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Showing results for "case".
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  1. We know what they did wrong, but not why: the case for 'frame-based' feedback. | PSNet

    psnet.ahrq.gov/issue/we-know-what-they-did-wrong-not-why-case-frame-based-feedback
    December 21, 2014 - Newspaper/Magazine Article We know what they did wrong, but not why: the case for … We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. … We knowwhatthey did wrong, but notwhy: the case for ‘frame-based’ feedback. … September 9, 2020 The business case for patient safety. … A case study from a large metropolitan healthcare trust.

  2. Preventing medication errors in transitions of care: a patient case approach. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-transitions-care-patient-case-approach
    October 17, 2012 - Review Preventing medication errors in transitions of care: a patient case approach … Preventing medication errors in transitions of care: A patient case approach. … Preventing medication errors in transitions of care: A patient case approach. … August 17, 2022 A case of transfusion error in a trauma patient with subsequent root … of preventable harm in first-line health care: a case-control study March 11, 2020

  3. Ebola case raises concern about everyday hospital safety. | PSNet

    psnet.ahrq.gov/issue/ebola-case-raises-concern-about-everyday-hospital-safety
    June 21, 2017 - Newspaper/Magazine Article Ebola case raises concern about everyday hospital safety … Citation Text: Ebola case raises concern about everyday hospital safety. Rodricks D. … Linkedin Copy URL Cite Citation Citation Text: Ebola case

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836783/psn-pdf
    March 23, 2022 - Making the business case for quality and safety. March 23, 2022 Shah RK, Reinhart R, Cronin J. … Making the business case for quality and safety. … of establishing the business case for safety. … case- based vignettes as examples. … /strengthening-business-case-patient-safety https://psnet.ahrq.gov/issue/optimizing-business-case-safe-health-care-integrated-approach-safety-and-finance

  5. The impact of team processes on psychiatric case management. | PSNet

    psnet.ahrq.gov/issue/impact-team-processes-psychiatric-case-management
    November 13, 2019 - Study The impact of team processes on psychiatric case management. … The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18. … The impact of team processes on psychiatric case management. J Adv Nurs. 2007;60(4):409-18.

  6. The business case for investing in physician well-being. | PSNet

    psnet.ahrq.gov/issue/business-case-investing-physician-well-being
    June 05, 2019 - Commentary The business case for investing in physician well-being. … The Business Case for Investing in Physician Well-being. … The Business Case for Investing in Physician Well-being.

  7. Framing patient safety initiatives: working model and case example. | PSNet

    psnet.ahrq.gov/issue/framing-patient-safety-initiatives-working-model-and-case-example
    April 05, 2017 - Commentary Framing patient safety initiatives: working model and case example. … Framing patient safety initiatives: working model and case example. … Framing patient safety initiatives: working model and case example. … February 10, 2021 Making the business case for quality and safety. … December 2, 2020 Medication-related medical emergency team activations: a case review

  8. Prolonged DKA in Pregnancy: A Case of Communication Breakdown. | PSNet

    psnet.ahrq.gov/web-mm/prolonged-dka-pregnancy-case-communication-breakdown
    June 28, 2023 - SPOTLIGHT CASE Prolonged DKA in Pregnancy: A Case of Communication Breakdown. … Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. … Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet]. … The Case A 31-year-old nulliparous woman with a history of type 1 diabetes, managed successfully with … Prolonged DKA in Pregnancy: A Case of Communication Breakdown.. PSNet [internet].

  9. From tasks to processes: the case for changing health information technology to improve health care. | PSNet

    psnet.ahrq.gov/issue/tasks-processes-case-changing-health-information-technology-improve-health-care
    February 10, 2015 - Commentary From tasks to processes: the case for changing health information technology … From tasks to processes: the case for changing health information technology to improve health care. … From tasks to processes: the case for changing health information technology to improve health care. … September 9, 2020 A case of transfusion error in a trauma patient with subsequent root … January 8, 2020 Think twice: effects on diagnostic accuracy of returning to the case

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60583/psn-pdf
    June 10, 2020 - Containing COVID-19 in the emergency department: the role of improved case detection and segregation … Containing COVID-19 in the emergency department: the role of improved case detection and segregation … https://psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and … - segregation-suspect This article describes the use of a broad suspect case criteria for detecting … Both the initial official case criteria and the broadened case definition, which included patients presenting

  11. I'm sorry: laws that support apologies in health care. | PSNet

    psnet.ahrq.gov/issue/im-sorry-laws-support-apologies-health-care
    March 11, 2020 - Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. … Prof Case Manag . 2019; 25 (1) :40-45 . View more articles from the same authors. … Prof Case Manag. 2019;25(1):40-45. doi:10.1097/ncm.0000000000000410. … A case study from a large metropolitan healthcare trust. … August 17, 2022 Patient safety systems for case management.

