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Total Results: 2,559 records

Showing results for "lower".

2361. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - The spinal drain, a small soft catheter, was inserted into the lower spinal cord to remove cerebrospinal … fluid—these drains lower pressure in the spinal cord and thereby reduce the risk for post-surgery paralysis

2362. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      February 10, 2016 - blood glucose > 215 mg/dL) treatment of hyperglycemia.( 2 ) The intensively treated group had about 50% lower … harming a patient.( 10 ) Results obtained in clinical trials often achieve rates of adverse events lower

2363. How Do Providers Recover From Errors? | PSNet
      psnet.ahrq.gov/web-mm/how-do-providers-recover-errors
      March 01, 2004 - This suggests that self-reported error rates may actually represent a lower bound on the true incidence … WebM&M Cases Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower

2364. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - the patient's heart rate improved while he was in the ED, and the plan was to discharge him home on a lower … WebM&M Cases Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower

2365. The Inside of a Time Out | PSNet
      psnet.ahrq.gov/web-mm/inside-time-out
      May 17, 2006 - of the team is a crucial determinant of the success of time outs; without it, the ability of people lower … WebM&M Cases Under Pressure: Delayed Diagnosis of Compartment Syndrome after Lower

2366. In Conversation With… Rosemary Gibson, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-rosemary-gibson-msc
      September 01, 2014 - make dramatic improvements in safety, as anesthesiologists have discovered, resulting in dramatically lower … Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.

2367. Central Line Clot | PSNet
      psnet.ahrq.gov/web-mm/central-line-clot
      October 08, 2014 - scattered case reports and autopsy studies in the literature.( 3 ) It is not clear if this is due to a true lower … The incidence of DVT/pulmonary embolism in infants and children is thought to be much lower than in adults

2368. Dangerous Dialysis | PSNet
      psnet.ahrq.gov/web-mm/dangerous-dialysis
      August 01, 2014 - person-years of follow-up.( 4 ) Risk factors for falls included patient age, number of comorbidities, having a lower

2369. Teaching Clinical Reasoning. | PSNet
      psnet.ahrq.gov/issue/teaching-clinical-reasoning
      September 13, 2017 - October 24, 2018 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2370. Master of Science in Healthcare Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/master-science-healthcare-quality-and-safety
      February 08, 2017 - January 10, 2018 Stroke hospitalization after misdiagnosis of "benign dizziness" is lower

2371. Surgical Patient Safety Essential Information for Surgeons in Today's Environment. | PSNet
      psnet.ahrq.gov/issue/surgical-patient-safety-essential-information-surgeons-todays-environment
      August 16, 2017 - May 20, 2015 Best Care at Lower Cost: The Path to Continuously Learning Health Care in

2372. Communication for Nurses: How to Prevent Harmful Events and Promote Patient Safety. | PSNet
      psnet.ahrq.gov/issue/communication-nurses-how-prevent-harmful-events-and-promote-patient-safety
      August 26, 2015 - July 27, 2011 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2373. Merry and McCall Smith's Errors, Medicine, and the Law. 2nd ed. | PSNet
      psnet.ahrq.gov/issue/errors-medicine-and-law
      October 10, 2007 - September 6, 2017 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2374. Wounded care: failure at one Indian Health Service hospital reveals a system in crisis. | PSNet
      psnet.ahrq.gov/issue/wounded-care-failure-one-indian-health-service-hospital-reveals-system-crisis
      October 05, 2016 - September 4, 2019 Six ways to lower errors—and unnecessary surgeries—in radiology exams

2375. Getting Ahead of Harm Before It Happens: A Guide About Proactive Analysis for Improving Surgical Care Safety. | PSNet
      psnet.ahrq.gov/issue/getting-ahead-harm-it-happens-guide-about-proactive-analysis-improving-surgical-care-safety
      November 30, 2016 - July 27, 2011 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2376. Improving Patient Safety Through Teamwork and Team Training. | PSNet
      psnet.ahrq.gov/issue/improving-patient-safety-through-teamwork-and-team-training
      October 14, 2009 - June 8, 2016 Best Care at Lower Cost: The Path to Continuously Learning Health Care in

2377. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet
      psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
      March 05, 2014 - August 24, 2005 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2378. Six Building Blocks: A Team-Based Approach to Improving Opioid Management in Primary Care. | PSNet
      psnet.ahrq.gov/issue/six-building-blocks-team-based-approach-improving-opioid-management-primary-care
      June 13, 2007 - August 10, 2005 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2379. The Commonwealth Fund Quality Improvement Colloquium: Patient Safety Five Years After To Err Is Human. | PSNet
      psnet.ahrq.gov/issue/commonwealth-fund-quality-improvement-colloquium-patient-safety-five-years-after-err-human
      October 24, 2012 - December 12, 2018 Best Care at Lower Cost: The Path to Continuously Learning Health Care

2380. The Safe Use Initiative and Health Literacy: Workshop Summary. | PSNet
      psnet.ahrq.gov/issue/safe-use-initiative-and-health-literacy-workshop-summary
      December 17, 2014 - May 20, 2015 Best Care at Lower Cost: The Path to Continuously Learning Health Care in