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Showing results for "failures".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49792/psn-pdf
    May 01, 2017 - Diagnostic Delay in the Emergency Department May 1, 2017 Marshall K, Singh H. Diagnostic Delay in the Emergency Department. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department Case Objectives Appreciate the importance of a broad differential diagnosis for acute abdominal pai…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837963/psn-pdf
    August 31, 2022 - Delayed Diagnosis of Mesenteric Ischemia August 31, 2022 Robles A, Utter GH. Delayed Diagnosis of Mesenteric Ischemia. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-mesenteric-ischemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for…
  4. www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-slides.html
    December 01, 2017 - Program Overview: Slide Presentation AHRQ Safety Program for Surgery Slide 1: AHRQ Safety Program for Surgery—Onboarding Program Overview Slide 2: Mead Quotation "Never doubt that a small group of thoughtful, committed citizens can change the world; indeed, it is the only thing that ever has." —Ma…
  5. hcup-us.ahrq.gov/reports/natstats/his96/table1d.htm
    January 01, 1996 - Hospital Inpatient Statistics, 1996 Table 1 (continued). Statistics for 1996 HCUP Nationwide Inpatient Sample, by multi-level CCS diagnosis (principal diagnosis only) ___________________________________________________________________________________________________________________________________________…
  6. psnet.ahrq.gov/web-mm/chest-pain-rural-hospital
    June 02, 2021 - SPOTLIGHT CASE Chest Pain in a Rural Hospital Citation Text: MacKinney CA, Mohr NM. Chest Pain in a Rural Hospital. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar Bi…
  7. psnet.ahrq.gov/web-mm/dissecting-presentation
    May 05, 2021 - SPOTLIGHT CASE Dissecting the Presentation Citation Text: Suat-Ooi SB. Dissecting the Presentation. 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 …
  8. hcup-us.ahrq.gov/reports/statbriefs/sb9.jsp
    June 01, 2006 - Statistical Brief #9 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  9. hcup-us.ahrq.gov/reports/statbriefs/sb9.pdf
    June 01, 2006 - HCUP Statistical Brief #9: Hospitalizations among Males, 2003 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res 9 June 2006 In 200 more stays— obstet nation amon $353 Comp obstet death higher versus The d was 1 compa female $20,0 hospit in the range Nearly amon tion of Coron the m …
  10. psnet.ahrq.gov/print/pdf/node/854855
    January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Patient as a Team Member in Clinical Care Curated Library Foundations Patient Engagement for Patient Safety: The Why, What, and How of Patient Engagement for Improving Patient Safety. Kendir C, Fujisawa R, Brito Fernandes O, et al. Paris, F…
  11. psnet.ahrq.gov/web-mm/forgotten-turn
    August 01, 2018 - SPOTLIGHT CASE The Forgotten Turn Citation Text: Barbour S. The Forgotten Turn. 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 En…
  12. hcup-us.ahrq.gov/reports/statbriefs/sb17.jsp
    November 17, 2006 - Statistical Brief #17 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …
  13. psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
    April 01, 2005 - The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 30, 2023 View more articles from the…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866618/psn-pdf
    December 31, 2024 - A Fatal Twist in Pseudohyperkalemia December 31, 2024 Devera JL, Barnes DK, Lewis WR. A Fatal Twist in Pseudohyperkalemia. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-twist-pseudohyperkalemia Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for C…
  15. psnet.ahrq.gov/periodic-issue/periodic-issue-333
    March 31, 2022 - Pre-hospital emergency care can be vulnerable to timing, information, and task failures that compromise
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865540/psn-pdf
    April 11, 2024 - There is evidence that communication and handoff failures are a root cause of two-thirds of sentinel
  17. psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
    August 29, 2021 - Periodic random audits may help identify failures to comply with organizational policies, and collaboration
  18. psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
    September 01, 2007 - WebM&M Cases Delay in Malignancy Diagnosis Reflects Systemic Failures
  19. psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - July 28, 2021 Automation failures and patient safety.
  20. ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/2014chartbooks/hispanichealth/2014nhqdr-hispanichealth-pt4.pdf
    January 01, 2014 - QDR 2014: Chartbook for Hispanic Health Care, Part 4 Chartbook on Health Care for Hispanics Part 4: Health Care of Residents of the U.S.-Mexico Border 2014 National Healthcare Quality and Disparities Report | 77 PART 4: HEALTH CARE OF RESIDENTS OF THE U.S.-MEXICO BORDER This part of the chartbook focuses on he…