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Total Results: 2,246 records

Showing results for "correctly".

441. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet
     psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
     October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49419/psn-pdf
     October 01, 2003 - The site was presumably not marked, but it seems clear that there was a correctly labeled left-side

443. Implementing a human factors approach to RCA(2) : tools, processes and strategies. | PSNet
     psnet.ahrq.gov/issue/implementing-human-factors-approach-rca2-tools-processes-and-strategies
     July 21, 2021 - Study Implementing a human factors approach to RCA(2) : tools, processes and strategies. Citation Text: Wiegmann DA, Wood LJ, Solomon DB, et al. Implementing a human factors approach to RCA(2) : tools, processes and strategies. J Healthc Risk Manag. 2021;41(1):31-46. doi:10.1002/jhrm.214…

444. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. | PSNet
     psnet.ahrq.gov/issue/systematic-assessment-culture-review-tool-assess-errors-clinical-microbiology-laboratory
     November 16, 2022 - Study Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Citation Text: Goodyear N, Ulness BK, Prentice JL, et al. Systematic assessment of culture review as a tool to assess errors in the clinical microbiology laboratory. Arch P…

445. Evaluation of symptom checkers for self diagnosis and triage: audit study. | PSNet
     psnet.ahrq.gov/issue/evaluation-symptom-checkers-self-diagnosis-and-triage-audit-study
     December 08, 2021 - Study Classic Evaluation of symptom checkers for self diagnosis and triage: audit study. Citation Text: Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h34…

446. The Essential Guide for Patient Safety Officers, Second Edition. | PSNet
     psnet.ahrq.gov/issue/essential-guide-patient-safety-officers-second-edition
     February 15, 2017 - Book/Report The Essential Guide for Patient Safety Officers, Second Edition. Citation Text: The Essential Guide for Patient Safety Officers, Second Edition. Leonard M, Frankel A, Federico F, et al, eds. Oakbrook Terrace, IL: Joint Commission Resources, Institute for Healthcare Improv…

447. Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. | PSNet
     psnet.ahrq.gov/issue/another-round-blame-game-paralyzing-criminal-indictment-recklessly-overrides-just-culture
     May 02, 2018 - Newspaper/Magazine Article Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. Citation Text: Another round of the blame game: a paralyzing criminal indictment that recklessly "overrides" just culture. ISMP Medication Safety Alert! …

448. A new frontier in healthcare risk management: working to reduce avoidable patient suffering. | PSNet
     psnet.ahrq.gov/issue/new-frontier-healthcare-risk-management-working-reduce-avoidable-patient-suffering
     September 26, 2012 - Commentary A new frontier in healthcare risk management: working to reduce avoidable patient suffering. Citation Text: Card AJ, Klein VR. A new frontier in healthcare risk management: Working to reduce avoidable patient suffering. J Healthc Risk Manag. 2016;35(3):31-7. doi:10.1002/jhrm.2…

449. Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. | PSNet
     psnet.ahrq.gov/issue/improving-cancer-patient-care-combined-medication-error-reviews-and-morbidity-and-mortality
     February 01, 2012 - Study Improving cancer patient care with combined medication error reviews and morbidity and mortality conferences. Citation Text: Ranchon F, You B, Salles G, et al. Improving Cancer Patient Care with Combined Medication Error Reviews and Morbidity and Mortality Conferences. Chemotherapy…

450. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. | PSNet
     psnet.ahrq.gov/issue/hospital-mortality-associated-misdiagnosis-or-unidentified-site-infection-admission
     June 27, 2011 - Review In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Citation Text: Abe T, Tokuda Y, Shiraishi A, et al. In-hospital mortality associated with the misdiagnosis or unidentified site of infection at admission. Crit Care. 2019;23(1):2…

451. 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 …

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846170/psn-pdf
     March 15, 2023 - Duplicate Therapies in Retail Pharmacy March 15, 2023 Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy The Cases Case 1: A middle-aged man with a past medical history of heart failure with reduced ejection f…

453. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet
     psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
     February 01, 2023 - SPOTLIGHT CASE When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Citation Text: Stripe B, Zuidema D. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.…

454. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
     psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
     September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33673/psn-pdf
     September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety September 1, 2008 Rothschild JM, Keohane C. The Role of Bar Coding and Smart Pumps in Safety. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety Perspective Medication safety in hospitals depends on the successful execu…

456. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. | PSNet
     psnet.ahrq.gov/issue/nurses-behaviors-and-visual-scanning-patterns-may-reduce-patient-identification-errors
     December 12, 2012 - Study Nurses' behaviors and visual scanning patterns may reduce patient identification errors. Citation Text: Marquard J, Henneman PL, He Z, et al. Nurses' behaviors and visual scanning patterns may reduce patient identification errors. J Exp Psychol Appl. 2011;17(3):247-56. doi:10.1037/…

457. Medical errors recovered by critical care nurses. | PSNet
     psnet.ahrq.gov/issue/medical-errors-recovered-critical-care-nurses
     June 04, 2008 - Study Medical errors recovered by critical care nurses. Citation Text: Dykes PC, Rothschild JM, Hurley A. Medical errors recovered by critical care nurses. J Nurs Adm. 2010;40(5):241-6. doi:10.1097/NNA.0b013e3181da408e. Copy Citation Format: DOI Google Scholar PubMed BibT…

458. The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. | PSNet
     psnet.ahrq.gov/issue/creation-and-impact-dedicated-section-quality-and-patient-safety-clinical-academic-department
     May 28, 2008 - Commentary The creation and impact of a dedicated section on quality and patient safety in a clinical academic department. Citation Text: Boudreaux AM, Vetter TR. The Creation and Impact of a Dedicated Section on Quality and Patient Safety in a Clinical Academic Department. Academic Medi…

459. Automated dispensing cabinets. | PSNet
     psnet.ahrq.gov/issue/automated-dispensing-cabinets
     September 27, 2010 - Commentary Automated dispensing cabinets. Citation Text: Gaunt MJ, Johnston J, Davis MM. Automated dispensing cabinets. Don't assume they're safe; correct design and use are crucial. Am J Nurs. 2007;107(8):27-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X…

460. Wrong Catheter in the Right Patient | PSNet
     psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
     May 16, 2022 - This helps ensure that one has heard and transcribed an order correctly.