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  1. A "Weak" Response | PSNet

    psnet.ahrq.gov/web-mm/weak-response
    February 24, 2011 - A "Weak" Response Citation Text: Reisman AB. A "Weak" Response. 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 …

  2. Unintended Consequences of CPOE | PSNet

    psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
    September 01, 2004 - System administrators can use the frequency of such pairs and triples to identify and correct the most

  3. Cognitive Overload in the ICU | PSNet

    psnet.ahrq.gov/web-mm/cognitive-overload-icu
    June 01, 2005 - In this case, the initial radiograph provided reassurance that the central line was in the correct position

  4. Finding Fault With the Default Alert | PSNet

    psnet.ahrq.gov/web-mm/finding-fault-default-alert
    August 28, 2024 - Finding Fault With the Default Alert Citation Text: Baysari M. Finding Fault With the Default Alert. 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 EndNot…

  5. Raise the Bar | PSNet

    psnet.ahrq.gov/web-mm/raise-bar
    May 29, 2024 - Raise the Bar Citation Text: Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867850/psn-pdf
    February 26, 2025 - If you are surfacing things earlier when you can actually correct them or improve the system so they

  7. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet

    psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - additional results that include utilization and cost data, additional publications, and ensuring the correct

  8. Safety in the Prehospital Emergency Medical Services Setting | PSNet

    psnet.ahrq.gov/perspective/safety-prehospital-emergency-medical-services-setting
    May 01, 2019 - Safety in the Prehospital Emergency Medical Services Setting P. Daniel Patterson, PhD, NRP, and Donald M. Yealy, MD | May 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Patterson DP, Yealy DM. Safety in the Prehospital…

  9. Safety in Radiology | PSNet

    psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - reviewing because of their clarity—but they may not improve the likelihood of the physician making the correct

  10. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet

    psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
    June 28, 2023 - Health care providers must establish that the NGT is in the correct location before using it and continue

  11. Becoming a Patient Safety Organization | PSNet

    psnet.ahrq.gov/perspective/becoming-patient-safety-organization
    July 01, 2011 - Becoming a Patient Safety Organization Rory Jaffe, MD, MBA | July 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Jaffe R. Becoming a Patient Safety Organization. PSNet [internet]. Rockville (MD): Agency for Healthcare …

  12. Adverse Event During Intrahospital Transport | PSNet

    psnet.ahrq.gov/web-mm/adverse-event-during-intrahospital-transport
    June 16, 2021 - Adverse Event During Intrahospital Transport Citation Text: Bergman L, Chaboyer W. Adverse Event During Intrahospital Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar …

  13. Undiagnosed Vaginal Bleeding | PSNet

    psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
    July 06, 2022 - Undiagnosed Vaginal Bleeding Citation Text: Mandelblatt J. Undiagnosed Vaginal Bleeding . 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 En…

  14. In Conversation With… Michael Cohen, RPh, MS, ScD (hon) | PSNet

    psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon-0
    October 24, 2021 - At least one container was for another patient, even though the name on the outside of the bag was correct

  15. "Superficial" Report Leads to "Deep" Problem | PSNet

    psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndN…

  16. Medication Reconciliation Pitfalls | PSNet

    psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
    May 01, 2006 - Medication Reconciliation Pitfalls Citation Text: Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  17. What Happened on Telemetry? | PSNet

    psnet.ahrq.gov/web-mm/what-happened-telemetry
    January 18, 2012 - Correct application of electrodes (e.g., who will apply electrodes initially; who will note if the electrodes

  18. The Evidence-Based Physical Examination as a Patient Safety Practice | PSNet

    psnet.ahrq.gov/perspective/evidence-based-physical-examination-patient-safety-practice
    November 01, 2012 - on empiric observation at the bedside, and the attentive physical examination is the only path to a correct

  19. Lesson from the VA's Team Training Program | PSNet

    psnet.ahrq.gov/perspective/lesson-vas-team-training-program
    November 01, 2011 - Lesson from the VA's Team Training Program Julia Neily, RN, MS, MPH; Peter D. Mills, PhD, MS; Lisa M. Mazzia, MD; and Douglas E. Paull,MD | November 1, 2011  Also Read a Conversation View more articles from the same authors. Citation Text: Neily J, Mills PD, Pa…

  20. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. | PSNet

    psnet.ahrq.gov/web-mm/preventing-complications-during-aneurysm-clipping-role-neuromonitoring
    July 02, 2011 - Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring. Citation Text: DeLemos C. Preventing Complications during Aneurysm Clipping – the Role of Neuromonitoring.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Service…
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