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Showing results for "identifying".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49568/psn-pdf
    September 01, 2008 - while the face-to-face visit provided for an assessment of the latching process, which was key in identifying

  2. Situational Awareness and Patient Safety | PSNet

    psnet.ahrq.gov/web-mm/situational-awareness-and-patient-safety
    May 01, 2012 - Situational Awareness and Patient Safety Citation Text: Farnan JE. Situational Awareness and Patient Safety. 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 XM…

  3. Rethinking Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
    August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50842/psn-pdf
    January 29, 2020 - Patient Identification Errors: A Systems Challenge January 29, 2020 Choudhury LS, Vu CT. Patient Identification Errors: A Systems Challenge. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/patient-identification-errors-systems-challenge The Cases The following four events involving five patients all involved…

  5. Patient Safety in the Ambulatory Care Setting | PSNet

    psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
    April 27, 2022 - in Patient Safety April 27, 2022 Perspective Identifying

  6. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - action by individual nurses or physicians, a systematized electronic health record-based process for identifying

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49585/psn-pdf
    May 01, 2009 - Delirium is treated by identifying and remedying the underlying causes.

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49726/psn-pdf
    March 01, 2015 - The first was documentation error on the medical records from Hospital A (identifying the tumor on the

  9. Retained Surgical Items: Causation and Prevention | PSNet

    psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
    January 04, 2024 - Retained Surgical Items: Causation and Prevention Citation Text: Gibbs V, Romano P. Retained Surgical Items: Causation and Prevention. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX End…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - Advancing Patient Safety Through State Reporting Systems June 1, 2007 Rosenthal J. Advancing Patient Safety Through State Reporting Systems. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems Perspective Seven years ago, the Institute of Medicine (I…

  11. The Different Count Contributions to Retention (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-10/The%20Different%20Count%20Contributions%20to%20Retention.pdf
    January 01, 2024 - The Different Count Contributions to Retention Differential Count Contributions in Retained Surgical Sponge Cases: Examination of Administrative Penalty Cases from the California Department of Public Health (CDPH), Health and Safety Code Section 1280.1 Enforcement Reports from 2007-2014 A NoThing Left Behin…

  12. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
    January 01, 2024 - three dimensions, making it superior to plain radiography.13 CT has the additional benefit of reliably identifying

  13. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
    December 22, 2020 - transfer to an emergency department, what we are finding is mainly that most of the harms that we're identifying … Initial triggers identified focused on specific dental procedures and treatments and showed promise at identifying

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866839/psn-pdf
    September 25, 2024 - three dimensions, making it superior to plain radiography.13 CT has the additional benefit of reliably identifying

  15. Submit a Case | PSNet

    psnet.ahrq.gov/webmm/submit-case
    Submit a Case Note that your name will not be publicly associated with the case Breadcrumb Submit a Case Case Form The content of case submissions is anonymous. Do not provide any personally identifiable (patient or provider) information, and do not use institution…

  16. Patient Safety 101 | PSNet

    psnet.ahrq.gov/patient-safety-101
    March 26, 2025 - Patient Safety 101: The Fundamentals What is Patient Safety? The breadth of the field of patient safety is captured in various definitions. It has been defined as avoiding harm to patients from care that is intended to help them. 1 It involves the prevention and mitigation of harm caused by err…

  17. Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. | PSNet

    psnet.ahrq.gov/issue/improving-diagnostic-quality-safetyreducing-diagnostic-error-measurement-considerations
    November 20, 2019 - Book/Report Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Citation Text: Improving Diagnostic Quality & Safety/Reducing Diagnostic Error: Measurement Considerations. Washington DC; National Quality Forum: October 28, 2019. Copy Citation …

  18. HealthGrades Seventh Annual Patient Safety in American Hospitals Study. | PSNet

    psnet.ahrq.gov/issue/healthgrades-seventh-annual-patient-safety-american-hospitals-study
    July 02, 2014 - Book/Report HealthGrades Seventh Annual Patient Safety in American Hospitals Study. Citation Text: HealthGrades Seventh Annual Patient Safety in American Hospitals Study. Golden, CO: HealthGrades, Inc.; March 2010. Copy Citation Save Save to your library …

  19. 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  | PSNet

    psnet.ahrq.gov/issue/2011-annual-benchmarking-report-malpractice-risks-emergency-medicine
    July 18, 2018 - Book/Report 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Citation Text: 2011 Annual Benchmarking Report: Malpractice Risks in Emergency Medicine.  Ruoff G, ed. Cambridge, MA: CRICO Strategies; 2012. Copy Citation Save Save to you…

  20. Safety, Equity and Engagement in Maternity Services. | PSNet

    psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services
    June 12, 2024 - Book/Report Safety, Equity and Engagement in Maternity Services. Citation Text: Safety, Equity and Engagement in Maternity Services. Newcastle upon Tyne, UK: Care Quality Commission; September 2021. Copy Citation Save Save to your library Print Downloa…
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