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1461. Right Electrocardiogram, Wrong Patient | PSNet
      psnet.ahrq.gov/web-mm/right-electrocardiogram-wrong-patient
      April 24, 2024 - : A Patient Verification Process is Needed Everywhere, Not Just at the Bedside.

1462. The Other Side | PSNet
      psnet.ahrq.gov/web-mm/other-side
      May 01, 2007 - The trainee informed the attending that he had just reviewed the chart and learned that the positive

1463. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - Let me just first say that you are making an observation of how medical care is being practiced today … However, the level of physician participation and leadership in telehealth encourages me, just as we … But it just can't work that way. … diastolic numbers into the physician's office so they can be tracking you instantaneously—it would just

1464. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - Let me just first say that you are making an observation of how medical care is being practiced today … However, the level of physician participation and leadership in telehealth encourages me, just as we … But it just can't work that way. … diastolic numbers into the physician's office so they can be tracking you instantaneously—it would just

1465. Abdominal Pain in Early Pregnancy | PSNet
      psnet.ahrq.gov/web-mm/abdominal-pain-early-pregnancy
      November 13, 2024 - Appendicitis in pregnancy: new information that contradicts long-held clinical beliefs. … March 30, 2022 System planning for modern-day Just Culture to mitigate worker distress

1466. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - Sarah Mossburg: Could we step back from there just to touch on context? … one, and you go to an emergency room and they say, “We don’t have time to find the old CT scan, we’ll just … harm. 5,6 Violence in healthcare settings impacts patient safety, and guidance is emerging that a culture … tools designed to increase the effectiveness of communication to improve patient safety, especially the culture

1467. EMR Entry Error: Not So Benign | PSNet
      psnet.ahrq.gov/web-mm/emr-entry-error-not-so-benign
      July 01, 2012 - could also create a river of information that would flood clinicians with massive amounts of data, not just … Ross Koppel, PhD Principal Investigator Study of Hospital Workplace Culture and Medication Errors

1468. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60168/psn-pdf
      March 25, 2020 - : A Patient Verification Process is Needed Everywhere, Not Just at the Bedside.

1469. The Hidden Harms of Hand Sanitizer | PSNet
      psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
      March 04, 2020 - The history should focus not just on alcohol consumption, but also on features of dependence.

1470. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.194_slideshow.ppt
      March 01, 2009 - The paramedics had just arrived in the ED with a critically ill patient.

1471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - Just as the success of a handoff must be considered along multiple dimensions, so should improvements … contributions built into the discussions Threat & Error Management Reliability established in safe cultures

1472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49582/psn-pdf
      April 01, 2009 - Cultures taken via blood and PICC reported moderate growth of Staphylococcus. … The tip of the central venous catheter (CVC) should be just above the superior vena cava/right atrium

1473. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - 27 Role of Imaging (2) Imaging plays an important role in the detection of foreign material, not just … blunt injury involve greater tissue damage invisible to the naked eye and these wounds require not just … opposed to penetrating injuries—frequently involve tissue damage and devitalization, which is simply culture

1474. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866839/psn-pdf
      September 25, 2024 - Imaging plays an important role in the detection of foreign material, not just identification of fractures … blunt injury involve greater tissue damage invisible to the naked eye and these wounds require not just … opposed to penetrating injuries—frequently involve tissue damage and devitalization, which is simply culture

1475. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49872/psn-pdf
      August 08, 2019 - Clinicians should use their judgment and just keep a high suspicion for the diagnosis in patients with … systems should facilitate more effective teamwork in the diagnostic process as well as establish a culture

1476. Electronic Err | PSNet
      psnet.ahrq.gov/web-mm/electronic-err
      April 01, 2014 - It makes just as much sense in the outpatient setting, and in our experience at the Palo Alto Medical … event, performing a hazard analysis, and developing prevention strategies) indicate that a healthy culture

1477. AHRQ PSNet Annual Perspective: Impact of the COVID-19 Pandemic on Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ahrq-psnet-annual-perspective-impact-covid-19-pandemic-patient-safety
      August 31, 2020 - in the use of PPE and infection control principles and practices, and a supportive workplace safety culture … the use of health IT to improve safety for both patients and providers, and strengthening the safety culture … Lastly, the field is just beginning to understand the burden for patients with prolonged symptoms related … weaknesses so that all critical components of the system will be better prepared for the future, not just

1478. Preventable Rash | PSNet
      psnet.ahrq.gov/web-mm/preventable-rash
      October 01, 2012 - Just as important, given a potentially transmissible disease, the case provides an opportunity to examine … system that flags a positive lab result (eg, a high titer syphilis serology, or a positive gonococcal culture

1479. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      March 20, 2013 - phagocytosis [3,4]), it is tempting to extrapolate that tight control will benefit medical, and not just … June 2, 2019 Evaluation of the culture of safety: survey of clinicians and managers in

1480. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability | PSNet
      psnet.ahrq.gov/web-mm/mitigating-risk-intrahospital-transport-pediatric-patients-risk-physiologic-instability
      May 27, 2020 - Transport continued, but just prior to reaching the OR, bradycardia recurred, with accompanying loss … May 18, 2022 Effect of a multispecialty faculty handoff initiative on safety culture