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Showing results for "incidents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - Infection After Carpal Tunnel Surgery August 28, 2024 Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery The Case A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no repo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854849/psn-pdf
    October 31, 2023 - Inaccurate documentation impairs the investigation of patient safety incidents and the identification

  3. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - Critical incidents associated with intraoperative exchanges of anesthesia personnel.

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866055/psn-pdf
    May 29, 2024 - safety culture within their organization and supports providers when they report near misses or RSI incidents

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49654/psn-pdf
    June 01, 2012 - Incidents during out-of-hospital patient transportation. Anaesth Intensive Care. 2006;34:228-236.

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33654/psn-pdf
    August 01, 2007 - RW: What is the role of measurable data versus the energizing effect of horrible incidents?

  7. Simulation Training | PSNet

    psnet.ahrq.gov/primer/simulation-training
    September 15, 2024 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents

  8. Communication During Transitions of Care | PSNet

    psnet.ahrq.gov/perspective/communication-during-transitions-care
    July 10, 2024 - medical complexity after hospital discharge, and was associated with a 36.4% decrease in the rate of incidents

  9. Annual Perspective: Psychological Safety of Healthcare Staff | PSNet

    psnet.ahrq.gov/perspective/annual-perspective-psychological-safety-healthcare-staff
    November 16, 2022 - High-reliability organizations (HROs) adopt many learning approaches following safety incidents that

  10. Nursing and Patient Safety | PSNet

    psnet.ahrq.gov/primer/nursing-and-patient-safety
    September 15, 2024 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents

  11. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet

    psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
    March 19, 2019 - Learning from patient-reported incidents. J Gen Intern Med . 2005 Sept;20(9):830-836.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49854/psn-pdf
    February 01, 2019 - Diagnostic Failure: The Growing Deficit February 1, 2019 Chang R, Flanders S. Diagnostic Failure: The Growing Deficit. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/diagnostic-failure-growing-deficit The Case A 65-year-old woman with a history of diabetes and hypertension was admitted to a hospital's telem…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - Incomplete Orders for Hypertonic Saline to Treat Hyponatremia January 29, 2020 Wiegley N, Morfín JA. Incomplete Orders for Hypertonic Saline to Treat Hyponatremia. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/incomplete-orders-hypertonic-saline-treat-hyponatremia The Case A 54-year-old man was brought t…

  14. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.344_slideshow.ppt
    April 01, 2015 - PowerPoint Presentation Spotlight Dissecting the Presentation * This presentation is based on the April 2015 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Shirley Beng Suat Ooi, MBBS (S'pore), Emergency Medicine Department, National Univers…

  15. Situational (Un)Awareness | PSNet

    psnet.ahrq.gov/web-mm/situational-unawareness
    August 01, 2009 - Situational (Un)Awareness Citation Text: Abramson EL, Kaushal R. Situational (Un)Awareness. 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 E…

  16. Hold the tPA | PSNet

    psnet.ahrq.gov/web-mm/hold-tpa
    July 29, 2020 - Hold the tPA Citation Text: Fagan SC. Hold the tPA. 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 RIS Dow…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49772/psn-pdf
    October 01, 2016 - Lapse in Antibiotics Leads to Sepsis October 1, 2016 Levy MM. Lapse in Antibiotics Leads to Sepsis. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lapse-antibiotics-leads-sepsis The Case A 34-year-old near-term pregnant woman presented to the emergency department (ED) with abdominal pain, fevers, and short…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33628/psn-pdf
    February 01, 2006 - In Conversation with…John Banja, PhD February 1, 2006 In Conversation with…John Banja, PhD. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd Editor's Note: John Banja, PhD, is Assistant Director for Health Sciences and Clinical Ethics and Associate Professor of Clinical Et…

  19. If You Say So: Taking a Syringe at Face Value in the Operating Room | PSNet

    psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
    January 01, 2015 - If You Say So: Taking a Syringe at Face Value in the Operating Room Citation Text: Lyndon A, Lim S. If You Say So: Taking a Syringe at Face Value in the Operating Room. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cita…

  20. To LP or Not LP | PSNet

    psnet.ahrq.gov/web-mm/lp-or-not-lp
    February 01, 2018 - To LP or Not LP Citation Text: Landrigan CP. To LP or Not LP. 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 XML EndNote 7 XML Endnote tagged PubMedId RIS …
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