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Total Results: 1,802 records

Showing results for "mechanism".

361. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.251_slideshow.ppt
     October 01, 2011 - Spotlight Case [MONTH] 2003 Spotlight Case Mobility Lost in the ICU * * Source and Credits This presentation is based on the October 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jim Smith, PT, DPT, MA; Associate Professor of Physical …

362. Anticoagulation: Held Too Long | PSNet
     psnet.ahrq.gov/web-mm/anticoagulation-held-too-long
     April 01, 2008 - Anticoagulation: Held Too Long Citation Text: Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49602/psn-pdf
     April 01, 2010 - Anticoagulation: Held Too Long April 1, 2010 Dunn AS. Anticoagulation: Held Too Long. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/anticoagulation-held-too-long The Case A 68-year-old woman with a history of mitral valve replacement with a mechanical valve was admitted with abdominal pain. Because of the…

364. Rates and types of events reported to established incident reporting systems in two US hospitals. | PSNet
     psnet.ahrq.gov/issue/rates-and-types-events-reported-established-incident-reporting-systems-two-us-hospitals
     January 02, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

365. Medication-related problems in critical care survivors: a systematic review. | PSNet
     psnet.ahrq.gov/issue/medication-related-problems-critical-care-survivors-systematic-review
     August 20, 2018 - Does nurse use of a standardized flowsheet to document communication with advanced providers provide a mechanism

366. Target-focused medical emergency team training using a human patient simulator: effects on behaviour and attitude. | PSNet
     psnet.ahrq.gov/issue/target-focused-medical-emergency-team-training-using-human-patient-simulator-effects
     May 23, 2013 - April 5, 2023 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

367. Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System. | PSNet
     psnet.ahrq.gov/issue/medication-safety-mental-health-hospitals-mixed-methods-analysis-incidents-reported-national
     December 18, 2017 - medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism

368. Association of note quality and quality of care: a cross-sectional study. | PSNet
     psnet.ahrq.gov/issue/association-note-quality-and-quality-care-cross-sectional-study
     June 05, 2018 - January 23, 2017 Healthcare professional and patient codesign and validation of a mechanism

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865309/psn-pdf
     May 29, 2024 - A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care May 29, 2024 Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post- Tracheostomy Care. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-i…

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867022/psn-pdf
     October 30, 2024 - episodes of vomiting; age 65 years or older; amnesia for 30 minutes or more before impact; or a dangerous mechanism … had, the ED team would likely have interpreted sledding head-first into a tree without a helmet as a mechanism … blunt head trauma (with or without neurologic abnormalities at presentation) does not consider the mechanism

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33754/psn-pdf
     September 01, 2013 - However, currently in the debate, particularly in the US, just culture gets taken as a mechanism typically … , a mechanism for holding employees accountable for their role in adverse events, but not in such a

372. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - However, currently in the debate, particularly in the US, just culture gets taken as a mechanism typically … , a mechanism for holding employees accountable for their role in adverse events, but not in such a way

373. Leaders' and followers' individual experiences during the early phase of simulation-based team training: an exploratory study. | PSNet
     psnet.ahrq.gov/issue/leaders-and-followers-individual-experiences-during-early-phase-simulation-based-team
     January 18, 2011 - November 13, 2009 Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism

374. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
     psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
     February 15, 2012 - Study The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. Citation Text: Westbrook JI, Baysari M, Li L, et al. The safety of electronic prescribing: manifestations, mechanisms, and rates…

375. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care | PSNet
     psnet.ahrq.gov/web-mm/stable-airway-fatal-airway-occlusion-after-inadequate-post-tracheostomy-care
     June 28, 2023 - SPOTLIGHT CASE A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care Citation Text: Gould E, Craddock K, Le Tellier T, et al. A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research…

376. Premature Extubation | PSNet
     psnet.ahrq.gov/web-mm/premature-extubation
     May 25, 2011 - Premature Extubation Citation Text: Sagana R, Hyzy RC. Premature Extubation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

377. Acute Care Admission of the Behavioral Health Patient | PSNet
     psnet.ahrq.gov/web-mm/acute-care-admission-behavioral-health-patient
     July 19, 2023 - antipsychotics were developed, most with greater potency (including haloperidol), each with the presumed mechanism … Antidepressant discontinuation has been associated with higher rates of suicide, presumably via a serotonergic mechanism

378. Adverse Drug Event (ADE) Surveillance and Pharmacist Counseling | PSNet
     psnet.ahrq.gov/innovation/adverse-drug-event-ade-surveillance-and-pharmacist-counseling
     June 28, 2023 - Education and Research of Therapeutics (CERT) grant number 1U19HS021094-01, part of AHRQ’s CERT funding mechanism … Develop an opt-in or opt-out mechanism for patient participation in the intervention.

379. Delayed Symptomatic Subdural Hematoma Following an Initially Normal CT Head | PSNet
     psnet.ahrq.gov/web-mm/delayed-symptomatic-subdural-hematoma-following-initially-normal-ct-head
     March 27, 2024 - episodes of vomiting; age 65 years or older; amnesia for 30 minutes or more before impact; or a dangerous mechanism … had, the ED team would likely have interpreted sledding head-first into a tree without a helmet as a mechanism … blunt head trauma (with or without neurologic abnormalities at presentation) does not consider the mechanism

380. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. | PSNet
     psnet.ahrq.gov/issue/increased-catheter-related-bloodstream-infection-rates-after-introduction-new-mechanical
     February 07, 2022 - Study Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. Citation Text: Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanic…