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Showing results for "describes".

  1. Frequency of pediatric medication administration errors and contributing factors. | PSNet

    psnet.ahrq.gov/issue/frequency-pediatric-medication-administration-errors-and-contributing-factors
    November 16, 2022 - Study Frequency of pediatric medication administration errors and contributing factors. Citation Text: Ozkan S, Kocaman G, Ozturk C, et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011;26(2):136-43. doi:10.1097/NCQ.0b013e31820…

  2. Development and implementation of a hospital-based patient safety program. | PSNet

    psnet.ahrq.gov/issue/development-and-implementation-hospital-based-patient-safety-program
    June 21, 2006 - Commentary Development and implementation of a hospital-based patient safety program. Citation Text: Frush K, Alton M, Frush DP. Development and implementation of a hospital-based patient safety program. Pediatr Radiol. 2006;36(4):291-8. Copy Citation Format: Google Schol…

  3. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet

    psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
    January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

  4. Nursing 2006 Patient-safety survey report. | PSNet

    psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
    March 01, 2023 - Study Nursing 2006 Patient-safety survey report. Citation Text: Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  5. Building and sustaining a systemwide culture of safety. | PSNet

    psnet.ahrq.gov/issue/building-and-sustaining-systemwide-culture-safety
    July 21, 2009 - Commentary Building and sustaining a systemwide culture of safety. Citation Text: Yates GR, Bernd DL, Sayles SM, et al. Building and sustaining a systemwide culture of safety. Jt Comm J Qual Patient Saf. 2005;31(12):684-689. Copy Citation Format: Google Scholar PubMed Bib…

  6. Duplication of surgical site marking. | PSNet

    psnet.ahrq.gov/issue/duplication-surgical-site-marking
    November 18, 2016 - Commentary Duplication of surgical site marking. Citation Text: Davis JS, Karmacharya J, Schulman C. Duplication of surgical site marking. J Patient Saf. 2012;8(4):151-2. doi:10.1097/PTS.0b013e3182699a01. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 X…

  7. The Sorry Works! Coalition: making the case for full disclosure. | PSNet

    psnet.ahrq.gov/issue/sorry-works-coalition-making-case-full-disclosure
    May 18, 2022 - Commentary The Sorry Works! Coalition: making the case for full disclosure. Citation Text: Wojcieszak D, Banja J, Houk C. The Sorry Works! Coalition: Making the Case for Full Disclosure. The Joint Commission Journal on Quality and Patient Safety. 2016;32(6). doi:10.1016/s1553-7250(06)320…

  8. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. | PSNet

    psnet.ahrq.gov/issue/teaching-about-diagnostic-errors-through-virtual-patient-cases-pilot-exploration
    September 18, 2013 - Study Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Citation Text: Geha R, Trowbridge RL, Dhaliwal G, et al. Teaching about diagnostic errors through virtual patient cases: a pilot exploration. Diagnosis (Berl). 2018;5(4):223-227. doi:10.1515/dx-201…

  9. Undiagnosed and rare diseases in critical care: the role of diagnostic access. | PSNet

    psnet.ahrq.gov/issue/undiagnosed-and-rare-diseases-critical-care-role-diagnostic-access
    April 20, 2022 - Commentary Undiagnosed and rare diseases in critical care: the role of diagnostic access. Citation Text: Bordini BJ. Undiagnosed and rare diseases in critical care: the role of diagnostic access. Crit Care Clin. 2022;38(2):159-171. doi:10.1016/j.ccc.2021.12.002. Copy Citation Forma…

  10. A safety maturity model for technology-induced errors. | PSNet

    psnet.ahrq.gov/issue/safety-maturity-model-technology-induced-errors
    June 15, 2022 - Review A safety maturity model for technology-induced errors. Citation Text: Borycki EM, Kushniruk AW. A safety maturity model for technology-induced errors. Stud Health Technol Inform. 2022;289:447-451. doi:10.3233/shti210954. Copy Citation Format: DOI Google Scholar BibTe…

  11. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy | PSNet

    psnet.ahrq.gov/web-mm/perioperative-anaphylaxis-after-insertion-latex-drain-patient-known-latex-allergy
    July 08, 2022 - SPOTLIGHT CASE Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy Citation Text: Kelly KJ. Perioperative Anaphylaxis After Insertion of a Latex Drain in a Patient with Known Latex Allergy. PSNet [internet]. Rockville (MD): Agency for Healthcare Resear…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49619/psn-pdf
    February 01, 2011 - Paradoxical Pulse February 1, 2011 Roy CL. Paradoxical Pulse. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/paradoxical-pulse The Case An 80-year-old man with paroxysmal atrial fibrillation and symptomatic bradycardia underwent successful pacemaker placement as an outpatient. The patient was restarted on …

  13. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.224_slideshow.ppt
    October 01, 2010 - Spotlight Case July 2008 Spotlight Case October 2010 Dangerous Dialysis * * Source and Credits This presentation is based on the October 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jean L. Holley, MD, University of Illinois, Urbana-…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49409/psn-pdf
    July 01, 2003 - Feeling No Pain July 1, 2003 Bogner MS. Feeling No Pain. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/feeling-no-pain The Case A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…

  15. Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL SLIDES Sept_Spotlight Case_When the Lytes Go Out_SLIDES_08.25.2020-revised.pptx Spotlight When the Lytes Go Out: A Case of Inpatient Cardiac Arrest Source and Credits • This presentation is based on the September 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psne…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49514/psn-pdf
    July 01, 2006 - One ACE Too Many July 1, 2006 Juurlink DN. One ACE Too Many. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/one-ace-too-many The Case A 72-year-old man with coronary artery disease, diabetes, and recently diagnosed congestive heart failure presented to the emergency department (ED) with chest pain. An acut…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - Is that solution for IV or irrigation?: Fluid administration errors in the operating room. March 25, 2020 Bohringer C. Is that solution for IV or irrigation?: Fluid administration errors in the operating room. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/solution-iv-or-irrigation-fluid-administration-erro…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49842/psn-pdf
    September 01, 2018 - The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment September 1, 2018 Katznelson J. The Wrong Blade: A Lack of Familiarity With Pediatric Emergency Equipment. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/wrong-blade-lack-familiarity-pediatric-emergency-equipment The Case As part of…

  19. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
    February 01, 2012 - Spotlight Case July 2008 Spotlight Case E-prescribing: E for Error? 1 2 Source and Credits This presentation is based on the February 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Elisa W. Ashton, PharmD, Assistant Clinical Professor, Departm…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33615/psn-pdf
    June 01, 2005 - In Conversation with…Peter J. Pronovost, MD, PhD June 1, 2005 In Conversation with…Peter J. Pronovost, MD, PhD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd Editor's Note: Peter J. Pronovost, MD, PhD, is Medical Director of the Johns Hopkins Center for Innova…
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