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Total Results: 2,992 records

Showing results for "considering".

441. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
     psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
     March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42083/psn-pdf
     March 13, 2013 - The top patient safety strategies that can be encouraged for adoption now. March 13, 2013 Shekelle PG, Pronovost P, Wachter R, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med. 2013;158(5 Pt 2):365-8. doi:10.7326/0003-4819-158-5-201303051-00001. https://psnet.ahrq.go…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50699/psn-pdf
     November 26, 2019 - Patient Safety in Frail Older Patients November 26, 2019 Wald HL, Hall KK, Fitall E. Patient Safety in Frail Older Patients. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/patient-safety-frail-older-patients Background Older patients are at a particular risk of experiencing a patient safety event. Stud…

444. 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,…

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866839/psn-pdf
     September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

446. CYP450 Drugs: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/cyp450-drugs-expect-unexpected
     October 19, 2022 - The presence of these reports in specialty journals is not surprising, considering more HIV/AIDS patients

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49711/psn-pdf
     June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…

448. Double Dosing, by the Rules | PSNet
     psnet.ahrq.gov/web-mm/double-dosing-rules
     February 03, 2010 - Double Dosing, by the Rules Citation Text: Cohen H. Double Dosing, by the Rules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

449. In Conversation with...Eric Coleman, MD, MPH | PSNet
     psnet.ahrq.gov/perspective/conversation-witheric-coleman-md-mph
     December 01, 2007 - mandated that all hospitals publicly report care transition measure scores, and two other states are considering … record and requires that they be completed within 30 days of discharge.( 8 ) This is far too permissive, considering

450. Care Transitions | PSNet
     psnet.ahrq.gov/perspective/care-transitions
     December 01, 2007 - record and requires that they be completed within 30 days of discharge.( 8 ) This is far too permissive, considering … mandated that all hospitals publicly report care transition measure scores, and two other states are considering

451. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
     January 01, 2021 - Spotlight Spotlight Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome Source and Credits • This presentation is based on the June 2021 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Comm…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60722/psn-pdf
     February 06, 2023 - testing is sometimes considered adjunctive to RT-PCR testing,35 and current CDC guidelines recommend considering

453. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
     January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…

454. Contextual errors in medical decision making: overlooked and understudied. | PSNet
     psnet.ahrq.gov/issue/contextual-errors-medical-decision-making-overlooked-and-understudied
     May 01, 2020 - Commentary Contextual errors in medical decision making: overlooked and understudied. Citation Text: Weiner SJ, Schwartz A. Contextual Errors in Medical Decision Making: Overlooked and Understudied. Acad Med. 2016;91(5):657-62. doi:10.1097/ACM.0000000000001017. Copy Citation Format…

455. Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. | PSNet
     psnet.ahrq.gov/issue/epidemiology-healthcare-harm-new-zealand-general-practice-retrospective-records-review-study
     December 01, 2021 - Study Epidemiology of healthcare harm in New Zealand general practice: a retrospective records review study. Citation Text: doi:http://doi.org/10.1136/bmjopen-2020-048316. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…

456. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
     January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

457. Suicidal Ideation in the Family Medicine Clinic | PSNet
     psnet.ahrq.gov/web-mm/suicidal-ideation-family-medicine-clinic
     October 01, 2007 - settings/primary-care/toolkit .( 11,12 ) Importantly, suicidal ideation (defined as thinking about or considering

458. Bloody BP Cuff | PSNet
     psnet.ahrq.gov/web-mm/bloody-bp-cuff
     June 21, 2016 - Considering the liability that a hospital may incur, cleansing or disposing of this equipment may result

459. An Easily Forgotten Tube | PSNet
     psnet.ahrq.gov/web-mm/easily-forgotten-tube
     June 01, 2016 - The NICE guideline provides the most specific recommendations related to FMS.( 9 ) Before considering

460. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
     psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
     November 21, 2018 - an opportunity to harness the environment as a tool to improve both patient and caregiver safety by considering