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Showing results for "mechanisms".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49754/psn-pdf
    February 01, 2016 - Picking Up the Cause of the Stroke February 1, 2016 Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/picking-cause-stroke The Case A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital for management…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33672/psn-pdf
    September 01, 2008 - In Conversation with…Eric G. Poon, MD, MPH September 1, 2008 In Conversation with…Eric G. Poon, MD, MPH. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-witheric-g-poon-md-mph Editor's note: Eric G. Poon, MD, MPH, is Director of Clinical Informatics at Brigham and Women's Hospital and Assi…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838312/psn-pdf
    October 12, 2022 - Causes of adverse events in home mechanical ventilation: a nursing perspective. October 12, 2022 Lipprandt M, Liedtke W, Langanke M, et al. Causes of adverse events in home mechanical ventilation: a nursing perspective. BMC Nurs. 2022;21(1):264. doi:10.1186/s12912-022-01038-2. https://psnet.ahrq.gov/issue/causes-a…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840175/psn-pdf
    November 16, 2022 - Mechanical Prosthetic Valve Thrombosis with Thromboembolism. November 16, 2022 Hedayati N, White RO. Mechanical Prosthetic Valve Thrombosis with Thromboembolism. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/mechanical-prosthetic-valve-thrombosis-thromboembolism The Case A 61-year-old woman presented to …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867701/psn-pdf
    August 01, 2017 - Toolkit To Improve Safety for Mechanically Ventilated Patients. August 1, 2017 Agency for Healthcare Research and Quality . Toolkit To Improve Safety for Mechanically Ventilated Patients. August 2017. https://psnet.ahrq.gov/issue/toolkit-improve-safety-mechanically-ventilated-patients Patients requiring mechanica…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72682/psn-pdf
    January 27, 2021 - Healthcare failure mode and effect analysis (HFMEA) as an effective mechanism in preventing infection caused by accompanying caregivers during COVID-19-experience of a city medical center in Taiwan. January 27, 2021 Tiao C-H, Tsai L-C, Chen L-C, et al. Healthcare Failure Mode and Effect Analysis (HFMEA) as an Effe…

  7. Hyperglycemia and Switching to Subcutaneous Insulin | PSNet

    psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
    May 19, 2021 - From a systems perspective, tools and technologies, like protocols, are mechanisms to help workers complete

  8. Duplicate Insulin Order | PSNet

    psnet.ahrq.gov/web-mm/duplicate-insulin-order
    May 04, 2012 - implementation of CPOE.( 9,10 ) Computerized provider order entry can contribute to errors through several mechanisms

  9. July Syndrome | PSNet

    psnet.ahrq.gov/web-mm/july-syndrome
    July 01, 2011 - The mechanisms used by teaching hospitals to determine when an intern has met that threshold are highly

  10. Inadequate Preanesthetic Evaluation, Airway Trouble | PSNet

    psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble
    November 01, 2023 - Mechanisms to address this challenge include standard practices such as implementing a required preoperative

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49639/psn-pdf
    November 01, 2011 - Frequency of near misses relative to medical errors Because of the lack of systematic mechanisms to

  12. In Conversation with...Diane Rydrych, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
    February 26, 2025 - RW: What are your mechanisms for education?

  13. Complaints as Safety Surveillance | PSNet

    psnet.ahrq.gov/web-mm/complaints-safety-surveillance
    May 05, 2021 - Patients and families will often identify patient safety risks that are not detected by other mechanisms

  14. Diagnostic Error | PSNet

    psnet.ahrq.gov/curated-library/diagnostic-error
    August 10, 2025 - epidemiology of diagnostic error among hospitalized patients and insights into possible preventive mechanisms

  15. Root Cause Analysis Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - relationship between proposed actions and causal factors identified through the investigation and the mechanisms

  16. Silent Pain in the Neck | PSNet

    psnet.ahrq.gov/web-mm/silent-pain-neck
    August 19, 2020 - Silent Pain in the Neck Citation Text: Bittner EA. Silent Pain in the Neck. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

  17. Picking Up the Cause of the Stroke | PSNet

    psnet.ahrq.gov/web-mm/picking-cause-stroke
    August 07, 2024 - Picking Up the Cause of the Stroke Citation Text: Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  18. Who Nose Where the Airway Is? | PSNet

    psnet.ahrq.gov/web-mm/who-nose-where-airway
    May 01, 2016 - Who Nose Where the Airway Is? Citation Text: Lee CR. Who Nose Where the Airway Is?. 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 t…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35660/psn-pdf
    June 25, 2010 - Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. June 25, 2010 Maragakis LL, Bradley KL, Song X, et al. Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port. In…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45451/psn-pdf
    October 05, 2016 - Healthcare professional and patient codesign and validation of a mechanism for service users to feedback patient safety experiences following a care transfer: a qualitative study. October 5, 2016 Scott J, Heavey E, Waring J, et al. Healthcare professional and patient codesign and validation of a mechanism for ser…
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