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Total Results: 961 records

Showing results for "minute".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49573/psn-pdf
    January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…

  2. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. | PSNet

    psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
    May 01, 2005 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. Citation Text: Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and H…

  3. Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. | PSNet

    psnet.ahrq.gov/issue/hospital-admissions-due-adverse-drug-reactions-report-boston-collaborative-drug-surveillance
    March 01, 2023 - Study Classic Hospital admissions due to adverse drug reactions: a report from the Boston Collaborative Drug Surveillance Program. Citation Text: Miller RR. Hospital admissions due to adverse drug reactions. A report from the Boston Collaborative Drug Surveill…

  4. Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/video-analysis-factors-associated-response-time-physiologic-monitor-alarms-childrens-hospital
    November 06, 2015 - Study Video analysis of factors associated with response time to physiologic monitor alarms in a children's hospital. Citation Text: Bonafide CP, Localio R, Holmes JH, et al. Video Analysis of Factors Associated With Response Time to Physiologic Monitor Alarms in a Children's Hospital. J…

  5. Nursing interruptions in a trauma intensive care unit: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/nursing-interruptions-trauma-intensive-care-unit-prospective-observational-study
    November 09, 2016 - Study Nursing interruptions in a trauma intensive care unit: a prospective observational study. Citation Text: Craker NC, Myers RA, Eid J, et al. Nursing Interruptions in a Trauma Intensive Care Unit: A Prospective Observational Study. J Nurs Adm. 2017;47(4):205-211. doi:10.1097/NNA.0000…

  6. The timing of surgical antimicrobial prophylaxis. | PSNet

    psnet.ahrq.gov/issue/timing-surgical-antimicrobial-prophylaxis
    June 24, 2009 - Study The timing of surgical antimicrobial prophylaxis. Citation Text: Weber WP, Marti WR, Zwahlen M, et al. The Timing of Surgical Antimicrobial Prophylaxis. Ann Surg. 2008;247(6). doi:10.1097/sla.0b013e31816c3fec. Copy Citation Format: DOI Google Scholar BibTeX EndNote …

  7. The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. | PSNet

    psnet.ahrq.gov/issue/daily-goals-communication-sheet-simple-and-novel-tool-improved-communication-and-care
    October 14, 2009 - Commentary The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care. Citation Text: Schwartz JM, Nelson KL, Saliski M, et al. The daily goals communication sheet: a simple and novel tool for improved communication and care. Jt Comm J Qual Patient S…

  8. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. | PSNet

    psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
    January 02, 2017 - Study Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Citation Text: Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…

  9. An observational study of laterality errors in a sample of clinical records. | PSNet

    psnet.ahrq.gov/issue/observational-study-laterality-errors-sample-clinical-records
    April 19, 2011 - Study An observational study of laterality errors in a sample of clinical records. Citation Text: Elghrably I, Fraser SG. An observational study of laterality errors in a sample of clinical records. Eye (Lond). 2008;22(3):340-3. Copy Citation Format: Google Scholar PubMed…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49613/psn-pdf
    November 01, 2010 - or bottle feed their expressed breast milk, thereby reducing the risk of transmission.(8) However minute

  11. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue | PSNet

    psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue Samantha Jacques, PhD, and Eric Williams, MD, MS, MMM | May 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Jacques S, Williams E. Reducing the Safety Hazar…

  12. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet

    psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
    September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

  13. The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. | PSNet

    psnet.ahrq.gov/issue/effect-medication-reconciliation-patient-portal-medication-discrepancies-randomized
    April 27, 2022 - Study The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. Citation Text: Ebbens MM, Gombert-Handoko KB, Wesselink EJ, et al. The effect of medication reconciliation via a patient portal on medication discrepancies: …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49824/psn-pdf
    March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33761/psn-pdf
    February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness February 1, 2014 Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…

  16. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia | PSNet

    psnet.ahrq.gov/web-mm/inadequate-anesthesia-preparation-leading-difficult-intubation-and-severe-hypoxemia
    January 29, 2021 - Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia Citation Text: Bohringer C. Inadequate Anesthesia Preparation Leading to Difficult Intubation and Severe Hypoxemia. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and…

  17. Fifteen years after To Err Is Human: a success story to learn from. | PSNet

    psnet.ahrq.gov/issue/fifteen-years-after-err-human-success-story-learn
    August 04, 2021 - Commentary Fifteen years after To Err Is Human: a success story to learn from. Citation Text: Pronovost P, Cleeman JI, Wright D, et al. Fifteen years after To Err is Human: a success story to learn from. BMJ Qual Saf. 2016;25(6):396-9. doi:10.1136/bmjqs-2015-004720. Copy Citation F…

  18. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.320_slideshow.ppt
    January 01, 2020 - PowerPoint Presentation Spotlight A ʺReflexiveʺ Diagnosis in Primary Care 1 This presentation is based on the April 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: John Betjemann, MD, and S. Andrew Josephson, MD, University of California, San…

  19. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet

    psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
    February 26, 2025 - Finally, the NAPA PSO workgroup created a 15-minute training video to teach the Anesthesia Risk Alert

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49720/psn-pdf
    December 01, 2014 - A Stroke of Error December 1, 2014 Barrett KM. A Stroke of Error. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/stroke-error Case Objectives State the key clinical factors to assess in a patient with suspected stroke. Appreciate the relationship between elevated blood pressure and stroke in the acute sett…
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