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AHRQ: Agency for Healthcare Research and Quality

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Total Results: 9,638 records

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  1. CMS Annual Quality Conference | PSNet

    psnet.ahrq.gov/training-catalog/cms-annual-quality-conference
    Event Location: In Person: Baltimore, MD and Online Date: April 8 - 10, 2024 Event Fee: Free

  2. Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room | PSNet

    psnet.ahrq.gov/web-mm/saline-flush-leads-acute-paralysis-awake-patient-risks-improper-medication-labeling
    February 01, 2019 - N Engl J Med . 1991;324(6):370-376. [ Free full text ] Nanji KC, Patel A, Shaikh S, et al. … Anesthesiology . 2016;124(1):25-34. [ Free full text ] Kaufmann J, Schieren M, Wappler F. … Br J Anaesth . 2018;120(3):601-603. [ Free full text ] Rothschild JM, Landrigan CP, Cronin JW, et al … BMJ . 2009;338:b814. [ Free full text ] Kopp BJ, Erstad BL, Allen ME, et al. … N Engl J Med . 2010;362(18):1698-1707. [ Free full text ] This project was funded under contract

  3. Ten years of incident reports on in-hospital cardiac arrest - Are they useful for improvements? | PSNet

    psnet.ahrq.gov/issue/ten-years-incident-reports-hospital-cardiac-arrest-are-they-useful-improvements
    January 26, 2022 - interventions such as implementation of a standardized form in the electronic health record instead of free … PubMed citation Free full text Save Save to your library Print Share

  4. Lost in Sign Out and Documentation | PSNet

    psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation
    April 27, 2022 - The radiograph showed "free air under the diaphragm." … Although it is true that free air under the diaphragm is reported in more than half of follow-up radiographs … these cases do represent complications and clinical monitoring is essential to determine whether the free … general surgery resident on call formally reviewed the case, the team may have recognized that the free … Third, the cardiac care team may have been inappropriately reassured that free air on the radiograph

  5. When the Lytes Go Out: A Case of Inpatient Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/when-lytes-go-out-case-inpatient-cardiac-arrest
    February 01, 2023 - Pacing Clin Electrophysiol.  2018;41(4):414-421. [ Free full text ] Gommers LM, Hoenderop JG, Bindels … Diabetes. 2016;65(1):3-13. [ Free full text ] Pham P-CT, Pham P-MT, Pham SV, et al. … Diabetes Care. 2009;32(7):1335-1343. [ Free full text ] Huang CL, Kuo E. … Front Endocrinol (Lausanne) . 2017;8:106. [ Free full text ] Mardis M, Davis J, Benningfield B, et … J Med Syst . 2017;41(10):161. [ Free full text ] Pearson DJ, Sharma A, Lospinoso JA, et al.

  6. Diagnostic Safety Supplemental Items for Medical Office SOPS. | PSNet

    psnet.ahrq.gov/issue/diagnostic-safety-supplemental-items-medical-office-sops
    March 11, 2020 - Available at Free full text Save Save to your library Print Share Facebook

  7. A Laceration that Needed a Proper Exam, Not an X-Ray. | PSNet

    psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray
    November 25, 2020 - HAND . 2018;13(2):228-236. [ Free full text ] Jong JP de, Nguyen JT, Sonnema AJM, et al. … Clin Orthop Surg . 2013;6(2):196-202. [ Free full text ] Nassab R, Kok K, Constantinides J, et al. … Int J Surg . 2007;5(2):105-108. [ Free full text ] Lalonde D, Bell M, Benoit P, et al. … Muscle Ligaments Tendons J . 2019;07(01):192. [ Free full text ] Sasor SE, Chung KC. … Ulst Méd J . 2003;72(1):22-25. [ Free full text ] Sameera V, Bindra A, Rath GP.

  8. Foundations in Medication Safety: Acute Care | PSNet

    psnet.ahrq.gov/training-catalog/foundations-medication-safety-acute-care
    Event Location: Online Date: On Demand Event Fee: Free CE or CME Offered?

  9. Optimizing Patient Safety: Guidance for the Safe Use of Parenteral Nutrition in Adult and Pediatric Patients | PSNet

    psnet.ahrq.gov/training-catalog/optimizing-patient-safety-guidance-safe-use-parenteral-nutrition-adult-and
    Event Location: Online Date: On demand, available until: Feb 8, 2025 Event Fee: Free CE

  10. Spike in MR imaging accidents underscores need for regulation. | PSNet

    psnet.ahrq.gov/issue/spike-mr-imaging-accidents-underscores-need-regulation
    February 10, 2010 - Free full text Save Print Share Facebook Twitter

  11. Wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-0
    April 03, 2005 - Free full text Related information (PDF) Save Print Share

  12. Dose of technology helps Shands at UF avoid drug errors. | PSNet

    psnet.ahrq.gov/issue/dose-technology-helps-shands-uf-avoid-drug-errors
    October 07, 2009 - Free full text Save Print Share Facebook Twitter

  13. No hidden patient: a safety design model. | PSNet

    psnet.ahrq.gov/issue/no-hidden-patient-safety-design-model
    January 03, 2021 - Free full text PubMed citation Related Resources Legislation/Regulation Sentinel Event Alerts Preventing

  14. Advocate Redi-Code blood glucose test strips by Diabetic Supply of Suncoast: recall—labeling error. | PSNet

    psnet.ahrq.gov/issue/advocate-redi-code-blood-glucose-test-strips-diabetic-supply-suncoast-recall-labeling-error
    August 05, 2020 - Free full text Save Print Share Facebook Twitter

  15. Survey suggests disrespectful behaviors persist in healthcare: practitioners speak up (yet again) – Part I. | PSNet

    psnet.ahrq.gov/issue/survey-suggests-disrespectful-behaviors-persist-healthcare-practitioners-speak-yet-again-part
    September 16, 2020 - Free full text Save Save to your library Print Share Facebook Twitter

  16. No minor mistake: doctor's error, your expense. | PSNet

    psnet.ahrq.gov/issue/no-minor-mistake-doctors-error-your-expense
    January 30, 2008 - Free full text Save Print Share Facebook Twitter

  17. Medication safety checklist. | PSNet

    psnet.ahrq.gov/issue/medication-safety-checklist
    October 25, 2006 - Available at Free full text (PDF) Save Print Share Facebook

  18. The challenge of medication reconciliation. | PSNet

    psnet.ahrq.gov/issue/challenge-medication-reconciliation
    November 19, 2008 - Free full text Save Print Share Facebook Twitter

  19. Plan would compile, analyze medical errors. | PSNet

    psnet.ahrq.gov/issue/plan-would-compile-analyze-medical-errors
    December 07, 2005 - Free full text Save Save to your library Print Share Facebook Twitter

  20. Fear of Discovery: How PSOs Provide a Secure Environment for Safety Work | PSNet

    psnet.ahrq.gov/training-catalog/fear-discovery-how-psos-provide-secure-environment-safety-work
    Event Location: Online Date: May 8, 2024 Event Fee: Free CE or CME Offered?
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