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Total Results: 1,790 records

Showing results for "happened".

  1. Measuring quality. | PSNet

    psnet.ahrq.gov/issue/measuring-quality
    June 21, 2017 - Commentary Measuring quality. Citation Text: Khorana MM, Khorana AA. Measuring Quality. JAMA. 2019;322(21):2077-2078. doi:10.1001/jama.2019.18730. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  2. Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views. | PSNet

    psnet.ahrq.gov/issue/influencing-sceptical-staff-become-supporters-service-improvement-qualitative-study-doctors
    September 02, 2020 - Study Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctors' and managers' views. Citation Text: Gollop R, Whitby E, Buchanan D, et al. Influencing sceptical staff to become supporters of service improvement: a qualitative study of doctor…

  3. Misgivings. | PSNet

    psnet.ahrq.gov/issue/misgivings
    March 17, 2021 - Commentary Misgivings. Citation Text: Farlow B. Misgivings. Hastings Cent Rep. 2009;39(5):19-21. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation Save Save to your …

  4. Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. | PSNet

    psnet.ahrq.gov/issue/are-incorrectly-used-drugs-more-frequently-involved-adverse-drug-reactions-prospective-study
    March 08, 2017 - Study Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. Citation Text: Jonville-Béra AP, Béra F, Autret-Leca E. Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. Eur J Clin Pharmacol. 20…

  5. Changes in the diagnostic process during 40 years of clinicopathologic conferences. | PSNet

    psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
    March 20, 2024 - Study Changes in the diagnostic process during 40 years of clinicopathologic conferences. Citation Text: Feinstein AR, Niebyl JR. Changes in the diagnostic process during 40 years of clinicopathologic conferences. Arch Intern Med. 1971;128(5):774-80. Copy Citation Format: …

  6. Developing a culture of collaboration in the operating room: more than effective communication. | PSNet

    psnet.ahrq.gov/issue/developing-culture-collaboration-operating-room-more-effective-communication
    June 27, 2018 - Review Developing a culture of collaboration in the operating room: more than effective communication. Citation Text: Wade P. Developing a culture of collaboration in the operating room: more than effective communication. ORNAC J. 2014;32(4):16-20, 22-3, 32-8. Copy Citation Format:…

  7. Use of critical incident reports in medical education: a perspective. | PSNet

    psnet.ahrq.gov/issue/use-critical-incident-reports-medical-education-perspective
    May 30, 2018 - Commentary Use of critical incident reports in medical education: a perspective. Citation Text: Branch WT. Use of critical incident reports in medical education. A perspective. J Gen Intern Med. 2005;20(11):1063-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNot…

  8. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-457
    September 25, 2024 - September 25, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repo…

  9. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-465
    October 30, 2024 - November 20, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repor…

  10. The Missing Suction Tip | PSNet

    psnet.ahrq.gov/web-mm/missing-suction-tip
    January 01, 2006 - SPOTLIGHT CASE The Missing Suction Tip Citation Text: Thomas EJ, Moore FA. The Missing Suction Tip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865374/psn-pdf
    March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and Challenges March 27, 2024 Tighe P, Mossburg S, Gale B. Artificial Intelligence and Patient Safety: Promise and Challenges. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges Introducti…

  12. The Wrong Channel | PSNet

    psnet.ahrq.gov/web-mm/wrong-channel
    February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . 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 RI…

  13. Pocket Syringe Swap | PSNet

    psnet.ahrq.gov/web-mm/pocket-syringe-swap
    July 01, 2006 - Pocket Syringe Swap Citation Text: Kulli JC. Pocket Syringe Swap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  14. 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…

  15. Danger in Disruption | PSNet

    psnet.ahrq.gov/web-mm/danger-disruption
    July 29, 2020 - Danger in Disruption Citation Text: Fontaine DK. Danger in Disruption. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  16. The Case for Patient Flow Management | PSNet

    psnet.ahrq.gov/web-mm/case-patient-flow-management
    February 23, 2019 - The Case for Patient Flow Management Citation Text: Litvak E, Bernheim SA. The Case for Patient Flow Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X…

  17. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49594/psn-pdf
    December 01, 2009 - Standard Deviations December 1, 2009 Sabin JE. Standard Deviations. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/standard-deviations Case Objectives Understand the safety risks associated with patients being discharged against medical advice (AMA). Recognize safety risks associated with being part of a …

  19. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-10/spotlight_case_missed_pneumothorax_10.09.2022_-_final.pdf
    January 01, 2022 - Spotlight Spotlight False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy Source and Credits • This presentation is based on the September 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by:…

  20. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…
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