork training, he has studied these areas extensively in a variety of fields, including during a 15-year … RW : As you bring up pattern recognition and chess players, earlier this year a computer beat the Jeopardy … Citation Sections Perspective Related Resources From the Same Author