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Total Results: 4,038 records

Showing results for "occur".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841567/psn-pdf
    December 14, 2022 - Measuring Patient Safety December 14, 2022 Schreiber M, Van C, Mossburg SE. Measuring Patient Safety. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/measuring-patient-safety Following the landmark report To Err is Human: Building a Safer Health System, developed by the Institute of Medicine in 1999, pa…

  2. Staggered Sensitivity Results | PSNet

    psnet.ahrq.gov/web-mm/staggered-sensitivity-results
    May 01, 2013 - Staggered Sensitivity Results Citation Text: Guglielmo JB. Staggered Sensitivity Results. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848125/psn-pdf
    April 26, 2023 - Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units April 26, 2023 McGrath S, Blike G, Gale B, et al. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-…

  4. Carpe Diem (Seize the Day) | PSNet

    psnet.ahrq.gov/web-mm/carpe-diem-seize-day
    September 01, 2012 - Carpe Diem (Seize the Day) Citation Text: Krumholz A. Carpe Diem (Seize the Day). PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  5. Failure to Reevaluate | PSNet

    psnet.ahrq.gov/web-mm/failure-reevaluate
    February 01, 2014 - Failure to Reevaluate Citation Text: Wong-Beringer A. Failure to Reevaluate. 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 Endnote tagged P…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - High Reliability Organization (HRO) Principles and Patient Safety February 26, 2025 Vogus T, Lee M, Mossburg SE. High Reliability Organization (HRO) Principles and Patient Safety. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety In To Err I…

  7. Paradoxical Pulse | PSNet

    psnet.ahrq.gov/web-mm/paradoxical-pulse
    May 01, 2013 - Paradoxical Pulse Citation Text: Roy CL. Paradoxical Pulse. 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 PubMedId RIS …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …

  9. Sloppy and Paste | PSNet

    psnet.ahrq.gov/web-mm/sloppy-and-paste
    February 02, 2011 - Sloppy and Paste Citation Text: Hirschtick RE. Sloppy and Paste. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  10. In Conversation With… Rebecca Smith-Bindman, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-rebecca-smith-bindman-md
    October 01, 2013 - this harm received a lot of attention, it is rarely related to diagnostic CT (i.e., it should never occur

  11. Medication Safety in Nursing Homes: What's Wrong and How to Fix It | PSNet

    psnet.ahrq.gov/perspective/medication-safety-nursing-homes-whats-wrong-and-how-fix-it
    August 01, 2012 - More severe events (i.e., serious, life-threatening, or fatal events) occur at a rate of 2.5 per 100

  12. 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 - Patients should be taught about the need for alarms, as well as the actions that should occur when an

  13. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
    April 01, 2013 - At this point the data are clear that shift limits needed to occur for the interns.

  14. EHR Copy and Paste and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
    January 01, 2018 - In hindsight, it seems obvious that copy and paste would occur. But frankly, I never saw it coming.

  15. Microsoft PowerPoint - FINAL Spotlight Case_A Complicated Course-Severe Alcohol Withdrawal - SLIDES.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-07/spotlight_a_complicated_course.pdf
    January 01, 2023 - the Joint Commission hospital survey shows that citations related to infused medications typically occur

  16. Safety in Radiology | PSNet

    psnet.ahrq.gov/perspective/safety-radiology
    October 01, 2013 - this harm received a lot of attention, it is rarely related to diagnostic CT (i.e., it should never occur

  17. In Conversation With… Nicholas G. Castle, MHA, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-nicholas-g-castle-mha-phd
    August 01, 2012 - More severe events (i.e., serious, life-threatening, or fatal events) occur at a rate of 2.5 per 100

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - use of prophylaxis against postoperative blood clots—all of the things you can easily measure that occur

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33756/psn-pdf
    October 01, 2013 - this harm received a lot of attention, it is rarely related to diagnostic CT (i.e., it should never occur

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72835/psn-pdf
    March 10, 2021 - When I think about inauthentic relationships, it’s when PFE doesn’t occur until down the line when the
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