Results

Total Results: 2,185 records

Showing results for "conclusions".

161. Diffusion of Responsibility Leads to Danger | PSNet
     psnet.ahrq.gov/web-mm/diffusion-responsibility-leads-danger
     November 08, 2013 - diligent care among his academic colleagues as the root cause.( 1 ) His update 15 years later revised his conclusions … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

162. Don't Push | PSNet
     psnet.ahrq.gov/web-mm/dont-push
     March 02, 2011 - There is too little information to draw firm conclusions about the basis for the mental changes that … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

163. Two Wrongs Don't Make a Right (Kidney) | PSNet
     psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
     April 01, 2010 - Therefore, no clear conclusions can be made about the actual relative frequency of events or trends over … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

164. Difficult Encounters: A CMO and CNO Respond | PSNet
     psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
     March 01, 2018 - The nurse on the floor paged the orthopedic resident and read the cardiologist's conclusions and recommendations … From the beginning, it would have helped had the cardiologist communicated his or her conclusions directly … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

165. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.2_slideshow.ppt
     February 01, 2003 - PowerPoint Presentation Spotlight Case February 2003 Apnea in a Patient Under General Anesthesia webmm.ahrq.gov Source and Credits This presentation is based on February 2003 Surgery–Anesthesia Spotlight Case See full case–commentary on webmm.ahrq.gov CME credit is available online Commentary by: Paul Barach,…

166. Patient Engagement in Safety | PSNet
     psnet.ahrq.gov/perspective/patient-engagement-safety
     January 01, 2018 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

167. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49393/psn-pdf
     April 01, 2003 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

168. Communication During Transitions of Care | PSNet
     psnet.ahrq.gov/perspective/communication-during-transitions-care
     July 10, 2024 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

169. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73455/psn-pdf
     June 30, 2021 - palpitations and related symptoms, such as those presented in this case, avoid premature diagnostic conclusions … The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

170. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866343/psn-pdf
     December 31, 2024 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

171. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-06/spotlight_case_hemorrhagic_shock_slides_final.pptx
     January 01, 2024 - Spotlight Spotlight Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary …

172. Good Catch in the Operating Room | PSNet
     psnet.ahrq.gov/web-mm/good-catch-operating-room
     August 27, 2017 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

173. Retained Surgical Items: Causation and Prevention | PSNet
     psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
     January 04, 2024 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

174. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
     psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
     June 28, 2023 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

175. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
     psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
     August 29, 2021 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

176. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
     psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
     January 29, 2021 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

177. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     April 27, 2022 - The authors are solely responsible for this report’s contents, findings, and conclusions, which do not

178. COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. | PSNet
     psnet.ahrq.gov/issue/covid-19-nursing-homes-cms-needs-continue-strengthen-oversight-infection-prevention-and
     October 26, 2022 - Book/Report COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Citation Text: COVID-19 in Nursing Homes: CMS Needs to Continue to Strengthen Oversight of Infection Prevention and Control. Washington, DC: United States Government …

179. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_mismanagement_of_acute_decompensated_heart_failure_slides_final.pptx
     January 01, 2024 - Spotlight Spotlight Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Jaenic Lee, MD Josh Fernel…

180. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - Spotlight Spotlight A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Elizabeth Gould, NP-C, COR…