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Total Results: 7,834 records

Showing results for "failures".

7121. Spotlight-Slides-Wright-Schiff (pdf file)
      psnet.ahrq.gov/sites/default/files/2020-04/spotlight-slides-wright-schiff.pdf
      January 01, 2020 - Spotlight The Lost Start Date, an Unknown Risk of E-prescribing Source and Credits • This presentation is based on the October 2019 AHRQ WebM&M Spotlight Case ○ See the full article at https://psnet.ahrq.gov/webmm ○ CME credit is available • Commentary by: Adam Wright, PhD, and Gordon Schiff, MD ○ Editor, AHRQ…

7122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49445/psn-pdf
      May 01, 2004 - No Blood, Please May 1, 2004 Liang BA. No Blood, Please. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/no-blood-please The Case A young woman, about 30 years of age, was injured in an automobile collision. She was brought to the emergency department (ED) via ambulance, where she was found to be suffering …

7123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33811/psn-pdf
      June 01, 2016 - Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective June 1, 2016 Khudeira Z. Becoming a Certified Professional in Patient Safety—A Pharmacist's Perspective. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/becoming-certified-professional-patient-safety-pharmacists-perspective …

7124. The Role of Health Literacy in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-health-literacy-patient-safety
      March 22, 2009 - to be the public hospital patient, because this patient would never have spoken up to overcome the failures

7125. Patient Engagement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
      February 01, 2013 - January 6, 2017 Process of care failures in breast cancer diagnosis.

7126. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
      October 01, 2012 - Spotlight Case July 2008 Spotlight Case CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure * * Source and Credits This presentation is based on the October 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Catherine L…

7127. Transfusion Thresholds in Gastrointestinal Bleeding | PSNet
      psnet.ahrq.gov/web-mm/transfusion-thresholds-gastrointestinal-bleeding
      November 26, 2014 - SPOTLIGHT CASE Transfusion Thresholds in Gastrointestinal Bleeding Citation Text: Strate L, Swanson S. Transfusion Thresholds in Gastrointestinal Bleeding. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citati…

7128. Silent Pain in the Neck | PSNet
      psnet.ahrq.gov/web-mm/silent-pain-neck
      August 19, 2020 - Silent Pain in the Neck Citation Text: Bittner EA. Silent Pain in the Neck. 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 Pu…

7129. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      May 22, 2024 - SPOTLIGHT CASE How Do Providers Recover From Errors? Citation Text: West CP. How Do Providers Recover From Errors?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar Bi…

7130. Doctor, Don't Treat Thyself | PSNet
      psnet.ahrq.gov/web-mm/doctor-dont-treat-thyself
      August 21, 2024 - Doctor, Don't Treat Thyself Citation Text: Rosvold EO. Doctor, Don't Treat Thyself. 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 t…

7131. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - Language Barrier Citation Text: Flores G. Language Barrier. 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 PubMedId RIS …

7132. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
      January 01, 2024 - Spotlight Spotlight A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Elizabeth Gould, NP-C, COR…

7133. Picking Up the Cause of the Stroke | PSNet
      psnet.ahrq.gov/web-mm/picking-cause-stroke
      August 07, 2024 - Picking Up the Cause of the Stroke Citation Text: Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

7134. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - Tacit Handover, Overt Mishap Citation Text: Cooper JB, Kamdar BB. Tacit Handover, Overt Mishap. 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 X…

7135. Harm From Alarm Fatigue | PSNet
      psnet.ahrq.gov/web-mm/harm-alarm-fatigue
      February 14, 2018 - SPOTLIGHT CASE Harm From Alarm Fatigue Citation Text: Pelter MM, Drew BJ. Harm From Alarm Fatigue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote X3 X…

7136. Double Trouble | PSNet
      psnet.ahrq.gov/web-mm/double-trouble
      August 01, 2012 - SPOTLIGHT CASE Double Trouble Citation Text: Gurwitz JH. Double Trouble. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

7137. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

7138. One Dose, Two Errors | PSNet
      psnet.ahrq.gov/web-mm/one-dose-two-errors
      September 29, 2017 - One Dose, Two Errors Citation Text: Filice GA. One Dose, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

7139. Who Nose Where the Airway Is? | PSNet
      psnet.ahrq.gov/web-mm/who-nose-where-airway
      May 01, 2016 - Who Nose Where the Airway Is? Citation Text: Lee CR. Who Nose Where the Airway Is?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

7140. July Syndrome | PSNet
      psnet.ahrq.gov/web-mm/july-syndrome
      July 01, 2011 - July Syndrome Citation Text: Young JQ. July Syndrome. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS D…