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Showing results for "describes".

4621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45057/psn-pdf
      June 22, 2017 - Safety risks associated with the lack of integration and interfacing of hospital health information technologies: a qualitative study of hospital electronic prescribing systems in England. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Safety risks associated with the lack of integration and interfacing of …

4622. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46843/psn-pdf
      June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. https://psnet.ahrq.gov/issue/elect…

4623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45863/psn-pdf
      August 28, 2017 - Large-scale implementation of the I-PASS handover system at an academic medical centre. August 28, 2017 Shahian DM, McEachern K, Rossi L, et al. Large-scale implementation of the I-PASS handover system at an academic medical centre. BMJ Qual Saf. 2017;26(9):760-770. doi:10.1136/bmjqs-2016-006195. https://psnet.ahr…

4624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48112/psn-pdf
      July 10, 2019 - Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. July 10, 2019 Blandford A, Dykes PC, Franklin BD, et al. Intravenous Infusion Administration: A Comparative Study of Practices and Errors Between the Uni…

4625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47104/psn-pdf
      December 04, 2018 - Deriving a framework for a systems approach to agitated patient care in the emergency department. December 4, 2018 Wong AH, Ruppel H, Crispino LJ, et al. Deriving a Framework for a Systems Approach to Agitated Patient Care in the Emergency Department. Jt Comm J Qual Patient Saf. 2018;44(5):279-292. doi:10.1016/j.j…

4626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43553/psn-pdf
      August 28, 2017 - Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. August 28, 2017 Karamnov S, Sarkisian N, Grammer R, et al. Analysis of Adverse Events Associated With Adult Moderate Procedural Sedation Outside the Operating Room. J Patient Saf. 2014;13(3):111-121. doi:10.1…

4627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40289/psn-pdf
      March 16, 2011 - Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. March 16, 2011 Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother. 2011;45(1):17-22. doi:10.1345/aph.1…

4628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43788/psn-pdf
      February 25, 2015 - Evaluating ambulatory practice safety: the PROMISES Project administrators and practice staff surveys. February 25, 2015 Singer SJ, Nieva HR, Brede N, et al. Evaluating ambulatory practice safety: the PROMISES project administrators and practice staff surveys. Med Care. 2015;53(2):141-52. doi:10.1097/MLR.000000000…

4629. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48137/psn-pdf
      July 17, 2019 - Clinician perspectives on electronic health records, communication, and patient safety across diverse medical oncology practices. July 17, 2019 Patel MR, Friese CR, Mendelsohn-Victor K, et al. Clinician Perspectives on Electronic Health Records, Communication, and Patient Safety Across Diverse Medical Oncology Pra…

4630. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46829/psn-pdf
      July 23, 2018 - Quality and variability of patient directions in electronic prescriptions in the ambulatory care setting. July 23, 2018 Yang Y, Ward-Charlerie S, Dhavle AA, et al. Quality and Variability of Patient Directions in Electronic Prescriptions in the Ambulatory Care Setting. J Manag Care Spec Pharm. 2018;24(7):691-699. …

4631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40412/psn-pdf
      March 23, 2012 - Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. March 23, 2012 Jain R, Kralovic SM, Evans ME, et al. Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. N Engl J Med. 2011;364(15):1419-30. doi:10.1056/NEJMoa1007474. https://p…

4632. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44671/psn-pdf
      September 20, 2016 - Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. September 20, 2016 Mazor KM, Roblin DW, Greene SM, et al. Primary care physicians' willingness to disclose oncology errors involving multiple providers to patients. BMJ Qual Saf. 2016;25(10):787-95. doi:10.113…

4633. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847934/psn-pdf
      April 26, 2023 - The Measurement of Patient Safety primer describes the framework for measuring patient safety based

4634. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet
      psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-postoperative-cervical-hematoma
      August 14, 2024 - SPOTLIGHT CASE Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. Citation Text: Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

4635. A Lot of Pain (Medications) | PSNet
      psnet.ahrq.gov/web-mm/lot-pain-medications
      September 23, 2020 - SPOTLIGHT CASE A Lot of Pain (Medications) Citation Text: Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

4636. Difficult Encounters: A CMO and CNO Respond | PSNet
      psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
      March 01, 2018 - SPOTLIGHT CASE Difficult Encounters: A CMO and CNO Respond Citation Text: Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: …

4637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843051/psn-pdf
      February 01, 2023 - Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. February 1, 2023 Graves CE, Kuhn MA. Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/respiratory-distress-after-neck-surgery-two-cases-…

4638. Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-09/a_missed_bowel_perforation_-_the_importance_of_diagnostic_reasoning.pdf
      January 01, 2023 - Microsoft PowerPoint - Spotlight Case_A Missed Bowel Perforation - SLIDES_FINAL.pptx Spotlight A Missed Bowel Perforation – the Importance of Diagnostic Reasoning Source and Credits • This presentation is based on the September 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/web…

4639. Burnout | PSNet
      psnet.ahrq.gov/primer/burnout
      November 20, 2024 - most accepted definition from the 11 th Revision of the International Classification of Diseases 2 describes

4640. Falling Between the Cracks in the Software | PSNet
      psnet.ahrq.gov/web-mm/falling-between-cracks-software
      March 09, 2011 - Falling Between the Cracks in the Software Citation Text: Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX En…