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Showing results for "managing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49592/psn-pdf
    October 01, 2009 - Danger in Disruption October 1, 2009 Fontaine DK. Danger in Disruption. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/danger-disruption The Case A 23-month-old toddler was severely dehydrated after vomiting due to gastric outlet obstruction. She had metabolic alkalosis (pH = 7.58), and her last peripheral…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49670/psn-pdf
    November 01, 2012 - Missed Pneumonia November 1, 2012 Rohde JM, Flanders S. Missed Pneumonia. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/missed-pneumonia The Case A 32-year-old man presented to the emergency department (ED) with 3 days of fever and right pleuritic chest pain. Review of systems was negative for cough or dy…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49517/psn-pdf
    August 01, 2006 - Miscalculated Risk August 1, 2006 Strassels SA. Miscalculated Risk. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/miscalculated-risk The Case A healthy 36-year-old man was admitted to a teaching hospital for acute low back strain after lifting his 2- week-old infant. He received Vicodin (hydrocodone and a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49711/psn-pdf
    June 01, 2014 - Wandering Off the Floors: Safety and Security Risks of Patient Wandering June 1, 2014 Smith TA. Wandering Off the Floors: Safety and Security Risks of Patient Wandering. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/wandering-floors-safety-and-security-risks-patient-wandering Case Objectives Define patie…

  5. Double Dosing, by the Rules | PSNet

    psnet.ahrq.gov/web-mm/double-dosing-rules
    February 03, 2010 - Double Dosing, by the Rules Citation Text: Cohen H. Double Dosing, by the Rules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  6. PSNet Curated Library (pdf file)

    psnet.ahrq.gov/print/pdf/node/74277
    January 01, 2021 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Medication/Drug Errors Curated Library Primers Medication Administration Errors Paul MacDowell, PharmD, BCPS, Ann Cabri, PharmD, and Michaela Davis, MSN, RN, CNS | March, 12 2021 Medication administration errors are a persistent patient saf…

  7. Missing ECG and Missed Diagnosis Lead to Dangerous Delay | PSNet

    psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay
    March 01, 2015 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay Citation Text: O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: G…

  8. Lethal Vertigo | PSNet

    psnet.ahrq.gov/web-mm/lethal-vertigo
    September 20, 2011 - Lethal Vertigo Citation Text: Furman JM. Lethal Vertigo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49524/psn-pdf
    November 01, 2006 - Secured But Not Always Safe November 1, 2006 Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/secured-not-always-safe The Case An 84-year-old healthy woman underwent an elective left total knee replacement for degenerative osteoarthritis. She received spinal …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33794/psn-pdf
    November 01, 2015 - In Conversation With… Lorri Zipperer, MA November 1, 2015 In Conversation With… Lorri Zipperer, MA. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-lorri-zipperer-ma Editor's note: Lorri Zipperer, principal at Zipperer Project Management, was a founding staff member of the National Patient…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33627/psn-pdf
    February 01, 2006 - Removing Insult from Injury—Disclosing Adverse Events February 1, 2006 Wu AW. Removing Insult from Injury—Disclosing Adverse Events. PSNet [internet]. 2006. https://psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events Perspective You pull into a parking space, swing open the car door, and ar…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48058/psn-pdf
    June 19, 2019 - Organisational learning in hospitals: a concept analysis. June 19, 2019 Lyman B, Hammond EL, Cox JR. Organisational learning in hospitals: A concept analysis. J Nurs Manag. 2019;27(3):633-646. doi:10.1111/jonm.12722. https://psnet.ahrq.gov/issue/organisational-learning-hospitals-concept-analysis Organizations are …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/858166/psn-pdf
    December 13, 2023 - Pay practices and safety organizing: evidence from hospital nursing units. December 13, 2023 Conroy SA, Vogus TJ. Pay practices and safety organizing: evidence from hospital nursing units. Health Care Manage Rev. 2023;49(1):68-73. doi:10.1097/hmr.0000000000000392. https://psnet.ahrq.gov/issue/pay-practices-and-saf…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73075/psn-pdf
    March 24, 2021 - Analysis of transdermal medication patch errors uncovers a “patchwork” of safety challenges. March 24, 2021 ISMP Medication Safety Alert! Acute Care. March 11, 2021;26(5):1-6. https://psnet.ahrq.gov/issue/analysis-transdermal-medication-patch-errors-uncovers-patchwork-safety- challenges Skin patches are a conveni…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73178/psn-pdf
    April 28, 2021 - Risk perception on the labour ward: a mixed methods study. April 28, 2021 McCarthy C, Meaney S, Rochford M, et al. Risk perception on the labour ward: a mixed methods study. J Patient Saf Risk Manag. 2021;26(2):56-63. doi:10.1177/25160435211002428. https://psnet.ahrq.gov/issue/risk-perception-labour-ward-mixed-met…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47514/psn-pdf
    October 31, 2018 - Making Hospitals Safe for People With Diabetes. October 31, 2018 Watts E, Rayman G. Diabetes UK. London, UK; 2018. https://psnet.ahrq.gov/issue/making-hospitals-safe-people-diabetes Chronic disease management can add complexity to inpatient care regimens. Researchers worked with patients, system leaders, and clini…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43078/psn-pdf
    June 03, 2014 - The value of autopsies in the era of high-tech medicine: discrepant findings persist. June 3, 2014 Kuijpers CCHJ, Fronczek J, van de Goot FRW, et al. The value of autopsies in the era of high-tech medicine: discrepant findings persist. J Clin Pathol. 2014;67(6):512-9. doi:10.1136/jclinpath-2013-202122. https://psn…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46278/psn-pdf
    July 19, 2017 - The opioid epidemic: what can surgeons do about it? July 19, 2017 Saluja S, Selzer D, Meara JG, et al. Bull Am Coll Surg. 2017;102(7):13-18. https://psnet.ahrq.gov/issue/opioid-epidemic-what-can-surgeons-do-about-it Surgeons often prescribe opioids for patients after procedures, so they are in a key position to ass…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38830/psn-pdf
    February 18, 2011 - Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. February 18, 2011 Walley AY, Farrar D, Cheng DM, et al. Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue. J Gen Intern Me…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42455/psn-pdf
    September 09, 2013 - Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. September 9, 2013 Singer SJ, Rivard PE, Hayes J, et al. Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs case study. Jt Comm J Qual Pati…
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