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Total Results: 6,755 records

Showing results for "described".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36427/psn-pdf
    December 22, 2010 - Investigators identified more than 100 triggers, and while very few serious adverse events were described

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40169/psn-pdf
    January 26, 2011 - association-between-night-or-weekend-admission-and-hospitalization-relevant- patient-outcomes Nights and weekends have been described

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36511/psn-pdf
    January 07, 2011 - Bohmer and Edmondson have previously described the collective learning process that health care organizations

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45761/psn-pdf
    December 21, 2016 - This study described the use of checklists to accurately diagnose mental health disorders.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41224/psn-pdf
    March 24, 2012 - /exploring-role-salient-distracting-clinical-features-emergence-diagnostic-errors- and This study described

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43598/psn-pdf
    October 08, 2014 - clinical-faculty-taking-lead-teaching-quality-improvement-and-patient-safety Patient safety has been described

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43414/psn-pdf
    September 17, 2014 - nurses in an oncology unit all agreed on the importance of speaking up in unsafe situations, they described

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45632/psn-pdf
    November 30, 2016 - This study described the use of a broad simulation curriculum to ensure clinicians had technical and

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36052/psn-pdf
    June 29, 2011 - https://psnet.ahrq.gov/issue/identifying-risk-factors-medical-injury This cross-sectional study described

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47124/psn-pdf
    June 27, 2018 - Respondents felt pressured not to make mistakes, and those who described an error frequently experienced

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33890/psn-pdf
    January 04, 2017 - The development of a case-based approach to educate patients and providers about patient safety is described

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42837/psn-pdf
    January 08, 2014 - A previous AHRQ WebM&M commentary described benefits and drawbacks associated with comanagement.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36132/psn-pdf
    May 27, 2011 - The authors shadowed surgeons, who are described as "the most interesting of all mechanics," at hospitals

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34720/psn-pdf
    April 21, 2011 - With the evolution of systems described, arguments are made for challenges in linking errors as a specific

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44448/psn-pdf
    January 22, 2016 - environment as poor were more likely to report quality and safety problems, underscoring the well-described

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41643/psn-pdf
    September 05, 2012 - issue/randomized-field-study-leadership-walkrounds-based-intervention Leadership WalkRounds have been described

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47257/psn-pdf
    September 26, 2018 - An Annual Perspective described the challenges in measuring and responding to serious patient harm.

  18. Failure to Rescue | PSNet

    psnet.ahrq.gov/primer/failure-rescue
    September 15, 2024 - For example, Gaba described most anesthetic accidents as evolving from small errors and system failures … Causes and Prevention of Failure-to-Rescue Previous research has described three critical stages that … A 2022 systematic review described this paradigm as the 3Rs (recognize, relay and react) underpinning … such as the need for external model validation to ensure generalizability. 3 Recent research has also described

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48112/psn-pdf
    July 10, 2019 - A WebM&M commentary described a chemotherapy infusion error that caused renal failure.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48060/psn-pdf
    June 19, 2019 - Perspective discussed problematic prescribing practices that likely contribute to adverse events and described
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