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Total Results: 2,246 records

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1781. Lap Burn | PSNet
      psnet.ahrq.gov/web-mm/lap-burn
      March 01, 2018 - Lap Burn Citation Text: Ball K. Lap Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

1782. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49598/psn-pdf
      February 01, 2010 - Medication Reconciliation Pitfalls February 1, 2010 Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls The Case A 90-year-old woman who lived alone suffered a mechanical fall with subsequent hip fracture and was brought to the eme…

1783. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49467/psn-pdf
      December 01, 2004 - A "Weak" Response December 1, 2004 Reisman AB. A "Weak" Response. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/weak-response The Case A primary care physician on call for his group received a call at 9:00PM from a 68-year-old man. He said, "They started me on a new pill for my blood pressure and now I fe…

1784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33815/psn-pdf
      September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

1785. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49505/psn-pdf
      March 01, 2006 - Collegiality vs. Competence March 1, 2006 Sagin T. Collegiality vs. Competence. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/collegiality-vs-competence The Case A 91-year-old man with coronary artery disease was taken to the operating room (OR) for semi-elective repair of a 10-cm abdominal aortic aneurys…

1786. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
      February 01, 2014 - PowerPoint Presentation Spotlight Case Multifactorial Medication Mishap 1 This presentation is based on the February 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Annie Yang, PharmD, BCPS NYU Langone Medical Center Editor, AHRQ WebM&M: Robe…

1787. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33579/psn-pdf
      September 15, 2024 - Systems Approach September 15, 2024 Systems Approach. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/systems-approach PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

1788. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - They look for the correct practices of sterilization and the management of different devices.

1789. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - In some sense, those are bad attitudes, and in some sense they're correct.

1790. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - community setting, they are often hesitant to contact physicians to discuss medication errors that they can correct

1791. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…

1792. In Conversation with… Michael Cohen, RPh, MS, ScD (hon) | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
      April 01, 2006 - community setting, they are often hesitant to contact physicians to discuss medication errors that they can correct

1793. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - Right Electrocardiogram, Wrong Patient March 25, 2020 Chen C, Venugopal S. Right Electrocardiogram, Wrong Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient The Cases Multiple electrocardiograms (EKGs) were incorrectly documented at a large urban tertiary care hosp…

1794. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
      February 01, 2017 - I may be suggesting a starting point, but it's not enough, not correct, not adequate. … that TeamSTEPPS works, it is much harder to change behaviors that are established than to teach the correct

1795. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet
      psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
      June 30, 2021 - I agree with Anjali and think we need to look at much more specific human factors and what we can correct … Is this the correct problem to solve, and am I using the right model to solve the right problem?

1796. New Insights About Team Training From a Decade of TeamSTEPPS | PSNet
      psnet.ahrq.gov/perspective/new-insights-about-team-training-decade-teamstepps
      February 01, 2017 - that TeamSTEPPS works, it is much harder to change behaviors that are established than to teach the correct … I may be suggesting a starting point, but it's not enough, not correct, not adequate.

1797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60952/psn-pdf
      September 30, 2020 - When the Lytes Go Out: A Case of Inpatient Cardiac Arrest September 30, 2020 Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest Disclosure of Relevant Financial Relationships: As a pr…

1798. Improving reliability with root cause analysis. | PSNet
      psnet.ahrq.gov/issue/improving-reliability-root-cause-analysis
      January 17, 2017 - Newspaper/Magazine Article Improving reliability with root cause analysis. Citation Text: Improving reliability with root cause analysis. Latino RJ Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

1799. Ability of practitioners to identify solid oral dosage tablets. | PSNet
      psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
      January 02, 2017 - Study Ability of practitioners to identify solid oral dosage tablets. Citation Text: Ability of practitioners to identify solid oral dosage tablets. Schiff GD; Kim S; Seger AC; Bult J; Bates DW. Copy Citation Save Save to your library Print Download …

1800. Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. | PSNet
      psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-health-care-proactive-risk-reduction-third-edition
      May 18, 2016 - Book/Report Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Citation Text: Failure Mode and Effects Analysis in Health Care: Proactive Risk Reduction, Third Edition. Oakbrook Terrace, IL: Joint Commission Resources; 2010. ISBN: 9781599404066. …