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Total Results: 3,539 records

Showing results for "consequences".

3281. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety August 30, 2023 Van CM, Mossburg S, McGaffigan P. Beyond the Pandemic: Creating Total Systems Safety. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety The COVID-19 pandemic necessitated a shift in operations …

3282. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      December 01, 2010 - Risk Management and Patient Safety Barry M. Manuel, MD; Jack L. McCarthy; William Berry, MD, MPH; Kathy Dwyer | December 1, 2010  Also Read a Conversation View more articles from the same authors. Citation Text: Manuel BM, McCarthy JL, Berry WR, et al. Risk Mana…

3283. Strengthening the Business Case for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/strengthening-business-case-patient-safety
      May 01, 2013 - ) WebM&M Cases Getting a Good Report Card: Unintended Consequences

3284. In Conversation with…Thomas J. Nasca, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
      February 01, 2010 - increase in handoffs that comes with duty hour restrictions, has been one of the most striking unintended consequences

3285. Transfusion Overload | PSNet
      psnet.ahrq.gov/web-mm/transfusion-overload
      September 23, 2020 - a diuretic has not been shown to protect patients from developing either of these potentially fatal consequences

3286. Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-systemic-lupus-erythematosus-psychiatric-presentation
      September 27, 2023 - follow-up on abnormal laboratory results is not an uncommon system or process error and can lead to dire consequences

3287. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care | PSNet
      psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
      September 09, 2013 - View More Related Resources WebM&M Cases The Consequences

3288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865309/psn-pdf
      May 29, 2024 - how, unfortunately, tracheostomy management is often overlooked, and such errors can lead to grave consequences

3289. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Errors in pathology and laboratory medicine: consequences and prevention.

3290. A Sweet Case of Hidden Hydrogen Ions | PSNet
      psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
      November 30, 2023 - appreciate the importance of physiologic insulin replacement in patients with type 1 diabetes, and the consequences

3291. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - untreated, the patient will eventually develop focal neurological deficits, often with devastating consequences

3292. Management of Cardiac Arrest in Unconventional Locations. | PSNet
      psnet.ahrq.gov/web-mm/management-cardiac-arrest-unconventional-locations
      June 14, 2023 - Root causes may include not formulating a plan that anticipates potential consequences, communication

3293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866578/psn-pdf
      August 28, 2024 - considered a highly effective strategy in creating change, although they may also have unintended consequences

3294. Unexplained Apnea Under Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/unexplained-apnea-under-anesthesia
      December 01, 2005 - Resources From the Same Author(s) Perspective The Unintended Consequences

3295. Translating From Normal to Abnormal | PSNet
      psnet.ahrq.gov/web-mm/translating-normal-abnormal
      October 02, 2019 - case above illustrates, poor translations can lead to miscommunication, which can result in adverse consequences

3296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865884/psn-pdf
      May 29, 2024 - procedure (gastric bypass surgery), aimed at treating a chronic health condition (obesity and its consequences

3297. The Unfinished Patient Safety Agenda | PSNet
      psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda
      August 01, 2005 - If mandates can be implemented without major unintended consequences that adversely affect access and

3298. Physical Diagnosis: A Lost Art? | PSNet
      psnet.ahrq.gov/web-mm/physical-diagnosis-lost-art
      January 17, 2018 - The consequences of excessive reliance on diagnostic tests to convey information that should have been

3299. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849679/psn-pdf
      June 28, 2023 - Failure to do so can lead to tracheal and surrounding structure damage with severe clinical consequences

3300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49843/psn-pdf
      October 01, 2018 - the greatest promise in improving outcomes for patients with sepsis while minimizing the unintended consequences