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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…
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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…
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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 …
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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…
-
psnet.ahrq.gov/node/49790/psn-pdf
April 01, 2017 - Other safety
mechanisms should include the addition of drug allergy status to all correspondence between
-
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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psnet.ahrq.gov/issue/effect-availability-bias-and-reflective-reasoning-diagnostic-accuracy-among-internal-medicine
March 12, 2014 - Exploring the role of salient distracting clinical features in the emergence of diagnostic errors and the mechanisms
-
psnet.ahrq.gov/issue/development-measure-patient-safety-event-learning-responses
June 28, 2010 - June 28, 2010
Learning mechanisms to limit medication administration errors.
-
psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - December 31, 2014
The safety of electronic prescribing: manifestations, mechanisms, and
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psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
November 26, 2014 - January 7, 2015
The safety of electronic prescribing: manifestations, mechanisms, and
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psnet.ahrq.gov/issue/exploring-how-ward-staff-engage-implementation-patient-safety-intervention-uk-based
December 21, 2016 - An exploratory pilot study of three mechanisms.
-
psnet.ahrq.gov/issue/patient-reporting-and-action-safe-environment-prase-intervention-feasibility-study
July 21, 2017 - An exploratory pilot study of three mechanisms.
-
psnet.ahrq.gov/issue/patient-complaints-about-hospital-services-applying-complaint-taxonomy-analyse-and-respond
June 21, 2016 - November 3, 2015
The safety of electronic prescribing: manifestations, mechanisms, and
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psnet.ahrq.gov/issue/impact-automated-dispensing-cabinets-medication-selection-and-preparation-error-rates
January 24, 2018 - Six habits to enhance MET performance under stress: a discussion paper reviewing team mechanisms
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psnet.ahrq.gov/issue/does-computerized-provider-order-entry-reduce-prescribing-errors-hospital-inpatients
February 15, 2012 - August 26, 2020
The safety of electronic prescribing: manifestations, mechanisms, and
-
psnet.ahrq.gov/issue/prevalence-dose-errors-among-paediatric-patients-hospital-wards-and-without-health
November 02, 2018 - July 23, 2019
Longitudinal study of the manifestations and mechanisms of technology-related
-
psnet.ahrq.gov/node/43983/psn-pdf
February 05, 2016 - Near-miss transcription errors: a comparison of reporting
rates between a novel error-reporting mechanism and a
current formal reporting system.
February 5, 2016
South DA, Skelley JW, Dang M, et al. Near-miss transcription errors: a comparison of reporting rates
between a novel error-reporting mechanism and a curr…
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psnet.ahrq.gov/node/49488/psn-pdf
August 21, 2005 - It should be emphasized, however, that other mechanisms of PCA overdoses may occur.
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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 …
-
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…