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Showing results for "incidents".

  1. psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
    August 04, 2021 - Study What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. Citation Text: Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…
  2. psnet.ahrq.gov/issue/improving-patient-safety-moving-beyond-hype-medical-errors
    December 22, 2010 - Commentary Improving patient safety: moving beyond the "hype" of medical errors. Citation Text: Forster AJ, Shojania KG, van Walraven C. Improving patient safety: moving beyond the "hype" of medical errors. CMAJ. 2005;173(8):893-4. Copy Citation Format: Google Scholar Pub…
  3. psnet.ahrq.gov/issue/minnesota-hospital-association-statewide-project-safe-falls
    May 05, 2014 - Commentary Minnesota Hospital Association Statewide Project: SAFE from FALLS. Citation Text: Apold J, Quigley PA. Minnesota Hospital Association Statewide Project: SAFE from FALLS. J Nurs Care Qual. 2012;27(4):299-306. doi:10.1097/NCQ.0b013e3182599d1b. Copy Citation Format: …
  4. psnet.ahrq.gov/issue/communication-patterns-uk-emergency-department
    June 17, 2010 - Study Communication patterns in a UK emergency department. Citation Text: Woloshynowych M, Davis R, Brown R, et al. Communication patterns in a UK emergency department. Ann Emerg Med. 2007;50(4):407-13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  5. psnet.ahrq.gov/issue/safety-culture-childrens-hospital
    October 06, 2011 - Study The safety culture in a children's hospital. Citation Text: Grant MJC, Donaldson AE, Larsen G. The safety culture in a children's hospital. J Nurs Care Qual. 2006;21(3):223-229. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  6. psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
    March 11, 2009 - Study Quantifying distraction and interruption in urological surgery. Citation Text: Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9. Copy Citation Format: Google Scholar PubMed BibTeX …
  7. psnet.ahrq.gov/issue/preventing-retained-surgical-items
    December 07, 2022 - Commentary Preventing retained surgical items. Citation Text: Weston M, Chiodo C. Preventing retained surgical items. AORN J. 2022;115(6):569-575. doi:10.1002/aorn.13697. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
  8. psnet.ahrq.gov/issue/guidelines-practice-prevention-unintentionally-retained-surgical-items
    August 03, 2022 - Commentary Guidelines in Practice: prevention of unintentionally retained surgical items. Citation Text: Cochran K. Guidelines in Practice: prevention of unintentionally retained surgical items. AORN J. 2022;116(5):427-440. doi:10.1002/aorn.13804. Copy Citation Format: DOI …
  9. psnet.ahrq.gov/issue/retained-lumbar-catheter-tip
    June 07, 2017 - Commentary Retained lumbar catheter tip. Citation Text: DeLancey JO, Barnard C, Bilimoria KY. Retained Lumbar Catheter Tip. JAMA. 2017;317(12):1269-1270. doi:10.1001/jama.2017.1713. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  10. psnet.ahrq.gov/issue/safety-ii-and-resilience-way-ahead-patient-safety-anaesthesiology
    October 08, 2016 - Review Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Citation Text: Staender S. Safety-II and resilience: the way ahead in patient safety in anaesthesiology. Curr Opin Anaesthesiol. 2015;28(6):735-9. doi:10.1097/ACO.0000000000000252. Copy Citation Fo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838855/psn-pdf
    October 27, 2022 - False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. October 27, 2022 Kuhn BT, Chau-Etchepare F. False Assumptions Result in a Missed Pneumothorax after Bronchoscopy with Transbronchial Biopsy. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/false-assumptions-resul…
  12. psnet.ahrq.gov/web-mm/mothers-milk-whose-mother
    November 15, 2023 - Mother's Milk, but Whose Mother? Citation Text: Dougherty D. Mother's Milk, but Whose Mother?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XM…
  13. www.ahrq.gov/sites/default/files/2025-04/castro-report.pdf
    January 01, 2025 - Final Progress Report: Diagnostic Error in Medicine Conference 2020-2022 Title Page – Final Progress Report Title: Diagnostic Error in Medicine Conference 2020-2022 Principal Investigator: Gerry Castro, PhD, MPH Team Members: 2022 Conference Chairs, Co-chairs and Planning Commitee members Andrew Olson…
  14. www.ahrq.gov/sites/default/files/2024-03/connolly-report.pdf
    January 01, 2024 - Final Progress Report: Topical Vancomycin for Neurosurgery Wound Prophylaxis Title: Topical Vancomycin for Neurosurgery Wound Prophylaxis Principal Investigator: Connolly, Edward Sander Team Members: Jared Knopman, MD - Site PI (Cornell) Emilia Bagiella, PhD - Site PI (Mount Sinai) Franklin Lowy, MD - Co-Investigato…
  15. www.ahrq.gov/sites/default/files/2024-05/valley-report.pdf
    January 01, 2024 - Final Progress Report: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) AHRQ GRANT FINAL PROGRESS REPORT TEMPLATE Title Page Title of Project: Rapid Understanding of Best Practices in Rural Intensive Care (RUBRIC) Principal Investigator and Team Members: - Principal Investigator: Thomas S. Va…
  16. www.ahrq.gov/sites/default/files/2024-11/devita-report.pdf
    January 01, 2024 - Final Progress Report: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ Final Report Title of Project: METs: Preventing Patient Crisies; Protecting Patients in Crisis AHRQ grant: 1 R13 HS 15757-01 Awarded May, 2005. Dates of project: May 2005-May 2006. Date of Conference: June 25 and 26, 2005. …
  17. www.ahrq.gov/research/findings/nhqrdr/chartbooks/healthyliving/cps-measures.html
    June 01, 2018 - Chartbook on Healthy Living Clinical Preventive Services Previous Page Next Page Table of Contents Chartbook on Healthy Living Acknowledgments Healthy Living Summary Healthy Living Measures Maternal and Child Health Care Maternal and Child Health Care: Effectiveness Measures Maternal…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49408/psn-pdf
    July 01, 2003 - Check the Wristband July 1, 2003 Rosenthal M. Check the Wristband. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-wristband The Case The patient was a 28-year-old female awaiting ambulatory surgery. She was very anxious about the impending surgery. The patient spoke English and appeared to be of aver…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49498/psn-pdf
    January 01, 2006 - An Ounce of Prevention January 1, 2006 Kucher N. An Ounce of Prevention. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/ounce-prevention Case Objectives Assess risk for venous thromboembolism (VTE) in hospitalized patients List recommended strategies for VTE prevention for various risk groups Identify pat…
  20. www.uspreventiveservicestaskforce.org/uspstf/recommendation/breastfeeding-counseling-2003
    July 01, 2003 - Share to Facebook Share to X Share to WhatsApp Share to Email Print archived Recommendations and Rationale Breastfeeding: Counseling, July 2003 July 01, 2003 Recommendations made by the USPSTF are independent of the U.S. government. …