-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - Anesthesiologists play a critical role in identifying undiagnosed sleep apnea.
-
psnet.ahrq.gov/web-mm/failure-rescue-mother
September 23, 2020 - demonstrates several opportunities to impact care and potentially prevent obstetric hemorrhage, including identifying
-
psnet.ahrq.gov/node/49543/psn-pdf
September 01, 2007 - defined by the Institute for Healthcare Improvement (IHI),
medication reconciliation is a process of identifying
-
psnet.ahrq.gov/web-mm/diagnosing-missed-diagnosis
October 26, 2022 - more commonly rooted in cognition.( 9 ) Such errors often elude traditional system-focused methods of identifying
-
psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
February 21, 2024 - Commentary
Take-Home Points
Related Resources From the Same Author(s)
Identifying
-
psnet.ahrq.gov/web-mm/resuscitation-errors-shocking-problem
October 19, 2022 - May 3, 2016
Identifying patients with sepsis on the hospital wards.
-
psnet.ahrq.gov/node/60269/psn-pdf
April 29, 2020 - Identifying Risks to Patient Safety
In the presented case, there were undoubtedly multiple failures
-
psnet.ahrq.gov/node/49698/psn-pdf
December 01, 2013 - 17%–24% reduction in all-cause
hospitalizations.(15) The program includes four key strategies: (i) identifying
-
psnet.ahrq.gov/node/852808/psn-pdf
August 30, 2023 - euglycemic, and approximately 15% of patients with DKA had more than one episode during
pregnancy.3 Identifying
-
psnet.ahrq.gov/sites/default/files/2023-08/spotlight_case_prolonged_dka_in_pregnancy_-_slides_-_revised.pdf
January 01, 2023 - DKA had more than one episode during pregnancy.3
13
Euglycemic DKA in Pregnancy Patients (2)
• Identifying
-
psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
March 07, 2012 - August 12, 2020
Identifying electronic health record usability and safety challenges
-
psnet.ahrq.gov/node/49584/psn-pdf
April 01, 2009 - For example, data displayed in the chart are usually without additional identifying information such
-
psnet.ahrq.gov/node/49712/psn-pdf
June 01, 2014 - Committee on Identifying and Preventing
Medication Errors, Institute of Medicine.
-
psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp
May 31, 2023 - That would be the synergy where I see patient safety and IT working together: identifying a drug–drug
-
psnet.ahrq.gov/node/60977/psn-pdf
January 08, 2020 - basics, like utilizing the systematic approach
of the eight rights of medication administration,5 i.e. identifying
-
psnet.ahrq.gov/node/33791/psn-pdf
September 01, 2015 - That would be
the synergy where I see patient safety and IT working together: identifying a drug–drug
-
psnet.ahrq.gov/web-mm/signout-fallout
November 16, 2022 - SPOTLIGHT CASE
Signout Fallout
Citation Text:
Starmer AJ, Landrigan CP. Signout Fallout. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote…
-
psnet.ahrq.gov/node/33607/psn-pdf
September 27, 2022 - Burnout
September 27, 2022
Yellowlees P, Rea M. Burnout. PSNet [internet]. 2022.
https://psnet.ahrq.gov/primer/burnout
Originally published in December 2011 by researchers at the University of California, San Francisco.
Updated in September 2022 by Peter Yellowlees, MD and Margaret Rea, PhD. PSNet primers are regu…
-
psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors
Save
Save to your library
Print
Download PDF
Share
Facebook
Twitter
Linkedin
Copy URL
March 3, 2021
Innovation…
-
psnet.ahrq.gov/node/862983/psn-pdf
February 28, 2024 - Airway Obstruction during Anterior Cervical Spine
Surgery
February 28, 2024
Bohringer C, Vo L. Airway Obstruction during Anterior Cervical Spine Surgery. PSNet [internet]. 2024.
https://psnet.ahrq.gov/web-mm/airway-obstruction-during-anterior-cervical-spine-surgery
The Case
A 47-year-old obese man (body weight 13…