  12. Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation | PSNet

    psnet.ahrq.gov/web-mm/cardiac-arrest-woman-uti-case-qt-prolongation
    March 27, 2024 - Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation Citation Text: Kulig CE, Ebong … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet]. … The error in this case was only recognized after the patient suffered a cardiac arrest. … Cardiac Arrest in a Woman with UTI: A Case of QT Prolongation. PSNet [internet].

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60023/psn-pdf
    March 11, 2020 - Patient-related factors associated with an increased risk of being a reported case of preventable harm … in first-line health care: a case-control study March 11, 2020 Fernholm R, Holzmann MJ, Wachtler … Patient-related factors associated with an increased risk of being a reported case of preventable harm … in first-line health care: a case-control study. … https://psnet.ahrq.gov/issue/patient-related-factors-associated-increased-risk-being-reported-case-

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847718/psn-pdf
    April 19, 2023 - Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions … Effect of a Veterans Health Administration mandate to case review patients with opioid prescriptions … Patients identified as high-risk for SAE by STORM received a mandatory case review. … Mandatory case review increased the odds of all-cause mortality, but not SAE. … Patients whose opioids were discontinued after case review showed even higher odds of mortality.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844058/psn-pdf
    February 08, 2023 - ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. … https://psnet.ahrq.gov/issue/ismp-updates-its-list-drug-names-tall-man-mixed-case-letters-based-survey … This article discusses the results of a national survey on the importance of mixed case drug names, … which found that 94% of the 298 respondents reported using mixed case drug names in their organization … and that the majority of participants felt that mixed case lettering prevents drug selection events

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866645/psn-pdf
    September 04, 2024 - Technology-related safety event analysis in community clinical informatics: a case study. … Technology-related safety event analysis in community clinical informatics: a case study. … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study … https://psnet.ahrq.gov/issue/technology-related-safety-event-analysis-community-clinical-informatics-case-study

  17. Effect of outcome on physician judgments of appropriateness of care. | PSNet

    psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care
    June 23, 2015 - The authors obtained 21 standardized case abstracts in anesthesiology representing eight recognized classes … For each case, the authors prepared a matching case identical in every way, with the exception that if … the true case resulted in mild reversible injury, the matching case was made to result in severe irreversible … outcome was approximately 30% more likely to be judged as substandard in comparison with the identical case

  18. Training Education | PSNet

    psnet.ahrq.gov/training-education
    October 01, 2025 - Spotlight Case and Commentaries are certified for continuing education through the UCD Health Office … View All Spotlight Cases WebM&M Case Studies WebM&M (Morbidity … You can contribute by submitting a case study anonymously. … Submit your case below to help the medical community and to prevent similar errors in the future. … Submit Your Case Training Catalog The AHRQ PSNet Training Catalog

  19. Empiric Steroids: the Good, the Bad, and the Ugly | PSNet

    psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly
    June 01, 2015 - SPOTLIGHT CASE Empiric Steroids: the Good, the Bad, and the Ugly Citation Text: … Case Objectives Describe appropriate indications for use of steroids. … Case B: Part 2 Let's assume that glucocorticoids were not initiated. … Sections Case Objectives Case A: Part 1 Case A: Part 2 Case B: Part 1 Case … B: Part 2 Case C: Part 1 Case C: Part 2 References Related Resources From the

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866746/psn-pdf
    September 18, 2024 - Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. … Looking beyond LinkedIn: the case for excellence and academic rigor in quality and safety programs. … https://psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and- … https://psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs … https://psnet.ahrq.gov/issue/looking-beyond-linkedin-case-excellence-and-academic-rigor-quality-and-safety-programs
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