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Total Results: 3,732 records

Showing results for "consequences".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49803/psn-pdf
    January 01, 2018 - Point-of-care Mixup: 1 Shot Turns Into 3 August 1, 2017 Berberich RF. Point-of-care Mixup: 1 Shot Turns Into 3. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/point-care-mixup-1-shot-turns-3 The Case A 2-month-old boy was brought in for a routine 2-month well-child visit. The exam was completed and the app…

  3. Accreditation and Regulation: Can They Help Improve Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/accreditation-and-regulation-can-they-help-improve-patient-safety
    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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72586/psn-pdf
    December 23, 2020 - For example, a patient may demonstrate appreciation by verbalizing the consequences to themselves by … Cognitive underspecification: Its variety and consequences. ?In B. J. Baars (Ed.), ?

  5. Vial Mistakes Involving Heparin | PSNet

    psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
    May 11, 2014 - WebM&M Cases To Dilute or Not Dilute: Drug Errors and Consequences

  6. Deciphering the Code | PSNet

    psnet.ahrq.gov/web-mm/deciphering-code
    November 16, 2022 - Some unintended consequences of information technology in health care: the nature of patient care information

  7. On O.R. Off? | PSNet

    psnet.ahrq.gov/web-mm/or
    August 22, 2013 - The patient awakened without event and suffered no adverse consequences from the error.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50389/psn-pdf
    September 25, 2019 - esoteric when considering a real case such as the one presented here, they have very real clinical consequences

  9. A Potent Medication Administered in a Not So Viable Route | PSNet

    psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
    July 20, 2016 - The consequences in either case—local tissue injury with the use of peripheral vasopressors, or prolonged

  10. A Painful Dilemma | PSNet

    psnet.ahrq.gov/web-mm/painful-dilemma
    September 01, 2013 - drug-taking behaviors—such as loss of control over use, continued use despite knowledge of harmful consequences

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - anesthesia was reversed, and the patient was returned to her room and fortunately did not have any consequences

  12. I Just Want to Go Home: Understanding Delirium’s Impact on Treatment Preferences | PSNet

    psnet.ahrq.gov/web-mm/i-just-want-go-home-understanding-deliriums-impact-treatment-preferences
    December 18, 2019 - (or surrogate) ideally should be able to understand the choices being considered, assess the likely consequences

  13. Diagnostic Failure: The Growing Deficit | PSNet

    psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit
    June 01, 2005 - Rural Hospital June 1, 2018 WebM&M Cases Consequences

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - transfusion of multiple units of blood, and fortunately the injury was repaired before more serious consequences

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33722/psn-pdf
    December 01, 2011 - They understand the consequences of an injurious patient fall, that it can be life altering and life

  16. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-302
    July 28, 2021 - WebM&M Cases Spotlight Case The Consequences of Miscommunication Regarding a Possible Artifact

  17. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-311
    September 29, 2021 - Transfusion errors can have serious consequences.

  18. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-310
    September 29, 2021 - In a novel finding, this study identified potential negative consequences of psychological safety, including

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-346
    May 16, 2022 - The commentary highlights the consequences of patient transport errors and strategies to enhance the

  20. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-347
    May 16, 2022 - The commentary highlights the consequences of patient transport errors and strategies to enhance the
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