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Showing results for "describes".

4461. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40254/psn-pdf
      September 19, 2016 - Medical error: the second victim. September 19, 2016 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. https://psnet.ahrq.gov/issue/medical-error-second-victim This editorial coined the term "second victim" to describe clinicians who commit error…

4462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72544/psn-pdf
      December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…

4463. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46488/psn-pdf
      November 15, 2017 - A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. November 15, 2017 Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD- 11 framework for classifying patient safety events. Int J Qual Health Ca…

4464. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61112/psn-pdf
      November 11, 2020 - Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. November 11, 2020 Chin DL, Wilson MH, Trask AS, et al. Repurposing clinical decision support system data to measure dosing errors and clinician-level quality of care. J Med Syst. 2020;44(10):185. doi:10.1…

4465. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37562/psn-pdf
      June 14, 2011 - Effectiveness and efficiency of root cause analysis in medicine. June 14, 2011 Wu AW. Effectiveness and Efficiency of Root Cause Analysis in Medicine. JAMA. 2008;299(6):685-687. doi:10.1001/jama.299.6.685. https://psnet.ahrq.gov/issue/effectiveness-and-efficiency-root-cause-analysis-medicine Application of root c…

4466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37590/psn-pdf
      April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. April 13, 2018 Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756. https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition Although early efforts in the patient saf…

4467. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72669/psn-pdf
      January 27, 2021 - Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. January 27, 2021 Abbas M, Robalo Nunes T, Martischang R, et al. Nosocomial transmission and outbreaks of coronavirus disease 2019: the need to protect both patients and healthcare workers. A…

4468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866404/psn-pdf
      July 31, 2024 - Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. July 31, 2024 Sharma AE, Tran AS, Dy M, et al. Patient and caregiver perspectives on causes and prevention of ambulatory adverse events: multilingual qualitative study. BMJ Qual Saf. 2024;Epub …

4469. Life-Threatening Infant Overdose of Sodium Chloride | PSNet
      psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
      December 23, 2020 - Life-Threatening Infant Overdose of Sodium Chloride Citation Text: Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Form…

4470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49444/psn-pdf
      May 01, 2004 - The Commentary This case describes a common scenario among health care professionals.

4471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50843/psn-pdf
      January 29, 2020 - Beer potomania, which was originally described in 1972, describes a state of chronic low solute intake

4472. Hazards of Loading Doses | PSNet
      psnet.ahrq.gov/web-mm/hazards-loading-doses
      December 01, 2003 - dose given multiple times (7.1%).( 6 ) Interestingly, a published vignette included in the analysis describes

4473. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72693/psn-pdf
      January 29, 2021 - The Commentary By Christian Bohringer MD This incident describes a common type of adverse drug event

4474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49397/psn-pdf
      May 01, 2003 - programs in teaching and documenting procedural competency.(6) The adage “see one, do one, teach one” describes

4475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49551/psn-pdf
      December 01, 2007 - The Commentary This case scenario describes an incident in which a case of extravasation injury was

4476. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49521/psn-pdf
      September 12, 2006 - the United States Pharmacopeia, along with approximately 1,100 other drug pairs.(1) The literature describes

4477. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49623/psn-pdf
      March 01, 2011 - level of education in nursing.(8) In part because of the paucity of postgraduate training, Benner (9) describes

4478. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49805/psn-pdf
      September 01, 2017 - The so-called weekend effect (3-5) describes increased mortality and adverse events during periods of

4479. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49739/psn-pdf
      August 21, 2015 - Russell, MD This case describes a rare, but manageable, complication of tracheostomy.

4480. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49533/psn-pdf
      March 01, 2007 - The Commentary The case presented describes a 60-year-old woman who developed a serious postoperative