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Total Results: 579 records

Showing results for "mentioned".

321. Spotlight Case September 2006 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.134_slideshow.ppt
     September 01, 2006 - Spotlight Case September 2006 Spotlight Case September 2006 Triple Handoff Source and Credits This presentation is based on the September 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Arpana Vidyarthi, MD, UCSF Sc…

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866839/psn-pdf
     September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

323. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
     January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

324. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
     psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
     February 26, 2025 - RW : You mentioned earlier that the organization is moving a bit from just the measurement part of the

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72587/psn-pdf
     December 23, 2020 - Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability December 23, 2020 Semkiw K, Anderson D, Natale JA. Mitigating the Risk of Intrahospital Transport for Pediatric Patients at Risk of Physiologic Instability. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm…

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33885/psn-pdf
     August 01, 2019 - RW: You mentioned that a large part of the motivation at UCSF Health was the finding on physician satisfaction

327. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
     January 01, 2024 - In addition, as mentioned earlier, nocturnal headaches that keep patients awake at night should prompt

328. A "Reflexive" Diagnosis in Primary Care | PSNet
     psnet.ahrq.gov/web-mm/reflexive-diagnosis-primary-care
     April 01, 2008 - Though not specifically mentioned in this case, an additional red flag to inquire about is bowel/bladder

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49506/psn-pdf
     March 01, 2006 - Of the possible causes mentioned above, the only other causes that might lead to a mistaken call of PE

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33841/psn-pdf
     September 01, 2017 - RW: You mentioned government regulations and meaningful use were well meaning.

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33696/psn-pdf
     June 01, 2010 - https://psnet.ahrq.gov/perspective/conversation-withpat-croskerry-md-phd RW: You mentioned the complexity

332. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33774/psn-pdf
     December 01, 2014 - RW: It struck me as you were describing the challenges, you mentioned Atul Gawande for the surgical one

333. In Conversation with...Sorrel King | PSNet
     psnet.ahrq.gov/perspective/conversation-withsorrel-king
     March 01, 2007 - For example, the physician-patient mentioned above tried to engage senior leadership in focusing the

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49648/psn-pdf
     March 01, 2012 - Although postdischarge phone calls were not specifically mentioned in the Transitions of Care Consensus

335. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33714/psn-pdf
     July 01, 2011 - RW: You mentioned that what appears to be the greatest motivation so far is the legal protections offered

336. But See the Patient First | PSNet
     psnet.ahrq.gov/web-mm/see-patient-first
     September 27, 2023 - course, system-level issues that limit in-person bedside evaluations by cross-covering providers (as mentioned

337. The Lost Start Date: an Unknown Risk of E-prescribing | PSNet
     psnet.ahrq.gov/web-mm/lost-start-date-unknown-risk-e-prescribing
     December 02, 2020 - Finally, it must be mentioned that this error occurred in the context of two high-risk clinical domains

338. Microsoft PowerPoint - Spotlight Case_Anesthesia Error During Cesarean_06.22.2023 - Final.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2023-06/hurried_huddle_0.pdf
     January 01, 2023 - The obstetric team had not mentioned this information during the previous huddle. 5 Case Details

339. Speaking Up for Patient Safety: What They Don't Tell You in Training About Feedback and Burnout | PSNet
     psnet.ahrq.gov/web-mm/speaking-patient-safety-what-they-dont-tell-you-training-about-feedback-and-burnout
     January 22, 2020 - He then called the medicine team and mentioned that he found a very small effusion on the right side,

340. "Superficial" Report Leads to "Deep" Problem | PSNet
     psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
     July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndN…