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Showing results for "failures".

  1. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. 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 Endno…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49729/psn-pdf
    April 01, 2015 - Dissecting the Presentation April 1, 2015 Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/dissecting-presentation Case Objectives Define aortic dissection. Describe the epidemiology of acute aortic dissection. State the common and uncommon presentation of acute aor…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49771/psn-pdf
    July 01, 2016 - Unintended Consequences of CPOE October 1, 2016 Wears RL. Unintended Consequences of CPOE. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/unintended-consequences-cpoe Case Objectives Explain how technology, including computerized provider order entry, can transform, rather than eliminate, hazards. Recogni…

  4. HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States

    hcup-us.ahrq.gov/reports/factsandfigures/2009/highlights.jsp
    January 01, 2009 - HCUP Facts and Figures 2009: Statistics on Hospital-Based Care in the United States An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …

  5. HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States

    hcup-us.ahrq.gov/reports/factsandfigures/2007/sources_methods.jsp
    January 01, 2007 - HCUP Facts and Figures 2007: Statistics on Hospital-Based Care in the United States An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact …

  6. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_case_mesenteric_ischemia_08.05.2022.pdf
    January 01, 2022 - Spotlight Spotlight Delayed Diagnosis of Mesenteric Ischemia Source and Credits • This presentation is based on the August 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Anamaria Robles, MD, and Garth Utter, MD, MSc o AHRQ WebM&M…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49858/psn-pdf
    April 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices for continuous telemetry monitoring. Appreciate key recommendations from the Update to Practice…

  8. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet

    psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
    August 25, 2021 - SPOTLIGHT CASE Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. Citation Text: Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …

  9. In Conversation With… Paul G. Shekelle, MD, MPH, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-paul-g-shekelle-md-mph-phd
    February 26, 2025 - In Conversation With… Paul G. Shekelle, MD, MPH, PhD October 1, 2011  Citation Text: In Conversation With… Paul G. Shekelle, MD, MPH, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

  10. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet

    psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
    March 01, 2004 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? Citation Text: Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. C…

  11. Final Progress Report: Changes in Hospital Care Organization and Outcomes (pdf file)

    www.ahrq.gov/sites/default/files/2024-09/kutney-lee-report.pdf
    January 01, 2024 - Final Progress Report: Changes in Hospital Care Organization and Outcomes 1. TITLE PAGE Title: Changes in Hospital Care Organization and Outcomes Principal Investigator: Ann Kutney-Lee Team Members: Linda H. Aiken (primary mentor); Jeffrey H. Silber, Mary Naylor, Ivo Abraham (co-mentors) Organization: University…

  12. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
    April 01, 2025 - AHRQ Safety Program for MRSA Prevention: Targeting SSI Learning From Defects Surgical Services For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries Slide Title and Commentary Slide Number and Slide Learning From Defects SAY: Welcome to this presentation on Learning From Defects as part of an o…

  13. Atrial-Fibrillation-Ablation Surveillance (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/atrial-fibrillation-ablation_surveillance.pdf
    May 16, 2013 - Source: www.effectivehealthcare.ahrq.gov Published online: May 16, 2013   CER # 15: Effectiveness of Radiofrequency Catheter Ablation for Atrial Fibrillation Original release date July 6, 2009 Surveillance Report (1st Assessment/cycle 1) November, 2011 Surveillance Report (2nd Assessment/cycle 2)…

  14. Patient Safety Papers. | PSNet

    psnet.ahrq.gov/issue/patient-safety-papers-0
    April 26, 2012 - Special or Theme Issue Patient Safety Papers. Citation Text: Patient Safety Papers. Healthc Q. 2006;9 Spec No:1-140. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  15. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-16
    January 21, 2015 - Special or Theme Issue Patient Safety. Citation Text: Patient Safety. GMS J Med Educ. 2019;36:Doc11-Doc22. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  16. Ensuring Correct Surgery. | PSNet

    psnet.ahrq.gov/issue/ensuring-correct-surgery
    May 24, 2017 - Government Resource Ensuring Correct Surgery. Citation Text: Ensuring Correct Surgery. National Center for Patient Safety; NCPS Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840173/psn-pdf
    November 16, 2022 - Catching those who fall through the cracks: integrating a follow-up process for emergency department patients with incidental radiologic findings. November 16, 2022 Barrett TW, Garland NM, Freeman CL, et al. Ann Emerg Med. 2022;80(3):235-242.  https://psnet.ahrq.gov/innovation/catching-those-who-fall-thr…

  18. Exhibit 2.3 Most Frequent Diagnoses by Sex

    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_3.jsp
    January 01, 2005 - Exhibit 2.3 Most Frequent Diagnoses by Sex Exhibit 2.3 Most Frequent Diagnoses by Sex Number of Discharges,* Percent Distribution, and Rank of Most Frequent Principal Diagnoses for Inpatient Hospital Stays by Sex, 2005 Principal Diagnosis CCS Condition Category and Name Males Females Numb…

  19. The bell curve. | PSNet

    psnet.ahrq.gov/issue/bell-curve
    September 28, 2017 - Newspaper/Magazine Article The bell curve. Citation Text: The bell curve. Gawande A. New Yorker. Dec 6, 2004. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  20. The malpractice mess. | PSNet

    psnet.ahrq.gov/issue/malpractice-mess
    November 14, 2018 - Newspaper/Magazine Article The malpractice mess. Citation Text: The malpractice mess. Gawande A. The New Yorker. November 14, 2005:63-71. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linked…
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