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Showing results for "mechanism".

1741. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
      psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
      September 27, 2023 - SPOTLIGHT CASE Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery Citation Text: Curtin A, Schloemerkemper N. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.. PSNet [internet]…

1742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866370/psn-pdf
      July 31, 2024 - Intraoperative Awareness during Rhinoplasty July 31, 2024 Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation …

1743. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - Most of the reports are requested by Congress and are funded through that mechanism, but they do some

1744. In Conversation With…Kaveh G. Shojania, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withkaveh-g-shojania-md
      September 01, 2011 - incident reporting but found only 13 US reporting systems for which publications described a feedback mechanism

1745. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - Most of the reports are requested by Congress and are funded through that mechanism, but they do some

1746. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - As someone leaves, you have to have a mechanism to pull the new person in, educate them about what you're

1747. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please | PSNet
      psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please
      September 01, 2011 - incident reporting but found only 13 US reporting systems for which publications described a feedback mechanism

1748. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - As someone leaves, you have to have a mechanism to pull the new person in, educate them about what you're

1749. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - You need to have a mechanism to get consent from your patients.

1750. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet
      psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
      February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension C. Jessica Dine, MD, MA; and Jennifer S. Myers, MD | February 1, 2012  Also Read a Conversation View more articles from the same authors. Citation Text: Dine JC, Myers JS. Balancing Supervision and Autonomy:…

1751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865419/psn-pdf
      March 27, 2024 - Do Not Miss Sepsis Needles in Viral Haystacks! March 27, 2024 Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks Disclosure of Relevant Financial Relationships: As a provider accredited by the Accredit…

1752. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Human Factors Engineering Can Teach You How to Be Surprised Again John Gosbee, MD, MS | November 1, 2006  Also Read a Conversation View more articles from the same authors. Citation Text: Gosbee JW. Human Factors Engineering Can Teach You How to Be Surprised Aga…

1753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867656/psn-pdf
      February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety February 26, 2025 Savitz LA, Sousane Z, Mossburg SE. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learnin…

1754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836840/psn-pdf
      April 22, 2021 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE April 7, 2022 https://psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and- implements-methods Summary Venous thromboembolism (…

1755. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853902/psn-pdf
      September 27, 2023 - A Missed Bowel Perforation - the Importance of Diagnostic Reasoning September 27, 2023 Timbag L, Sinigayan VR, Molla M. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning Disclosure of …

1756. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74830/psn-pdf
      June 01, 2022 - The Michigan Hospital Medicine Safety Consortium (HMS) Finds Infectious Diseases (ID) Physician Approval for Placement of Peripherally Inserted Central Catheters (PICCs) Prevents Unnecessary PICC Use and Reduces Complications February 23, 2022 https://psnet.ahrq.gov/innovation/michigan-hospital-medicine-safety-co…

1757. Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up | PSNet
      psnet.ahrq.gov/web-mm/failure-adhere-dietary-restrictions-leading-complications-and-poor-follow
      September 27, 2023 - Failure to Adhere to Dietary Restrictions Leading to Complications and Poor Follow-up Citation Text: Bohringer C, Bourgeois J, Xiong G, et al. Failure to adhere to dietary restrictions leading to complications and poor follow-up.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

1758. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet
      psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
      March 27, 2024 - SPOTLIGHT CASE Do Not Miss Sepsis Needles in Viral Haystacks! Citation Text: Hamline M, Shaikh U. Do Not Miss Sepsis Needles in Viral Haystacks!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation For…

1759. Intraoperative Awareness during Rhinoplasty | PSNet
      psnet.ahrq.gov/web-mm/intraoperative-awareness-during-rhinoplasty
      January 29, 2021 - SPOTLIGHT CASE Intraoperative Awareness during Rhinoplasty Citation Text: Bohringer C, Toor J. Intraoperative Awareness during Rhinoplasty. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation Format: …

1760. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS December 14, 2022  Also Read the Essay Citation Text: In Conversation with.. Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS. PSNet [internet]. 2022.In Conversation with... Ellen Deutsch, MD, MS, …