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Total Results: 9,443 records

Showing results for "experiences".

9041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867849/psn-pdf
      February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…

9042. Check the Anesthesia Machine | PSNet
      psnet.ahrq.gov/web-mm/check-anesthesia-machine
      August 01, 2006 - Check the Anesthesia Machine Citation Text: Saddawi-Konefka D, Cooper JB. Check the Anesthesia Machine. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

9043. Failure to Reevaluate | PSNet
      psnet.ahrq.gov/web-mm/failure-reevaluate
      February 01, 2014 - Failure to Reevaluate Citation Text: Wong-Beringer A. Failure to Reevaluate. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

9044. Specimen Almost Lost | PSNet
      psnet.ahrq.gov/web-mm/specimen-almost-lost
      September 21, 2022 - Specimen Almost Lost Citation Text: Hehe YK. Specimen Almost Lost. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

9045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49818/psn-pdf
      January 01, 2018 - A Costly Colonoscopy Leads to a Delay in Diagnosis January 1, 2018 Moriates C. A Costly Colonoscopy Leads to a Delay in Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis The Case A 50-year-old man presented to a primary care clinic to establish care, as he ha…

9046. Walking Patient, Missing Drain | PSNet
      psnet.ahrq.gov/web-mm/walking-patient-missing-drain
      April 01, 2006 - Walking Patient, Missing Drain Citation Text: Olkowski BF, Ravenel M, Stiefel MF. Walking Patient, Missing Drain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote …

9047. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - In Conversation With… Paul H. O'Neill, MPA January 1, 2017  Also Read an Essay Citation Text: In Conversation With… Paul H. O'Neill, MPA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017…

9048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73902/psn-pdf
      September 29, 2021 - Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome September 29, 2021 Lantz L, Yoon J, Barnes DK. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome. PSNet [internet]. 2021. https://psnet.ahrq.go…

9049. The Role of Health Literacy in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
      March 22, 2009 - The Role of Health Literacy in Patient Safety Michael S. Wolf, PhD, MPH; Stacy Cooper Bailey, MPH | March 1, 2009  Also Read a Conversation View more articles from the same authors. Citation Text: Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety…

9050. Safety in Radiology | PSNet
      psnet.ahrq.gov/perspective/safety-radiology
      October 01, 2013 - Safety in Radiology Antonio Pinto, MD, PhD | October 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Pinto A. Safety in Radiology. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Departm…

9051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49432/psn-pdf
      February 09, 2004 - Delay in Initiating Antibiotics Results in Fatal Error February 1, 2004 Bellini LM. Delay in Initiating Antibiotics Results in Fatal Error. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/delay-initiating-antibiotics-results-fatal-error Case Objectives Understand the importance of ongoing patient re-evaluati…

9052. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.350_slideshow.ppt
      June 01, 2015 - PowerPoint Presentation Spotlight Anchoring Bias With Critical Implications 1 This presentation is based on the June 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Edward Etchells, MD, MSc, Division of General Internal Medicine, Centre for Q…

9053. Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents | PSNet
      psnet.ahrq.gov/innovation/missouri-quality-initiative-moqi-reduces-hospitalizations-among-nursing-home-residents
      July 23, 2024 - Missouri Quality Initiative (MOQI) Reduces Hospitalizations Among Nursing Home Residents Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 28, 2021 Innovation Contact …

9054. Crossing the Borderline | PSNet
      psnet.ahrq.gov/web-mm/crossing-borderline
      June 01, 2022 - Crossing the Borderline Citation Text: Oldham JM. Crossing the Borderline. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pub…

9055. Mistaken Identity | PSNet
      psnet.ahrq.gov/web-mm/mistaken-identity
      December 18, 2014 - Mistaken Identity Citation Text: Hall LW. Mistaken Identity. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9056. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.296_slideshow.ppt
      April 01, 2013 - Spotlight Case July 2008 Spotlight Case Total Parenteral Nutrition, Multifarious Errors * * Source and Credits This presentation is based on the April 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Joseph I. Boullata, PharmD, RPh, BCNSP…

9057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49457/psn-pdf
      September 01, 2004 - Doctor, Don't Treat Thyself September 1, 2004 Rosvold EO. Doctor, Don't Treat Thyself. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself The Case A 50-year-old radiologist presented to the emergency department of the community hospital where he worked and reported increasing shortnes…

9058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49662/psn-pdf
      August 01, 2012 - Wrong Turn through Colon: Misplaced PEG August 1, 2012 Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg The Case An 87-year-old man was admitted for congestive heart failure (CHF) exacerbation. In addition, a pa…

9059. Hold That Order | PSNet
      psnet.ahrq.gov/web-mm/hold-order
      December 19, 2018 - Hold That Order Citation Text: Grissinger M. Hold That Order. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49605/psn-pdf
      June 01, 2010 - Acute Respiratory Arrest in Pregnancy June 1, 2010 Sibai B. Acute Respiratory Arrest in Pregnancy. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/acute-respiratory-arrest-pregnancy The Case A 35-year-old woman was 38 weeks pregnant with twins (G3P2). When she developed acute onset of shortness of breath an…