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Total Results: 7,150 records

Showing results for "involving".

3041. Medical Devices in the "Wild" | PSNet
      psnet.ahrq.gov/web-mm/medical-devices-wild
      March 27, 2024 - An HFE approach for such a problem would be to redesign the system while involving the users throughout

3042. Caution, Interrupted | PSNet
      psnet.ahrq.gov/web-mm/caution-interrupted
      October 01, 2016 - genesis of success or failure in medical work.( 1 ) Viewing this case as only an issue of mislabeling involving

3043. Two Wrongs Don't Make a Right (Kidney) | PSNet
      psnet.ahrq.gov/web-mm/two-wrongs-dont-make-right-kidney
      April 01, 2010 - level.( 2 ) Wrong-site surgery has long been recognized as a sentinel event—an unexpected occurrence involving

3044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33645/psn-pdf
      February 01, 2007 - approach already seems to be working in the field of mammography, where participation in a program involving

3045. Sick and Pregnant | PSNet
      psnet.ahrq.gov/web-mm/sick-and-pregnant
      August 25, 2021 - August 7, 2024 Root cause analysis of cases involving diagnosis.

3046. To Dilute or Not Dilute: Drug Errors and Consequences in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/dilute-or-not-dilute-drug-errors-and-consequences-operating-room
      July 28, 2021 - Swap May 1, 2011 WebM&M Cases Vial Mistakes Involving

3047. Computerized Provider Order Entry | PSNet
      psnet.ahrq.gov/primer/computerized-provider-order-entry
      March 15, 2025 - Promising error reduction strategies in the setting of dispensing and administration include involving

3048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49473/psn-pdf
      March 01, 2005 - Involving the patient in safety efforts. In: Leonard M, Frankel A, Simmonds T, eds.

3049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40346/psn-pdf
      November 26, 2014 - Inability of providers to predict unplanned readmissions. November 26, 2014 Allaudeen N, Schnipper JL, Orav J, et al. Inability of providers to predict unplanned readmissions. J Gen Intern Med. 2011;26(7):771-6. doi:10.1007/s11606-011-1663-3. https://psnet.ahrq.gov/issue/inability-providers-predict-unplanned-readmi…

3050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38264/psn-pdf
      January 02, 2017 - Using an advanced practice nursing model for a rapid response team. January 2, 2017 Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. https://psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-respon…

3051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45063/psn-pdf
      May 04, 2016 - Value of the pharmacist in the medication reconciliation process. May 4, 2016 Splawski J, Minger H. Value of the Pharmacist in the Medication Reconciliation Process. P T. 2016;41(3):176-8. https://psnet.ahrq.gov/issue/value-pharmacist-medication-reconciliation-process Medication reconciliation has been shown to r…

3052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41304/psn-pdf
      June 01, 2012 - A new perspective on blame culture: an experimental study. June 1, 2012 Gorini A, Miglioretti M, Pravettoni G. A new perspective on blame culture: an experimental study. J Eval Clin Pract. 2012;18(3):671-5. doi:10.1111/j.1365-2753.2012.01831.x. https://psnet.ahrq.gov/issue/new-perspective-blame-culture-experimenta…

3053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34617/psn-pdf
      March 07, 2005 - World Alliance for Patient Safety: forward programme. March 7, 2005 Geneva, Switzerland: World Health Organization; 2004. https://psnet.ahrq.gov/issue/world-alliance-patient-safety-forward-programme This report outlines the six goals set by the new world alliance to achieve what no single country could accomplish …

3054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36650/psn-pdf
      January 05, 2017 - Intralipid medication errors in the neonatal intensive care unit. January 5, 2017 Chuo J, Lambert G, Hicks RW. Intralipid medication errors in the neonatal intensive care unit. Jt Comm J Qual Patient Saf. 2007;33(2):104-11. https://psnet.ahrq.gov/issue/intralipid-medication-errors-neonatal-intensive-care-unit The…

3055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35713/psn-pdf
      July 13, 2010 - Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. July 13, 2010 Durbin J, Hansen MM, Sinkowitz-Cochran R, et al. Patient safety perceptions: a survey of Iowa physicians, pharmacists, and nurses. Am J Infect Control. 2006;34(1):25-30. https://psnet.ahrq.gov/issue/patient-safety-perce…

3056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39799/psn-pdf
      December 29, 2014 - Disclosure of patient safety incidents: a comprehensive review. December 29, 2014 O'Connor E, Coates HM, Yardley I, et al. Disclosure of patient safety incidents: a comprehensive review. Int J Qual Health Care. 2010;22(5):371-9. doi:10.1093/intqhc/mzq042. https://psnet.ahrq.gov/issue/disclosure-patient-safety-inci…

3057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39068/psn-pdf
      October 28, 2009 - Four patients say Cedars-Sinai did not tell them they had received a radiation overdose. October 28, 2009 Zarembo A. https://psnet.ahrq.gov/issue/four-patients-say-cedars-sinai-did-not-tell-them-they-had-received-radiation- overdose This news piece describes communication gaps following a radiation overdose incid…

3058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60883/psn-pdf
      September 02, 2020 - When the misdiagnosis is child abuse. September 2, 2020 Clifford S. When the misdiagnosis is child abuse. The Atlantic. 2020;August 20. https://psnet.ahrq.gov/issue/when-misdiagnosis-child-abuse Diagnostic decision-making is susceptible to cognitive biases and error in stressful situations. This feature article il…

3059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39464/psn-pdf
      February 17, 2011 - Evaluation of a redesign initiative in an internal-medicine residency. February 17, 2011 McMahon GT, Katz JT, Thorndike ME, et al. Evaluation of a redesign initiative in an internal-medicine residency. N Engl J Med. 2010;362(14):1304-1311. doi:10.1056/NEJMsa0908136. https://psnet.ahrq.gov/issue/evaluation-redesign…

3060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39326/psn-pdf
      July 31, 2012 - Initiative to Reduce Unnecessary Radiation Exposure from Medical Imaging. July 31, 2012 Center for Devices and Radiological Health; CDRH; US Food and Drug Administration; FDA. https://psnet.ahrq.gov/issue/initiative-reduce-unnecessary-radiation-exposure-medical-imaging This Web site provides information on an init…