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Showing results for "consequences".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49738/psn-pdf
    August 21, 2015 - The tech was fired immediately by the hospital but there were no other consequences.

  2. Microsoft PowerPoint - Spotlight Case_Agitated Delirium_FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-03/march_2023_spotlight_agitated_delirium.pdf
    January 01, 2023 - confirmation of NGT placement, apparently due to miscommunication at change-of-shift, led to more serious consequences

  3. Patient Safety in the Ambulatory Care Setting | PSNet

    psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - but is also associated with harms (e.g., radiation exposure, false-positive results , psychological consequences

  4. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy | PSNet

    psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
    July 01, 2008 - are considered a highly effective strategy in creating change, although they may also have unintended consequences

  5. Chest Pain in a Rural Hospital | PSNet

    psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - November 16, 2022 WebM&M Cases The Consequences

  6. Classics and Emerging Classics | PSNet

    psnet.ahrq.gov/classics
    August 01, 2023 - Fear of negative consequences was the most common barrier; other barriers included inadequate reporting

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49553/psn-pdf
    January 01, 2008 - The true consequences of false-positive results. JAMA. 1991;265:365-369. [go to PubMed] 4.

  8. In Conversation With… Andrew Bindman, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-andrew-bindman-md
    June 15, 2024 - think about some of the most important health care problems in the United States, including the health consequences

  9. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
    January 01, 2023 - checklist likely contributed to this near miss, which may happen again in the future (with worse consequences

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49624/psn-pdf
    May 01, 2011 - occurred; do not speculate • Tell the patient whether the adverse event was preventable What are the consequences

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49825/psn-pdf
    April 01, 2018 - Errors in medical interpretation and their potential clinical consequences in pediatric encounters.

  12. Emergence of Application-based Healthcare | PSNet

    psnet.ahrq.gov/perspective/emergence-application-based-healthcare
    August 05, 2022 - Safety concerns with consumer-facing mobile health applications and their consequences: a scoping review … You touched on this topic a little bit earlier, but what do you think could be some of the consequences

  13. In Conversation With... Francoise Marvel, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-francoise-marvel-md
    August 05, 2022 - You touched on this topic a little bit earlier, but what do you think could be some of the consequences … Safety concerns with consumer-facing mobile health applications and their consequences: a scoping review

  14. Two Wrongs Don't Make a Right (Kidney) | PSNet

    psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
    April 01, 2010 - SPOTLIGHT CASE Two Wrongs Don't Make a Right (Kidney) Citation Text: DeVine JG. Two Wrongs Don't Make a Right (Kidney). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Schola…

  15. Add-on Case and the Missing Checklist | PSNet

    psnet.ahrq.gov/web-mm/add-case-and-missing-checklist
    September 01, 2012 - Add-on Case and the Missing Checklist Citation Text: Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  16. Pathologic Mistake | PSNet

    psnet.ahrq.gov/web-mm/pathologic-mistake
    February 15, 2010 - Pathologic Mistake Citation Text: Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  17. Wrong Turn through Colon: Misplaced PEG | PSNet

    psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
    May 01, 2017 - Wrong Turn through Colon: Misplaced PEG Citation Text: Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote…

  18. Inflicting Confusion | PSNet

    psnet.ahrq.gov/web-mm/inflicting-confusion
    August 04, 2021 - Inflicting Confusion Citation Text: Scott FI, Lichtenstein GR. Inflicting Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  19. Don't Push | PSNet

    psnet.ahrq.gov/web-mm/dont-push
    March 02, 2011 - Don't Push Citation Text: Meltzer HY. Don't Push. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downl…

  20. 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 …
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