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Total Results: 6,759 records

Showing results for "describes".

5481. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.116_slideshow.ppt
      February 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case February 2006 Lost in Transition Source and Credits This presentation is based on the February 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Christopher Beach, MD; Northwe…

5482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848108/psn-pdf
      April 26, 2023 - The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. April 26, 2023 Amashta ML, Barnes DK. The Dose Makes the Poison: Medication Error During Procedural Sedation in the Pediatric Emergency Department. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/do…

5483. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. | PSNet
      psnet.ahrq.gov/web-mm/overdose-gabapentin-and-oxycodone-patient-end-stage-renal-disease-case-appropriate
      October 31, 2023 - SPOTLIGHT CASE Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. Citation Text: Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case…

5484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - A Missed Bowel Perforation - the Importance of Diagnostic Reasoning September 27, 2023 Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning Disclosure of …

5485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/843234/psn-pdf
      January 01, 2013 - Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive Drug-Disease Alerts. February 1, 2023 Keenan CR, MacDonald S, Takeshita A, et al. Overdose of Gabapentin and Oxycodone in a Patient with End-Stage Renal Disease: A Case for Appropriate Interruptive D…

5486. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression | PSNet
      psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
      May 26, 2021 - SPOTLIGHT CASE Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression Citation Text: Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

5487. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet
      psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
      September 28, 2010 - Study A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. Citation Text: Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of …

5488. Nurse workarounds in the electronic health record: an integrative review. | PSNet
      psnet.ahrq.gov/issue/nurse-workarounds-electronic-health-record-integrative-review
      November 18, 2020 - Review Nurse workarounds in the electronic health record: an integrative review. Citation Text: Fraczkowski D, Matson J, Lopez KD. Nurse workarounds in the electronic health record: an integrative review. J Am Med Inform Assoc. 2020;27(7):1149-1165. doi:10.1093/jamia/ocaa050. Copy Cita…

5489. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. | PSNet
      psnet.ahrq.gov/issue/there-evidence-better-health-care-cancer-patients-after-second-opinion-systematic-review
      May 03, 2023 - Review Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. Citation Text: Ruetters D, Keinki C, Schroth S, et al. Is there evidence for a better health care for cancer patients after a second opinion? A systematic review. J Cancer …

5490. Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. | PSNet
      psnet.ahrq.gov/issue/identifying-potential-prescribing-safety-indicators-related-mental-health-disorders-and
      July 22, 2020 - Review Identifying potential prescribing safety indicators related to mental health disorders and medications: a systematic review. Citation Text: Khawagi WY, Steinke DT, Nguyen J, et al. Identifying potential prescribing safety indicators related to mental health disorders and medicatio…

5491. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
      August 02, 2015 - Study Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Citation Text: Lee A, Mills PD, Neily J, et al. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. Jt Comm J Qual Patient…

5492. Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. | PSNet
      psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
      June 27, 2018 - Study Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. Citation Text: Cooper WO, Spain DA, Guillamondegui O, et al. Association of Coworker Reports About Unprofessional Behavior by Surgeons With Surgical Complication…

5493. Registration-associated patient misidentification in an academic medical center: causes and corrections. | PSNet
      psnet.ahrq.gov/issue/registration-associated-patient-misidentification-academic-medical-center-causes-and
      September 02, 2020 - Study Registration-associated patient misidentification in an academic medical center: causes and corrections. Citation Text: Bittle MJ, Charache P, Wassilchalk DM. Registration-associated patient misidentification in an academic medical center: causes and corrections. Jt Comm J Qual Pat…

5494. A look into the nature and causes of human errors in the intensive care unit. | PSNet
      psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-care-unit
      June 29, 2009 - Study Classic A look into the nature and causes of human errors in the intensive care unit. Citation Text: Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. Co…

5495. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. | PSNet
      psnet.ahrq.gov/issue/factors-affect-opioid-quality-improvement-initiatives-primary-care-insights-ten-health
      November 03, 2021 - Study Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Citation Text: Childs E, Tano CA, Mikosz CA, et al. Factors that affect opioid quality improvement initiatives in primary care: insights from ten health systems. Jt Comm J …

5496. System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. | PSNet
      psnet.ahrq.gov/issue/system-hazards-managing-laboratory-test-requests-and-results-primary-care-medical-protection
      November 08, 2017 - Study System hazards in managing laboratory test requests and results in primary care: medical protection database analysis and conceptual model. Citation Text: Bowie P, Price J, Hepworth N, et al. System hazards in managing laboratory test requests and results in primary care: medical p…

5497. Identifying health information technology usability issues contributing to medication errors across medication process stages. | PSNet
      psnet.ahrq.gov/issue/identifying-health-information-technology-usability-issues-contributing-medication-errors
      November 03, 2021 - Study Identifying health information technology usability issues contributing to medication errors across medication process stages. Citation Text: Adams KT, Pruitt Z, Kazi S, et al. Identifying health information technology usability issues contributing to medication errors across medic…

5498. Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. | PSNet
      psnet.ahrq.gov/issue/indication-documentation-and-indication-based-prescribing-within-electronic-prescribing
      December 18, 2019 - Review Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis. Citation Text: Feather C, Appelbaum N, Darzi A, et al. Indication documentation and indication-based prescribing within electronic prescrib…

5499. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. | PSNet
      psnet.ahrq.gov/issue/medication-errors-anesthesiology-it-time-train-example-vignettes-can-assess-error-awareness
      May 26, 2021 - Study Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. Citation Text: Duffy CC, Bass GA, Duncan JR, et al. Medication errors in anesthesiology: is it time to train by exampl…

5500. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. | PSNet
      psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
      June 06, 2018 - Study Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Citation Text: Spiller HA, Borys DJ, Ryan ML, et al. Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers. Ann Pharmacother.…