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Total Results: 5,206 records

Showing results for "deaths".

  1. Structural iatrogenesis—a 43-year-old man with "opioid misuse." | PSNet

    psnet.ahrq.gov/issue/structural-iatrogenesis-43-year-old-man-opioid-misuse
    September 04, 2016 - Commentary Structural iatrogenesis—a 43-year-old man with "opioid misuse." Citation Text: Stonington S, Coffa D. Structural Iatrogenesis - A 43-Year-Old Man with "Opioid Misuse". N Engl J Med. 2019;380(8):701-704. doi:10.1056/NEJMp1811473. Copy Citation Format: DOI Google S…

  2. Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. | PSNet

    psnet.ahrq.gov/issue/potentially-fatal-errors-gdh-pqq-glucose-dehydrogenase-pyrroloquinoline-quinone-glucose
    June 22, 2011 - Press Release/Announcement Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. Citation Text: Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology. MedWat…

  3. Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. | PSNet

    psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
    April 06, 2022 - Newspaper/Magazine Article Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Citation Text: Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015. Copy Citation Save …

  4. Effective surgical safety checklist implementation. | PSNet

    psnet.ahrq.gov/issue/effective-surgical-safety-checklist-implementation
    July 30, 2014 - Study Effective surgical safety checklist implementation. Citation Text: Conley DM, Singer SJ, Edmondson L, et al. Effective surgical safety checklist implementation. J Am Coll Surg. 2011;212(5):873-9. doi:10.1016/j.jamcollsurg.2011.01.052. Copy Citation Format: DOI Googl…

  5. Sharing the process of diagnostic decision making. | PSNet

    psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …

  6. Medical error and systems of signaling: conceptual and linguistic definition. | PSNet

    psnet.ahrq.gov/issue/medical-error-and-systems-signaling-conceptual-and-linguistic-definition
    July 12, 2019 - Commentary Medical error and systems of signaling: conceptual and linguistic definition. Citation Text: Smorti A, Cappelli F, Zarantonello R, et al. Medical error and systems of signaling: conceptual and linguistic definition. Intern Emerg Med. 2014;9(6):681-8. doi:10.1007/s11739-014-110…

  7. Review of the Australian Incident Monitoring System. | PSNet

    psnet.ahrq.gov/issue/review-australian-incident-monitoring-system
    July 23, 2008 - Study Review of the Australian Incident Monitoring System. Citation Text: Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657-61. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  8. Changing operating room culture: implementation of a postoperative debrief and improved safety culture. | PSNet

    psnet.ahrq.gov/issue/changing-operating-room-culture-implementation-postoperative-debrief-and-improved-safety
    December 03, 2014 - Study Changing operating room culture: implementation of a postoperative debrief and improved safety culture. Citation Text: Magill ST, Wang DD, Rutledge C, et al. Changing Operating Room Culture: Implementation of a Postoperative Debrief and Improved Safety Culture. World Neurosurg. 201…

  9. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. | PSNet

    psnet.ahrq.gov/issue/nomenclature-nomenclature-sources-terminologic-uncertainty-and-confusion-and-value
    August 04, 2021 - Commentary A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of communication. Citation Text: Cunningham SC, Klein R, Kavic SM. A nomenclature of nomenclature: the sources of terminologic uncertainty and confusion and the value of commu…

  10. Why talking is not cheap: adverse events and informal communication. | PSNet

    psnet.ahrq.gov/issue/why-talking-not-cheap-adverse-events-and-informal-communication
    September 24, 2014 - Commentary Why talking is not cheap: adverse events and informal communication. Citation Text: Montgomery A, Lainidi O, Georganta K. Why talking is not cheap: adverse events and informal communication. Healthcare (Basel). 2024;12(6):635. doi:10.3390/healthcare12060635. Copy Citation …

  11. American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. | PSNet

    psnet.ahrq.gov/issue/american-society-clinical-oncologyoncology-nursing-society-chemotherapy-administration-safety
    October 19, 2022 - Commentary American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards. Citation Text: Jacobson J, Polovich M, McNiff KK, et al. American Society of Clinical Oncology/Oncology Nursing Society Chemotherapy Administration Safety Standards. …

  12. Using a change model to reduce the risk of surgical site infection. | PSNet

    psnet.ahrq.gov/issue/using-change-model-reduce-risk-surgical-site-infection
    June 06, 2018 - Commentary Using a change model to reduce the risk of surgical site infection. Citation Text: Burden M. Using a change model to reduce the risk of surgical site infection. Br J Nurs. 2016;25(17):949-955. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  13. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. | PSNet

    psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
    July 08, 2009 - Commentary Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. Citation Text: Nadzam D, Westergaard F. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. J Nurs Care Qual. 2…

  14. Revisiting old slides—how worthwhile is it? | PSNet

    psnet.ahrq.gov/issue/revisiting-old-slides-how-worthwhile-it
    October 05, 2022 - Study Revisiting old slides—how worthwhile is it? Citation Text: Agarwal S, Wadhwa N. Revisiting old slides--how worthwhile is it? Pathol Res Pract. 2010;206(6):368-71. doi:10.1016/j.prp.2010.01.006. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  15. Perceived disability-based discrimination in health care for children with medical complexity. | PSNet

    psnet.ahrq.gov/issue/perceived-disability-based-discrimination-health-care-children-medical-complexity
    November 16, 2022 - Study Perceived disability-based discrimination in health care for children with medical complexity. Citation Text: Ames SG, Delaney RK, Houtrow AJ, et al. Perceived disability-based discrimination in health care for children with medical complexity. Pediatrics. 2023;152(1):e2022060975. …

  16. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. | PSNet

    psnet.ahrq.gov/issue/medical-emergency-team-and-rapid-response-system-finding-treating-and-preventing-hypoglycemia
    September 23, 2020 - Commentary The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Citation Text: DiNardo M, Noschese M, Korytkowski M, et al. The medical emergency team and rapid response system: finding, treating, and preventing hypoglycemia. Jt Comm J Qua…

  17. Reforming the Veterans Health Administration—beyond palliation of symptoms. | PSNet

    psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
    May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…

  18. Mary Lanning Memorial Hospital: communication is key. | PSNet

    psnet.ahrq.gov/issue/mary-lanning-memorial-hospital-communication-key
    July 16, 2015 - Award Recipient Mary Lanning Memorial Hospital: communication is key. Citation Text: Lindblad B, Chilcott J, Rolls L. Mary Lanning Memorial Hospital: communication is key. Joint Commission journal on quality and safety. 2004;30(10):551-8. Copy Citation Format: Google Schola…

  19. Eliminating perioperative adverse events at Ascension Health. | PSNet

    psnet.ahrq.gov/issue/eliminating-perioperative-adverse-events-ascension-health
    November 16, 2022 - Commentary Eliminating perioperative adverse events at Ascension Health. Citation Text: Ewing H, Bruder G, Baroco P, et al. Eliminating perioperative adverse events at Ascension Health. Jt Comm J Qual Patient Saf. 2007;33(5):256-66. Copy Citation Format: Google Scholar PubM…

  20. From good intentions to successful implementation: the case of patient safety in Canada. | PSNet

    psnet.ahrq.gov/issue/good-intentions-successful-implementation-case-patient-safety-canada
    February 24, 2011 - Commentary From good intentions to successful implementation: the case of patient safety in Canada. Citation Text: Thomas PG. From good intentions to successful implementation: the case of patient safety in Canada. Canadian Public Administration/Administration publique du Canada. 2008;…
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