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Showing results for "incidents".

7801. Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century. | PSNet
      psnet.ahrq.gov/issue/sentinel-event-alert-68-updated-surgical-fire-prevention-21st-century
      February 26, 2025 - Sentinel Event Alerts Sentinel Event Alert 68: updated surgical fire prevention for the 21st Century. Citation Text: Sentinel Event Alert 68: Updated Surgical Fire Prevention for the 21st Century. Jt Comm J Qual Patient Saf. 2024;50(2):157-160. doi:10.1016/j.jcjq.2023.10.003. Copy Cita…

7802. NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-bpd.pdf
      June 02, 2025 - NICU Family Information Packet, Appendix B, Bronchopulmonary Dysplasia Bronchopulmonary Dysplasia Characteristics ■ Need for supplemental oxygen at 36 weeks postmenstrual age, with radiographic changes on chest x-ray (bilateral, diffuse hazy lungs; interstitial thickening; increased lung inflation). ■ Symptoms: …

7803. The Medical Apology: Making It Right When Things Go Wrong. | PSNet
      psnet.ahrq.gov/issue/medical-apology-making-it-right-when-things-go-wrong
      September 01, 2010 - Special or Theme Issue The Medical Apology: Making It Right When Things Go Wrong. Citation Text: The Medical Apology: Making It Right When Things Go Wrong. Schulte MF, ed. Front Health Serv Manage. 2012;28(3):1-46. Copy Citation Save Save to your library P…

7804. Special Section on Patient Safety and Quality in Healthcare. | PSNet
      psnet.ahrq.gov/issue/special-section-patient-safety-and-quality-healthcare
      October 15, 2008 - Special or Theme Issue Special Section on Patient Safety and Quality in Healthcare. Citation Text: Special Section on Patient Safety and Quality in Healthcare. Andersen HB, Lipczak H, Borch-Johnsen K, eds. Cogn Technol Work. 2015;17:1-155. Copy Citation Save Save …

7805. Quality and Safety Education. | PSNet
      psnet.ahrq.gov/issue/quality-and-safety-education
      September 06, 2017 - Special or Theme Issue Quality and Safety Education. Citation Text: Quality and Safety Education. Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227. Copy Citation Save Save to your library Print Download PDF Share Fa…

7806. The Patient Safety in Surgery Study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-surgery-study
      March 01, 2017 - Special or Theme Issue The Patient Safety in Surgery Study. Citation Text: The Patient Safety in Surgery Study. J Am Coll Surg. 2007;204(6):1087-1300. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter…

7807. Medical errors leave devastating impact on families, professionals. | PSNet
      psnet.ahrq.gov/issue/medical-errors-leave-devastating-impact-families-professionals
      August 11, 2010 - Newspaper/Magazine Article Medical errors leave devastating impact on families, professionals. Citation Text: Medical errors leave devastating impact on families, professionals. Bernhard B. Copy Citation Save Save to your library Print Download PDF …

7808. Case studies on medication reconciliation. | PSNet
      psnet.ahrq.gov/issue/case-studies-medication-reconciliation
      February 15, 2023 - Special or Theme Issue Case studies on medication reconciliation. Citation Text: Case studies on medication reconciliation. Crawford AG; Sciamanna CN. Copy Citation Save Save to your library Print Download PDF Share Facebook Twit…

7809. Making hospitals accountable. | PSNet
      psnet.ahrq.gov/issue/making-hospitals-accountable
      December 09, 2020 - Newspaper/Magazine Article Making hospitals accountable. Citation Text: Making hospitals accountable. Peters PG Jr. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

7810. Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiexh20.html
      April 01, 2018 - Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome Detection Exhibit 20. Estimates of the total number of SSI cases in the United States, based on the rates used Previous Page Next Page Table of Contents Improving the Measurement of Surgical Site Infection Risk Stratifi…

7811. Safe healthcare. | PSNet
      psnet.ahrq.gov/issue/safe-healthcare
      November 10, 2011 - Special or Theme Issue Safe healthcare. Citation Text: Safe healthcare. Morgan MW; Guerriere M; Alvarez R; Protti D; Classen D; Binns P; Tamblyn R; Savitz L; Baker GR; Norton PG Copy Citation Save Save to your library Print Download PDF Share …

7812. STate Action on Avoidable Rehospitalizations. | PSNet
      psnet.ahrq.gov/issue/state-action-avoidable-rehospitalizations
      January 20, 2016 - Multi-use Website STate Action on Avoidable Rehospitalizations. Citation Text: STate Action on Avoidable Rehospitalizations. Institute for Healthcare Improvement. 2009 -2013. Copy Citation Save Save to your library Print Download PDF Share …

7813. The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis. | PSNet
      psnet.ahrq.gov/issue/hemolyzed-physical-examination-situational-challenges-accurate-bedside-diagnosis
      May 31, 2023 - Commentary The "hemolyzed" physical examination—situational challenges to accurate bedside diagnosis. Citation Text: Sargsyan Z. The "Hemolyzed" Physical Examination-Situational Challenges to Accurate Bedside Diagnosis. JAMA Intern Med. 2019;179(4):465-466. doi:10.1001/jamainternmed.2018…

7814. Biomedical Complexity and Error. | PSNet
      psnet.ahrq.gov/issue/biomedical-complexity-and-error
      August 21, 2019 - Special or Theme Issue Biomedical Complexity and Error. Citation Text: Biomedical Complexity and Error. Patel VL, Kahol K, Buchman T, eds. J Biomed Inform. 2011;44:385-506.    Copy Citation Save Save to your library Print Download PDF …

7815. Do no harm. | PSNet
      psnet.ahrq.gov/issue/do-no-harm
      June 27, 2018 - Newspaper/Magazine Article Do no harm. Citation Text: Do no harm. Kalb C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL October 13, 2010 Kalb C. …

7816. Special Issue on Patient Safety. | PSNet
      psnet.ahrq.gov/issue/special-issue-patient-safety-0
      November 19, 2014 - Special or Theme Issue Special Issue on Patient Safety. Citation Text: Special Issue on Patient Safety. West J Nurs Res. 2014;36(7):851-946. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linke…

7817. 10 medical errors that changed the standard of care. | PSNet
      psnet.ahrq.gov/issue/10-medical-errors-changed-standard-care
      December 19, 2016 - Image/Poster 10 medical errors that changed the standard of care. Citation Text: 10 medical errors that changed the standard of care. Bialek BB. Medscape Today. January 18, 2012. Copy Citation Save Save to your library Print Download PDF Sha…

7818. Professional Conduct Toolkit. | PSNet
      psnet.ahrq.gov/issue/professional-conduct-toolkit
      January 04, 2009 - Toolkit Professional Conduct Toolkit. Citation Text: Professional Conduct Toolkit. Washington, DC: US Department of Defense, Patient Safety Program.   Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

7819. Patient Safety and Quality Healthcare. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-healthcare
      June 14, 2011 - Newsletter/Journal Patient Safety and Quality Healthcare. Citation Text: Patient Safety and Quality Healthcare. Middleton, MA: HealthLeaders Media. ISSN: 1553-6637. Copy Citation Save Save to your library Print Download PDF Share Facebook …

7820. Poetry and Medicine. Mistakes. | PSNet
      psnet.ahrq.gov/issue/poetry-and-medicine-mistakes
      September 25, 2019 - Commentary Poetry and Medicine. Mistakes. Citation Text: Poetry and Medicine. Mistakes. Kittleson M. JAMA. 2019;322:984. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …