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Total Results: 3,539 records

Showing results for "consequences".

3061. Lost in the Black Hole | PSNet
      psnet.ahrq.gov/web-mm/lost-black-hole
      December 01, 2005 - Although it was unclear whether the delayed notification had adverse clinical consequences (the role

3062. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - Documentation of a normal EKG in the wrong chart may have unintended consequences as well.

3063. Critical Order Set Change and Critical Limb Ischemia | PSNet
      psnet.ahrq.gov/web-mm/critical-order-set-change-and-critical-limb-ischemia
      July 02, 2019 - of order sets all require careful attention to the potential of harm to patients and of unintended consequences

3064. Written Signout: It Only Works If You Use The Right One | PSNet
      psnet.ahrq.gov/web-mm/written-signout-it-only-works-if-you-use-right-one
      April 24, 2018 - Fortunately, the patient did not experience any adverse consequences as a result of the error.

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49817/psn-pdf
      January 01, 2018 - The extent and importance of unintended consequences related to computerized provider order entry.

3066. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
      September 01, 2016 - Clinical consequences of polypharmacy in elderly.

3067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - The consequences of repeatedly receiving toxic doses of norepinephrine likely contributed to the sequelae

3068. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
      April 01, 2013 - Fortunately, the patient did not experience any adverse consequences from the hypernatremia.

3069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73902/psn-pdf
      September 29, 2021 - psnet.ahrq.gov//#34 https://psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences … Cognitive errors in diagnosis: Instantiation, classification, and consequences.

3070. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet
      psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
      May 01, 2016 - They're worried about the legal consequences. … September 1, 2016 A clinical case of electronic health record drug alert fatigue: consequences

3071. In Conversation with…Eric G. Poon, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph
      September 01, 2008 - those drugs not yet available in the single-unit dose format.( 5 ) Unintended and usually undesirable consequences … Examples of such unintended consequences are detailed in a recent study of workarounds or practice deviations

3072. Building a Safety Program in a Vast Health Care Network | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
      March 01, 2019 - What got you particularly interested in the patient safety and/or quality aspects of the consequences … February 1, 2003 Perspective The Unintended Consequences

3073. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - It was a huge disruption to the trauma service and had serious economic consequences to the hospital. … Over the next few years, failure to act will likely have far-reaching consequences for hospitals and

3074. 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 - Over the next few years, failure to act will likely have far-reaching consequences for hospitals and … It was a huge disruption to the trauma service and had serious economic consequences to the hospital.

3075. In Conversation with...Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withmark-chassin-md-mpp-mph
      April 01, 2009 - In ex post evaluation, it is particularly important to detect and assess unforeseen consequences. … Second, they need to improve their use of monitoring and evaluation of both intended and unintended consequences

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33824/psn-pdf
      January 01, 2016 - Patient Safety and Opioid Medications January 1, 2016 Sarkar U, Shojania KG. Patient Safety and Opioid Medications. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications Annual Perspective 2016 Opioid medications confer significant risks of harm, including overdose death …

3077. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet
      psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
      February 01, 2012 - RW : Can you share examples of the consequences of oversupervision and the lack of independent practice

3078. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - disposition was not an issue at that time, as he was undergoing evaluation and treatment for the medical consequences

3079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33651/psn-pdf
      June 01, 2007 - They've reported the events to you so they're just worried about what the consequences will be.

3080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33881/psn-pdf
      August 01, 2019 - pessimistic, but what I'm worried about is that people do not spend enough time thinking about the consequences