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Total Results: 354 records

Showing results for "instances".

21. In Conversation with…Thomas J. Nasca, MD | PSNet
    psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
    February 01, 2010 - In Conversation with…Thomas J. Nasca, MD February 1, 2010  Also Read an Essay Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Editor's note: Thomas J. Nasca, MD, is the executive…

22. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
    psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
    March 27, 2024 - In Conversation With… Charles Vincent, MPhil, PhD June 1, 2012  Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Editor's note: Charles Vincent, MPhil, PhD, a psychologist by train…

23. Triggers and Trigger Tools | PSNet
    psnet.ahrq.gov/primer/triggers-and-trigger-tools
    September 07, 2019 - opioid medications) to a hospitalized patient would be a reasonable trigger that could help identify instances

24. Getting surgery right. | PSNet
    psnet.ahrq.gov/issue/getting-surgery-right
    December 12, 2007 - This study examined instances of wrong-site surgery reported to authorities in Pennsylvania and sought

25. Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions. | PSNet
    psnet.ahrq.gov/issue/mix-wrong-route-administration-bladder-irrigation-intravenous-iv-infusions
    May 04, 2022 - May 3, 2006 Veterans Affairs; National Center for Patient Safety This alert reports five instances

26. Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. | PSNet
    psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
    April 27, 2022 - This publication examined 250 instances of maternal and baby harm at a National Health Service trust

27. The Role of Graduate Medical Education (GME) in Improving Patient Safety | PSNet
    psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
    February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety Arpana R. Vidyarthi, MD; Robert B. Baron, MD, MS | February 1, 2010  Also Read a Conversation View more articles from the same authors. Save Save to your library Print S…

28. Infant deaths associated with cough and cold medications—two states, 2005. | PSNet
    psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
    February 27, 2019 - The investigation found three instances in which these medications were considered the underlying cause

29. Promethazine conundrum: IV can hurt more than IM injection! | PSNet
    psnet.ahrq.gov/issue/promethazine-conundrum-iv-can-hurt-more-im-injection
    May 31, 2006 - This article describes instances of tissue injury as a result of the misadministration of Promethazine

30. In Conversation With… Richard Platt, MD, MSc | PSNet
    psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
    October 01, 2016 - In both instances it will likely be necessary to link confidential data held by different organizations

31. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
    psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
    October 01, 2016 - In both instances it will likely be necessary to link confidential data held by different organizations

32. Responding to large-scale testing errors. | PSNet
    psnet.ahrq.gov/issue/responding-large-scale-testing-errors
    March 12, 2008 - The authors also identify responsibilities after such instances occur.

33. The health care industry needs to be more honest about medical errors. | PSNet
    psnet.ahrq.gov/issue/health-care-industry-needs-be-more-honest-about-medical-errors
    February 06, 2019 - made since To Err is Human was published in 1999, progress has been frustratingly slow and, in some instances

34. Adverse Events, Near Misses, and Errors | PSNet
    psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors
    March 30, 2022 - Adverse Events, Near Misses, and Errors Save Save to your library Print Share Facebook Twitter Linkedin Copy URL September 7, 2019 Background The concept of medical harm has existed since antiquity, famously discussed by Hippocrates and passed …

35. Veterans Accountability Improvement Act. | PSNet
    psnet.ahrq.gov/issue/veterans-accountability-improvement-act
    March 25, 2020 - problematic clinicians by underscoring the importance of reporting to a national system that tracks these instances

36. Best Practices in Developing Proprietary Names for Human Nonprescription Drug Products. | PSNet
    psnet.ahrq.gov/issue/best-practices-developing-proprietary-names-human-nonprescription-drug-products
    December 23, 2020 - This draft guidance seeks to provide a  structure for industry  to reduce instances of drug name  confusion

37. Best Practices in Developing Proprietary Names for Human Prescription Drug Products Guidance for Industry. | PSNet
    psnet.ahrq.gov/issue/best-practices-developing-proprietary-names-human-prescription-drug-products-guidance
    January 13, 2021 - This guidance provides a structure for industry to reduce instances of drug name similarities and describes

38. Patients went into the hospital for care. After testing positive there for Covid, some never came out. | PSNet
    psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never-came-out
    January 26, 2022 - This news story examines instances when inpatients contracted, and sometimes died of, COVID-19 while

39. What Was in Those Platelets? | PSNet
    psnet.ahrq.gov/web-mm/what-was-those-platelets
    October 20, 2023 - inhibits bacterial growth), platelets are stored at room temperature for up to 5 days (and in some instances … Surveillance Program (N = 54 cultured platelet units). ( 14 )* Isolate Number/Percentage of Instances

40. The PSNet Collection | PSNet
    psnet.ahrq.gov/psnet-collection
    January 15, 2024 - Researchers found that residents with three or more instances of PIP (measured by STOPP/START and Beers … criteria) were significantly more likely to have probable delirium compared to residents with no instances