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Showing results for "death".

  1. Vial Mistakes Involving Heparin | PSNet

    psnet.ahrq.gov/web-mm/vial-mistakes-involving-heparin
    May 11, 2014 - Vial Mistakes Involving Heparin Citation Text: Vanderveen T. Vial Mistakes Involving Heparin. 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…

  2. 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…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions May 1, 2011 Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions Perspective The Instit…

  4. Premature or Overdue? | PSNet

    psnet.ahrq.gov/web-mm/premature-or-overdue
    December 23, 2020 - Premature or Overdue? Citation Text: Thomas J, Hannah M. Premature or Overdue?. 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 tagge…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49504/psn-pdf
    March 01, 2006 - Liposuction Gone Awry March 1, 2006 Yates JA. Liposuction Gone Awry. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/liposuction-gone-awry The Case A 54-year-old man with HIV was referred to a plastic surgeon for cosmetic surgery. In the plastic surgeon’s office, he underwent neck and facial liposuction wit…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33712/psn-pdf
    June 01, 2011 - In Conversation with… Edward Tenner, PhD June 1, 2011 In Conversation with… Edward Tenner, PhD. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-edward-tenner-phd Editor's note: Edward Tenner is an independent writer, speaker, and consultant on technology and culture. He received his PhD fro…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49706/psn-pdf
    January 01, 2015 - Clostridium Difficile Relapse Secondary to Medication Access Issue April 1, 2014 Walker PC, Nagel J. Clostridium Difficile Relapse Secondary to Medication Access Issue. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue The Case A 24-year-old wom…

  8. Walking Out of a Hospital After Attempted Suicide | PSNet

    psnet.ahrq.gov/web-mm/walking-out-hospital-after-attempted-suicide
    March 29, 2023 - Walking Out of a Hospital After Attempted Suicide Citation Text: Bourgeois JA, Xiong G. Walking Out of a Hospital After Attempted Suicide. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Googl…

  9. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - Author(s) WebM&M Cases Medication Mix-Up Leads to Patient Death

  10. In Conversation With… Mark L. Graber, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
    January 01, 2016 - In Conversation With… Mark L. Graber, MD January 1, 2016  Also Read an Essay Citation Text: In Conversation With… Mark L. Graber, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. …

  11. In Conversation With… Hardeep Singh, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
    January 01, 2014 - In Conversation With… Hardeep Singh, MD, MPH December 1, 2013  Also Read an Essay Also Read an Essay Citation Text: In Conversation With… Hardeep Singh, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Heal…

  12. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. | PSNet

    psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
    May 19, 2021 - Study Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Citation Text: Kepner S, Bingman C, Jones RM. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. Patient Saf. 2023;5(2):20-31. doi:10.33940/001c.74494. C…

  13. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-384
    April 26, 2023 - March 29, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  14. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
    June 03, 2020 - Study From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Citation Text: Wilf-Miron R, Lewenhoff I, Benyamini Z, et al. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Hea…

  15. Developing a culture of collaboration in the operating room: more than effective communication. | PSNet

    psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
    June 27, 2018 - Review Developing a culture of collaboration in the operating room: more than effective communication. Citation Text: Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8. Copy Citation Format:…

  16. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? | PSNet

    psnet.ahrq.gov/issue/parents-perceptions-pediatric-day-surgery-risks-unforeseeable-complications-or-avoidable
    September 11, 2019 - Study Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Citation Text: Sobo EJ. Parents' perceptions of pediatric day surgery risks: unforeseeable complications, or avoidable mistakes? Soc Sci Med. 2005;60(10):2341-50. Copy Citat…

  17. Use of cellular telephones in the hospital environment. | PSNet

    psnet.ahrq.gov/issue/use-cellular-telephones-hospital-environment
    November 26, 2014 - Study Use of cellular telephones in the hospital environment. Citation Text: Tri JL, Severson RP, Hyberger LK, et al. Use of cellular telephones in the hospital environment. Mayo Clin Proc. 2007;82(3):282-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  18. Distractors in obstetric ultrasound: do sonographers have safety concerns? | PSNet

    psnet.ahrq.gov/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
    March 08, 2023 - Study Distractors in obstetric ultrasound: do sonographers have safety concerns? Citation Text: Najafzadeh A, Woodrow N, Thoirs K. Distractors in obstetric ultrasound: Do sonographers have safety concerns? Australas J Ultrasound Med. 2019;22(3):206-213. doi:10.1002/ajum.12134. Copy Cit…

  19. Organizational learning and patient safety: hospital pharmacy settings. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
    September 23, 2020 - Study Organizational learning and patient safety: hospital pharmacy settings. Citation Text: Abdallah W, Johnson C, Nitzl C, et al. Organizational learning and patient safety: hospital pharmacy settings. J Health Organ Manag. 2019;33(6):695-713. doi:10.1108/JHOM-11-2018-0319. Copy Cit…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33614/psn-pdf
    June 01, 2005 - Interpreting the Patient Safety Literature June 1, 2005 Shojania KG. Interpreting the Patient Safety Literature. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/interpreting-patient-safety-literature Perspective Five years ago, a widely publicized randomized trial reported a 90% reduction in the inciden…
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