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Total Results: 9,443 records

Showing results for "experiences".

9061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60543/psn-pdf
      May 27, 2020 - Wrong Catheter in the Right Patient May 27, 2020 Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/wrong-catheter-right-patient The Case  A 55-year-old man with history of emphysema was admitted to the hospital for pneumonia. The patient had two?peripheral…

9062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50696/psn-pdf
      November 27, 2019 - Complications of Vascular Access Procedures in Patients with Kidney Disease November 27, 2019 Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease The Ca…

9063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33626/psn-pdf
      January 01, 2006 - In Conversation with…Jack Barker, PhD January 1, 2006 In Conversation with…Jack Barker, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjack-barker-phd Editor's Note: Jack Barker, PhD, is Vice President of Research and Development for Mach One Leadership and a commercial pilot for …

9064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49481/psn-pdf
      May 01, 2005 - Discharge Against Medical Advice May 1, 2005 Hwang SW. Discharge Against Medical Advice. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharge-against-medical-advice The Case A 50-year-old man with a history of alcohol abuse and alcohol-induced dementia was admitted to the medical service with mild alco…

9065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49433/psn-pdf
      June 23, 2021 - Environmental Safety in the OR February 1, 2004 Linkin DR, Lautenbach E. Environmental Safety in the OR . PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/environmental-safety-or The Case The infection control department of a hospital noticed a marked increase in the rates of post-operative sternal wound inf…

9066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49462/psn-pdf
      October 01, 2004 - Thin Air October 1, 2004 Gaba DM. Thin Air. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/thin-air Case Objectives Identify the gas-specific non-interchangeable connectors used for bulk gas supply outlets in hospitals. Define forcing function, both in engineered safety devices and in human procedures. R…

9067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33820/psn-pdf
      December 01, 2016 - In Conversation With... James P. Bagian, MD, PE December 1, 2016 In Conversation With.. James P. Bagian, MD, PE. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe Editor's note: Dr. Bagian is Director of the Center for Healthcare Engineering and Patient Safety at the Uni…

9068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49613/psn-pdf
      November 01, 2010 - Mother's Milk, but Whose Mother? November 1, 2010 Dougherty D. Mother's Milk, but Whose Mother? PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/mothers-milk-whose-mother The Case A 2-month-old otherwise healthy infant was admitted to the hospital to rule out sepsis. The infant had been exclusively breastfed…

9069. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - Electronic Err Citation Text: Tang PC. Electronic Err. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

9070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49583/psn-pdf
      April 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark…

9071. Routine Goes Awry | PSNet
      psnet.ahrq.gov/web-mm/routine-goes-awry
      September 23, 2020 - Routine Goes Awry Citation Text: Huoh KC, Rosbe KW. Routine Goes Awry. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

9072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73229/psn-pdf
      May 26, 2021 - Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021 Duby JJ, Schomer K, Oyewole V, et al. Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/norepinephrine-dosing-error-associated-mult…

9073. Primary Workaround, Secondary Complication | PSNet
      psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication
      January 24, 2018 - Primary Workaround, Secondary Complication Citation Text: Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar B…

9074. Patient Safety and Adherence to Self-Administered Medications | PSNet
      psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
      September 29, 2011 - Patient Safety and Adherence to Self-Administered Medications Citation Text: Spall H, Van-Spall C, Nieuwlaat R, et al. Patient Safety and Adherence to Self-Administered Medications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011…

9075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60609/psn-pdf
      June 24, 2020 - When the Indications for Drug Administration Blur June 24, 2020 Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…

9076. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet
      psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
      March 01, 2004 - Video to Improve Patient Safety: Clinical and Educational Uses Yan Xiao, PhD; Colin F. Mackenzie, MB, ChB; and F. Jacob Seagull, PhD | May 1, 2015  View more articles from the same authors. Citation Text: Xiao Y, Mackenzie CF, Seagull JF. Video to Improve Patient S…

9077. The Physical Environment: An Often Unconsidered Patient Safety Tool | PSNet
      psnet.ahrq.gov/perspective/physical-environment-often-unconsidered-patient-safety-tool
      November 21, 2018 - The Physical Environment: An Often Unconsidered Patient Safety Tool Anjali Joseph, PhD, EDAC; Eileen B. Malone, RN, MSN, MS, EDAC | October 1, 2012  View more articles from the same authors. Citation Text: Joseph A, Malone EB. The Physical Environment: An Often Unc…

9078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49512/psn-pdf
      May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

9079. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49562/psn-pdf
      May 01, 2008 - The Inside of a Time Out May 1, 2008 Feldman DL. The Inside of a Time Out. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/inside-time-out The Case A 65-year-old man was scheduled for an elective endovascular repair of an abdominal aortic aneurysm. The patient had an allergy to "IV contrast dye" that was no…

9080. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866848/psn-pdf
      September 25, 2024 - In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Thomas E, Mossburg S, Lee M. In Conversation with Eric Thomas about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. …