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Showing results for "failures".

  1. Santa_ECCS2012 (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/santa_eccs2012.pdf
    February 01, 2013 - Santa_ECCS2012 Slide 1: Communicating  Information About Overuse to Consumers John Santa, M.D., M.P.H. Director, Health  Ratings  Center Consumer Reports, Yonkers, New York Slide 2: Consumer Reports  in Context • Consumers choose/pu…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49789/psn-pdf
    April 01, 2017 - Engaging Seriously Ill Older Patients in Advance Care Planning April 1, 2017 Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning Case Objectives Define advance care planning an…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49440/psn-pdf
    March 01, 2004 - Autopsy Revelation March 1, 2004 Shojania KG. Autopsy Revelation. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/autopsy-revelation The Case A 45-year-old male with development delay presented to the emergency department with acute abdominal pain. His mother, who was his main caregiver, accompanied him. Th…

  4. No BP During NIBP | PSNet

    psnet.ahrq.gov/web-mm/no-bp-during-nibp
    March 01, 2011 - No BP During NIBP Citation Text: Görges M, Ansermino MJ. No BP During NIBP. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  5. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - Slippery Slide Into Life December 1, 2005 Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/slippery-slide-life The Case A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated prenatal care. A third-year obstetrics and g…

  7. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
    July 01, 2023 - Labor and Delivery Unit Safety: Shoulder Dystocia AHRQ Safety Program for Perinatal Care Purpose of the tool: This tool describes the key perinatal safety elements related to the safe management of a delivery complicated by a shoulder dystocia. The key elements are presented within the framework …

  8. Patient Safety Indicators | PSNet

    psnet.ahrq.gov/primer/patient-safety-indicators
    June 15, 2024 - Patient Safety Indicators Citation Text: Tokareva I, Romano P. Patient Safety Indicators.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

  9. STATISTICAL BRIEF #531: Healthcare Expenditures for Heart Disease among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2017

    meps.ahrq.gov/data_files/publications/st531/stat531.shtml
    July 01, 2020 - STATISTICAL BRIEF #531: Healthcare Expenditures for Heart Disease among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2017   Skip to main content An official website of the Department…

  10. One Bronchoscopy, Two Errors | PSNet

    psnet.ahrq.gov/web-mm/one-bronchoscopy-two-errors
    December 09, 2020 - One Bronchoscopy, Two Errors Citation Text: Leiten E, Nielsen R. One Bronchoscopy, Two Errors. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…

  11. Healthcare Expenditures for Heart Disease among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2017 (pdf file)

    meps.ahrq.gov/data_files/publications/st531/stat531.pdf
    July 01, 2020 - Healthcare Expenditures for Heart Disease among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Population, 2017 July 2020 Healthcare Expenditures for Heart Disease among Adults Age 18 and Older in the U.S. Civilian Noninstitutionalized Po…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49470/psn-pdf
    December 01, 2004 - Discharge Fumbles December 1, 2004 Forster AJ. Discharge Fumbles. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/discharge-fumbles Case Objectives List the types of adverse events that occur at discharge Identify the characteristics that identify patients at high risk for errors at discharge Understand th…

  13. Miscalculated Risk | PSNet

    psnet.ahrq.gov/web-mm/miscalculated-risk
    March 01, 2015 - Miscalculated Risk Citation Text: Strassels SA. Miscalculated Risk. 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 R…

  14. Missed Pneumonia | PSNet

    psnet.ahrq.gov/web-mm/missed-pneumonia
    June 01, 2005 - Missed Pneumonia Citation Text: Rohde JM, Flanders S. Missed Pneumonia. 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 PubMed…

  15. Final Report of the Ockenden Review. | PSNet

    psnet.ahrq.gov/issue/final-report-ockenden-review
    January 13, 2021 - Book/Report Final Report of the Ockenden Review. Citation Text: Final Report of the Ockenden Review. London UK: Crown Copyright; March 30, 2022. ISBN: 9781528632294. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  16. The untold story of a cyberattack, a hospital and a dying woman. | PSNet

    psnet.ahrq.gov/issue/untold-story-cyberattack-hospital-and-dying-woman
    August 25, 2021 - Newspaper/Magazine Article The untold story of a cyberattack, a hospital and a dying woman. Citation Text: The untold story of a cyberattack, a hospital and a dying woman. Ralston W. Wired Magazine. November 11, 2020. Copy Citation Save Save to your library …

  17. Improving nursing unit teamwork. | PSNet

    psnet.ahrq.gov/issue/improving-nursing-unit-teamwork
    January 18, 2011 - Commentary Improving nursing unit teamwork. Citation Text: Kalisch BJ, Begeny SM. Improving nursing unit teamwork. J Nurs Adm. 2005;35(12):550-556. doi:10.1097/00005110-200512000-00009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

  18. Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. | PSNet

    psnet.ahrq.gov/issue/veterans-access-care-through-choice-accountability-and-transparency-act-2014
    December 21, 2022 - Government Resource Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. Citation Text: Veterans' Access to Care through Choice, Accountability, and Transparency Act of 2014. HR 3230, 113th Congress: 2014. Copy Citation Save Save …

  19. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. | PSNet

    psnet.ahrq.gov/issue/discontinuity-and-disaster-gaps-and-negotiation-culpability-medication-delivery
    June 24, 2020 - Commentary Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. Citation Text: Dekker SWA. Discontinuity and disaster: gaps and the negotiation of culpability in medication delivery. J Law Med Ethics. 2007;35(3):463-70. Copy Citation Format:…

  20. MRI suites: safety outside the bore. | PSNet

    psnet.ahrq.gov/issue/mri-suites-safety-outside-bore
    April 28, 2021 - Commentary MRI suites: safety outside the bore. Citation Text: MRI suites: safety outside the bore. Gilk T. Patient Safety and Quality Healthcare. September/October 2006:1-8. Copy Citation Save Save to your library Print Download PDF Share Fa…
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