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Total Results: 5,203 records

Showing results for "deaths".

3701. Cardiac arrest during anesthesia. | PSNet
      psnet.ahrq.gov/issue/cardiac-arrest-during-anesthesia
      January 19, 2011 - Review Cardiac arrest during anesthesia. Citation Text: Zuercher M, Ummenhofer W. Cardiac arrest during anesthesia. Curr Opin Crit Care. 2008;14(3):269-74. doi:10.1097/MCC.0b013e3282f948cd. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XM…

3702. This isn't my information! The impact of accurate identity management on patient safety. | PSNet
      psnet.ahrq.gov/issue/isnt-my-information-impact-accurate-identity-management-patient-safety
      January 29, 2020 - Newspaper/Magazine Article This isn't my information! The impact of accurate identity management on patient safety. Citation Text: Garcia R. This isn't my information! The impact of accurate identity management on patient safety. Health management technology. 2013;34(3):10-1. Copy Cit…

3703. When should a leader apologize—and when not? | PSNet
      psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
      October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

3704. Preventing medical errors: how to proceed with caution. | PSNet
      psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution
      January 24, 2024 - Newspaper/Magazine Article Preventing medical errors: how to proceed with caution. Citation Text: Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNot…

3705. High reliability: excellent care every time. | PSNet
      psnet.ahrq.gov/issue/high-reliability-excellent-care-every-time
      July 19, 2018 - Newspaper/Magazine Article High reliability: excellent care every time. Citation Text: Saver C. High reliability: Excellent care every time. OR manager. 2016;32(3):22-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

3706. Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. | PSNet
      psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy-postanesthesia-care-unit
      June 10, 2018 - Newspaper/Magazine Article Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. Citation Text: Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. ISMP Medication Safety Alert! Acute Care E…

3707. A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. | PSNet
      psnet.ahrq.gov/issue/25-year-old-teacher-died-after-waiting-hours-er-shes-not-only-one-who-saw-delays
      September 09, 2020 - Newspaper/Magazine Article A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Citation Text: A 25-year-old teacher died after waiting hours at the ER. She's not the only one who saw delays. Linnane R, Diedrich J. Milwaukee Journal Sentinel. F…

3708. Algorithmic Bias Playbook. | PSNet
      psnet.ahrq.gov/issue/algorithmic-bias-playbook
      May 13, 2020 - Book/Report Algorithmic Bias Playbook. Citation Text: Algorithmic Bias Playbook. Obermeyer Z, Nissan R, Stern M, et al. Center for Applied Artificial Intelligence, Chicago Booth: June 2021. Copy Citation Save Save to your library Print Download PD…

3709. Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
      July 08, 2015 - Newspaper/Magazine Article Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. Citation Text: Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…

3710. Becoming a high-reliability organization through shared learning of safety events | PSNet
      psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
      February 12, 2020 - Newspaper/Magazine Article Becoming a high-reliability organization through shared learning of safety events Citation Text: Becoming a high-reliability organization through shared learning of safety events Klenklen J. Patient Saf Qual HCare. December 19, 2019. Copy Citation …

3711. Independent double checks: worth the effort if used judiciously and properly. | PSNet
      psnet.ahrq.gov/issue/independent-double-checks-worth-effort-if-used-judiciously-and-properly
      January 23, 2019 - Newspaper/Magazine Article Independent double checks: worth the effort if used judiciously and properly. Citation Text: Independent double checks: worth the effort if used judiciously and properly. ISMP Medication Safety Alert! Acute Care Edition. June 6, 2019;24:1-7. Copy Citation …

3712. Survey results from pharmacists provide support to enhance the organizational response to codes. | PSNet
      psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
      November 02, 2022 - Newspaper/Magazine Article Survey results from pharmacists provide support to enhance the organizational response to codes. Citation Text: Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…

3713. Pharmacy-led medication reconciliation is best practice. | PSNet
      psnet.ahrq.gov/issue/pharmacy-led-medication-reconciliation-best-practice
      September 30, 2020 - Newspaper/Magazine Article Pharmacy-led medication reconciliation is best practice. Citation Text: Pharmacy-led medication reconciliation is best practice. Tanski MC. Pharmacy Times Health Systems edition. September 2023;12(5):34-35. Copy Citation Save Save to y…

3714. Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. | PSNet
      psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-they-suggest-carefully-following
      February 24, 2016 - Newspaper/Magazine Article Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. Citation Text: Government and industry fail to protect the public when they suggest "carefully following instructions" i…

3715. When medical error becomes personal, activism becomes painful. | PSNet
      psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful
      August 21, 2019 - Newspaper/Magazine Article When medical error becomes personal, activism becomes painful. Citation Text: When medical error becomes personal, activism becomes painful. Millenson M. Forbes. September 16, 2022. Copy Citation Save Save to your library Print …

3716. Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. | PSNet
      psnet.ahrq.gov/issue/agency-information-collection-activities-nursing-home-survey-patient-safety-culture-database
      June 16, 2021 - Press Release/Announcement Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Citation Text: Agency information collection activities: Nursing Home Survey on Patient Safety Culture Database; comment request. Agency for Healt…

3717. ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. | PSNet
      psnet.ahrq.gov/issue/acog-committee-opinion-590-preparing-clinical-emergencies-obstetrics-and-gynecology
      May 22, 2019 - Commentary ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology. Citation Text: Improvement AC of O and GC on PS and Q. Committee opinion no. 590: preparing for clinical emergencies in obstetrics and gynecology. Obstet Gynecol. 2014;123(3):722-5. d…

3718. Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. | PSNet
      psnet.ahrq.gov/issue/home-health-agencies-failed-report-over-half-falls-major-injury-and-hospitalization-among
      July 26, 2023 - Book/Report Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Citation Text: Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients. Maxwell A…

3719. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. | PSNet
      psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-misdiagnosis
      October 19, 2022 - Commentary Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Citation Text: Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. Copy Citation Format: Google Sch…

3720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33769/psn-pdf
      June 01, 2014 - Patient Advocacy in Patient Safety: Have Things Changed? June 1, 2014 Haskell H. Patient Advocacy in Patient Safety: Have Things Changed? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/patient-advocacy-patient-safety-have-things-changed Perspective In 1981, a cancer patient named Paula Carroll founded…