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Showing results for "going".

1961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36714/psn-pdf
      August 05, 2008 - How two rights can make a wrong. August 5, 2008 Markel H. https://psnet.ahrq.gov/issue/how-two-rights-can-make-wrong This article discusses the problems associated with taking many prescription and over-the-counter medications, as dangerous combinations may go undetected. https://psnet.ahrq.gov/issue/how-two-righ…

1962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38514/psn-pdf
      September 29, 2017 - Reportable incidents. September 29, 2017 Barishansky RM, Glick DE. Reportable incidents. Establishing policies and procedures for when calls go wrong. EMS magazine. 2009;38(3):43-7. https://psnet.ahrq.gov/issue/reportable-incidents This article explains the elements of preparing policies and procedures for reporta…

1963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49748/psn-pdf
      December 01, 2015 - Managing Ascites: Hazards of Fluid Removal December 1, 2015 Moore K. Managing Ascites: Hazards of Fluid Removal. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal The Case A 50-year-old man with longstanding alcoholic cirrhosis presented to the emergency department (ED) w…

1964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49644/psn-pdf
      December 01, 2011 - Missing the Point—Eye Injury December 1, 2011 Sharma R, Brunette DD. Missing the Point—Eye Injury. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/missing-point-eye-injury The Case A 31-year-old woman presented to the emergency department (ED) after suffering multiple lacerations during an assault. The pati…

1965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49770/psn-pdf
      September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

1966. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. 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 Endnot…

1967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33616/psn-pdf
      August 01, 2005 - The Unfinished Patient Safety Agenda August 1, 2005 Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda Perspective The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has no…

1968. Infused, Not Ingested | PSNet
      psnet.ahrq.gov/web-mm/infused-not-ingested
      February 01, 2017 - Infused, Not Ingested Citation Text: Foley M. Infused, Not Ingested. 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 tagged PubMedId …

1969. 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…

1970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49762/psn-pdf
      June 01, 2016 - The Case of Mistaken Intubation June 1, 2016 Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/case-mistaken-intubation Case Objectives Appreciate that most older adults and many younger chronically ill patients have discussed or documented their preferences for l…

1971. Disclosing medical errors to patients: it's not what you say, it's what they hear. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-its-not-what-you-say-its-what-they-hear
      October 26, 2010 - Study Classic Disclosing medical errors to patients: it's not what you say, it's what they hear. Citation Text: Wu AW, Huang I-C, Stokes S, et al. Disclosing medical errors to patients: it's not what you say, it's what they hear. J Gen Intern Med. 2009;24(9):1…

1972. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. | PSNet
      psnet.ahrq.gov/issue/impact-covid-19-pandemic-cancer-care-global-collaborative-study
      April 21, 2021 - Study Emerging Classic Impact of the COVID-19 pandemic on cancer care: a global collaborative study. Citation Text: Jazieh AR, Akbulut H, Curigliano G, et al. Impact of the COVID-19 pandemic on cancer care: a global collaborative study. JCO Glob Oncol. 2020;6)(6…

1973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37502/psn-pdf
      January 30, 2008 - Nursing management of medication errors. January 30, 2008 Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39. https://psnet.ahrq.gov/issue/nursing-management-medication-errors This qualitative study conducted in-depth interviews with seven nurses involved in medica…

1974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41447/psn-pdf
      May 30, 2012 - Massachusetts hospitals launch patient apology program. May 30, 2012 Gallegos A. https://psnet.ahrq.gov/issue/massachusetts-hospitals-launch-patient-apology-program This news article reports on a disclosure and apology program implemented in Massachusetts hospitals to reduce liability lawsuits. https://psnet.ahrq…

1975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33657/psn-pdf
      September 01, 2007 - Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix September 1, 2007 Gordon LA. Rediscovering the Power of the Surgical M&M Conference: The M+M Matrix. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix Perspective There is a slumbe…

1976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43491/psn-pdf
      January 01, 2015 - The systems approach to medicine: controversy and misconceptions. December 9, 2014 Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. https://psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconcept…

1977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42753/psn-pdf
      November 20, 2013 - Dealing with a medical mistake: should physicians apologize to patients? November 20, 2013 Tabler NG Jr. https://psnet.ahrq.gov/issue/dealing-medical-mistake-should-physicians-apologize-patients This article discusses how apologies address patients' needs when a medical mistake has occurred and how such disclosur…

1978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42340/psn-pdf
      June 05, 2013 - Medical errors are hard for doctors to admit, but it's wise to apologize to patients. June 5, 2013 Jain M. https://psnet.ahrq.gov/issue/medical-errors-are-hard-doctors-admit-its-wise-apologize-patients This newspaper article reports on disclosure and apology for medical errors, recounts a physician's personal exp…

1979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72788/psn-pdf
      February 24, 2021 - Harmed Patient Alliance. February 24, 2021 United Kingdom. https://psnet.ahrq.gov/issue/harmed-patient-alliance Patients and families that experience medical harm have unique support needs. This organization works to improve health system and clinician response to harmed patients. Their efforts aim to create a dee…

1980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33634/psn-pdf
      May 04, 2006 - The Wild West: Patient Safety in Office-Based Anesthesia May 1, 2006 Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild West: Patient Safety in Office-Based Anesthesia. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia Perspective Over the last decade, sur…