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Total Results: 4,038 records

Showing results for "occurred".

3401. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
      September 01, 2005 - Spotlight Case [MONTH] 2003 Spotlight Case September 2005 Double Trouble Source and Credits This presentation is based on the Sept. 2005 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Jerry H. Gurwitz, MD, University of…

3402. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33563/psn-pdf
      September 16, 2024 - Culture of Safety September 16, 2024 Culture of Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/culture-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in …

3403. Rapid Response Systems | PSNet
      psnet.ahrq.gov/primer/rapid-response-systems
      July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3404. Checklists | PSNet
      psnet.ahrq.gov/primer/checklists
      September 15, 2024 - Checklists Citation Text: Checklists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

3405. In response to "Failure to Report" (March 2007) | PSNet
      psnet.ahrq.gov/perspective/response-failure-report-march-2007
      June 01, 2007 - In response to "Failure to Report" (March 2007) June 1, 2007  View more articles from the same authors. Citation Text: Paparella S, Vaida AJ, Spath P. In response to "Failure to Report" (March 2007). PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

3406. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - Telemedicine and Patient Safety Stephen Agboola, MD, MPH, and Joseph Kvedar, MD | September 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. Rockv…

3407. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - In Conversation With… Susan Haas, MD, MSc March 1, 2019  Also Read an Essay Citation Text: In Conversation With… Susan Haas, MD, MSc. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. …

3408. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016  Also Read an Essay Citation Text: In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016…

3409. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33803/psn-pdf
      January 01, 2015 - in safety, there were 2.1 million fewer adverse events over the 2010 to 2014 period than would have occurred

3410. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49738/psn-pdf
      August 21, 2015 - In this hospital, signout occurred with a paper-based system.

3411. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49843/psn-pdf
      October 01, 2018 - bundled care, there is scant published literature on the dangers of erroneous diagnoses of sepsis (as occurred

3412. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33865/psn-pdf
      September 01, 2018 - We could argue that if certain system-level problems occurred across 100, 200 events, then it might

3413. The e-Autopsy/e-Biopsy: A Systematic Chart Review to Increase Safety and Diagnostic Accuracy Innovation | PSNet
      psnet.ahrq.gov/innovation/e-autopsye-biopsy-systematic-chart-review-increase-safety-and-diagnostic-accuracy
      April 01, 2005 - eight patients may have experienced significant delays in care, and a patient safety event could have occurred

3414. In Conversation With… Charles Vincent, MPhil, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
      July 10, 2024 - RW : Is your sense that an exuberant regulatory response occurred in part because of the single-payer

3415. In Conversation With… Karl Bilimoria, MD, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms
      April 19, 2023 - There is a very interesting dichotomy that occurred.

3416. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33806/psn-pdf
      April 01, 2016 - triggers additional dialogue and opportunity for asking questions and clarifications that wouldn't have occurred

3417. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49858/psn-pdf
      April 01, 2019 - What Happened on Telemetry? April 1, 2019 Sandau KE, Funk M. What Happened on Telemetry? PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/what-happened-telemetry Case Objectives Describe current hospital practices for continuous telemetry monitoring. Appreciate key recommendations from the Update to Practice…

3418. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)
      psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
      January 01, 2023 - Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx Spotlight Under Pressure: Tracheostomy Cuff Over Inflation Leading to Tissue Necrosis and Cuff Rupture Source and Credits • This presentation is based on the June 2023 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm…

3419. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73200/psn-pdf
      April 28, 2021 - A Sweet Case of Hidden Hydrogen Ions April 28, 2021 Plante D, Falero A. A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions The Case  A?24-year-old, Arabic-speaking?woman?with a history of type 1?diabetes?mellitus, gastroparesis,?and severe e…

3420. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - In Conversation With… Urmimala Sarkar, MD, MPH August 1, 2014 In Conversation With… Urmimala Sarkar, MD, MPH. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph Editor's note: Urmimala Sarkar, MD, MPH, is associate professor of medicine at the University of California, S…