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Total Results: 2,396 records

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2281. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - of one particular evening shift, a nurse was assigned five rooms to cover per the paper assignment list … First, nurses were to do an independent double-check of the nursing assignment list made by the charge … Lastly, the charge nurse would compare the assignment list to the completed electronic sign-in tool and … Finally, the UI should provide an overview of key patient-related data including a list of all patient

2282. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. | PSNet
      psnet.ahrq.gov/issue/medication-reconciliation-accuracy-and-patient-understanding-intended-medication-changes
      July 29, 2020 - Study Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge. Citation Text: Ziaeian B, Araujo KLB, Van Ness PH, et al. Medication reconciliation accuracy and patient understanding of intended medication changes on hospital disch…

2283. Spotlight Case September 2006 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
      September 01, 2006 - signout-related errors Understand the key elements of a safe and effective written and verbal signout List … administrative information New information—brief history and diagnosis, updated medications and problem list … , current baseline status and recent procedures, significant events Tasks—“to-do” list Illness—primary

2284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43092/psn-pdf
      April 02, 2014 - Do you hear what I hear? Communication practices about medications between physicians and clients with chronic illness in Canada. April 2, 2014 Sears K, Bishop A, MacKinnon NJ. J Particip Med. 2014;6:e2. https://psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications- between-physic…

2285. What Was in Those Platelets? | PSNet
      psnet.ahrq.gov/web-mm/what-was-those-platelets
      August 28, 2024 - What Was in Those Platelets? Citation Text: Yomtovian R. What Was in Those Platelets? . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endn…

2286. Dying in the Hospital With Advanced Dementia | PSNet
      psnet.ahrq.gov/web-mm/dying-hospital-advanced-dementia
      November 01, 2016 - SPOTLIGHT CASE Dying in the Hospital With Advanced Dementia Citation Text: Umscheid CA, McGreevey JD, Greysen RS. Dying in the Hospital With Advanced Dementia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Ci…

2287. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857061/psn-pdf
      November 27, 2023 - In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety November 27, 2023 Stanley J. In Conversation with.. Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety . PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-joa…

2288. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - In Conversation With… Gordon Schiff, MD July 1, 2018  Citation Text: In Conversation With… Gordon Schiff, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: …

2289. "Do You Want Everything Done?": Clarifying Code Status | PSNet
      psnet.ahrq.gov/web-mm/do-you-want-everything-done-clarifying-code-status
      March 27, 2024 - SPOTLIGHT CASE "Do You Want Everything Done?": Clarifying Code Status Citation Text: Steinberg K, Mason Pope T. "Do You Want Everything Done?": Clarifying Code Status. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. …

2290. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49566/psn-pdf
      July 01, 2008 - What Was in Those Platelets? July 1, 2008 Yomtovian R. What Was in Those Platelets? . PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/what-was-those-platelets The Case A 47-year-old woman was admitted to the hospital for complex spinal surgery. The surgery went well without complications, and postoperativel…

2291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - In Conversation With… Gordon Schiff, MD July 1, 2018 In Conversation With… Gordon Schiff, MD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-gordon-schiff-md Editor's note: Dr. Schiff is Associate Director of Brigham and Women's Center for Patient Safety Research and Practice, Associate Pr…

2292. Ensuring Patient and Workforce Safety Culture in Healthcare | PSNet
      psnet.ahrq.gov/perspective/ensuring-patient-and-workforce-safety-culture-healthcare
      March 27, 2024 - Annual Perspective Ensuring Patient and Workforce Safety Culture in Healthcare John Murray, Joann Sorra, Bryan Gale, Sarah Mossburg | March 27, 2024  View more articles from the same authors. Citation Text: Murray J, Sorra J, Gale B, et al. Ensuring Patient…

2293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - Intubation Mishap September 1, 2003 Weinger MB, Blike G. Intubation Mishap. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/intubation-mishap Case Objectives To understand and apply a structured method of human factors case analysis To describe the key components of effective teamwork To understand the imp…

2294. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - Ebola: Are We Ready? Citation Text: Barsuk JH, Barnard C. Ebola: Are We Ready?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

2295. Improving medication safety during hospital-based transitions of care. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-during-hospital-based-transitions-care
      May 08, 2017 - January 23, 2019 Beyond medication reconciliation: the correct medication list.

2296. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49396/psn-pdf
      April 01, 2003 - Thus, substitution errors may occur when pharmacists are selecting the product from a list on an order … Pharmacists should not store containers of these products near one another or list them adjacent to … A few new name pairs have been added to the FDA list since it was published.

2297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45484/psn-pdf
      December 04, 2016 - High prevalence of medication discrepancies between home health referrals and Centers for Medicare and Medicaid Services home health certification and plan of care and their potential to affect safety of vulnerable elderly adults. December 4, 2016 Brody AA, Gibson B, Tresner-Kirsch D, et al. High Prevalence of Me…

2298. Medical reconciliation in patients discharged from the emergency department. | PSNet
      psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
      March 04, 2015 - Study Medical reconciliation in patients discharged from the emergency department. Citation Text: Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080. Co…

2299. Rediscovering the Power of the Surgical M&M Conference: The M M Matrix | PSNet
      psnet.ahrq.gov/perspective/rediscovering-power-surgical-mm-conference-mm-matrix
      September 01, 2007 - Each discussion ends with a list of "Matrix Points"—the error-reducing strategies to be used in the future

2300. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44353/psn-pdf
      November 03, 2015 - Evaluation of symptom checkers for self diagnosis and triage: audit study. November 3, 2015 Semigran HL, Linder JA, Gidengil C, et al. Evaluation of symptom checkers for self diagnosis and triage: audit study. BMJ. 2015;351:h3480. doi:10.1136/bmj.h3480. https://psnet.ahrq.gov/issue/evaluation-symptom-checkers-self…