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Showing results for "happen".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50756/psn-pdf
    December 18, 2019 - A Mistaken Dose of Naloxone? December 18, 2019 Cutler E, Gunawardena D. A Mistaken Dose of Naloxone?. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/mistaken-dose-naloxone The Case A 55-year-old man with widely metastatic gastric cancer presented to his oncologist's office for a follow-up appointment. He h…
  2. psnet.ahrq.gov/web-mm/transfusion-slip
    June 14, 2011 - Transfusion "Slip" Citation Text: Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  3. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024349-mcalearney-final-report-2017.pdf
    January 01, 2017 - Portals in Inpatient Care: Evaluating the Usability, Use, and Patient Experience Associated With Patient Portal Technology at the Bedside - Final Report Portals in inpatient care (PIC): Evaluating the usability, use an…
  4. effectivehealthcare.ahrq.gov/sites/default/files/hibbard-presentation.pdf
    May 29, 2025 - Hibbard-notes-151007 copy - Teresa This is a question  that I get very often: What’s the differencebetween  patient engagement and patient activation? Arethey the same? Arethey different? 1 I think I’ll address that first. But we’ll also talk about how patient activation is linked with the use of  informa…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49638/psn-pdf
    January 01, 2012 - Communication Failure—Who's in Charge? October 1, 2011 Fackler J, Schwartz JM. Communication Failure—Who's in Charge? PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/communication-failure-whos-charge The Case A 20-month-old boy was admitted to the intensive care unit (ICU) following a Fontan surgical procedu…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49794/psn-pdf
    May 01, 2017 - Communication Error in a Closed ICU May 1, 2017 Haas B, Conn LG. Communication Error in a Closed ICU. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/communication-error-closed-icu The Case A 70-year-old man with a complex medical history including end-stage renal disease (status post kidney transplant), co…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49583/psn-pdf
    April 01, 2009 - Eptifibatide Epilogue April 1, 2009 Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue The Case A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute coronary syndrome. Serial testing for mark…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33731/psn-pdf
    June 01, 2012 - An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up June 1, 2012 Wachter R. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom Perspecti…
  9. psnet.ahrq.gov/web-mm/new-patient-mistakenly-checked-another
    October 01, 2013 - New Patient Mistakenly Checked in as Another Citation Text: Green RA, Adelman JS. New Patient Mistakenly Checked in as Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar B…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49640/psn-pdf
    November 01, 2011 - The Case for Patient Flow Management November 1, 2011 Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/case-patient-flow-management The Case A 52-year-old woman with a history of major depression, posttraumatic stress disorder, and alcohol abuse wa…
  11. www.ahrq.gov/hai/tools/mvp/modules/cusp/assess-psc-hsop-fac-guide.html
    February 01, 2017 - Assess Patient Safety Culture Using the Hospital Survey on Patient Safety: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Assess Patient Safety Culture Using the Hospital Survey on Patient Safety Say: In this module, we will introduce the Hospital Survey on Patient S…
  12. www.ahrq.gov/hai/tools/mvp/modules/cusp/build-business-case-fac-guide.html
    February 01, 2017 - Build a Business Case for Quality Improvement: Facilitator Guide AHRQ Safety Program for Mechanically Ventilated Patients Slide 1: Build a Business Case for Quality Improvement Say: This slide set introduces building a business case for quality improvement. Slide 2: Learning Objectives Say: Afte…
  13. psnet.ahrq.gov/web-mm/mistaken-identity
    December 18, 2014 - Mistaken Identity Citation Text: Hall LW. Mistaken Identity. 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 Endnote tagged PubMedId RIS …
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60652/psn-pdf
    June 29, 2020 - In Conversation With... Anna Legreid Dopp, Pharm. D June 29, 2020 In Conversation With.. Anna Legreid Dopp, Pharm. D. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d Editor’s note: Anna Legreid Dopp, Pharm. D is the Senior Director of Clinical Guidelines and Quality…
  15. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
    May 01, 2017 - AHRQ Safety Program for Perinatal Care Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety SAY: This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …
  16. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html
    July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety: Facilitator Guide AHRQ Safety Program for Perinatal Care Slide 1: Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety Say: This module introduces the comprehensive unit-based safety program, also calle…
  17. psnet.ahrq.gov/web-mm/one-dose-fifty-pills
    January 13, 2021 - One Dose, Fifty Pills Citation Text: Smith L. One Dose, Fifty Pills . 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 PubMe…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49863/psn-pdf
    May 01, 2019 - Good Catch in the Operating Room May 1, 2019 Day J, Paige JT. Good Catch in the Operating Room. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/good-catch-operating-room The Case A 46-year-old woman with extensive history of back pain from lumbar stenosis was scheduled for an elective laminectomy and spinal…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73998/psn-pdf
    October 27, 2021 - The Hidden Danger of Unseen Intravenous Catheters October 27, 2021 Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters The Case A 6-week-old infant underwent a craniotomy and excision of abnormal bra…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49593/psn-pdf
    October 01, 2009 - Who Nose Where the Airway Is? October 1, 2009 Lee CR. Who Nose Where the Airway Is? PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/who-nose-where-airway The Case A 70-year-old man with peripheral vascular disease was brought to the operating room to undergo vascular bypass surgery on his right upper extrem…