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Total Results: 4,035 records

Showing results for "occurred".

  1. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
    August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met

  2. Safety Across The Board | PSNet

    psnet.ahrq.gov/perspective/safety-across-board
    August 31, 2020 - Another experience that was of vital importance to me occurred just a couple of years ago when I met

  3. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet

    psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
    March 01, 2017 - Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety Sara J. Singer, MBA, PhD | March 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Singer SJ. Our Maturing Understanding of Safety C…

  4. In Conversation With… Matthew Weinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
    August 01, 2018 - In Conversation With… Matthew Weinger, MD August 1, 2018  Also Read an Essay Citation Text: In Conversation With… Matthew Weinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. …

  5. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error | PSNet

    psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
    July 30, 2020 - Coronavirus Disease 2019 (COVID-19) and Diagnostic Error Citation Text: Desai AN, Romano PS. Coronavirus Disease 2019 (COVID-19) and Diagnostic Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50844/psn-pdf
    January 29, 2020 - Improving Patient Safety and Team Communication through Daily Huddles January 29, 2020 Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles Background Communicat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33882/psn-pdf
    June 01, 2019 - Building a Safety Program Using Principles of Resilience Engineering June 1, 2019 Hegde S, Fairbanks RJ, Bisantz A. Building a Safety Program Using Principles of Resilience Engineering. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/building-safety-program-using-principles-resilience-engineering Persp…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49416/psn-pdf
    September 01, 2003 - Check the Bags September 1, 2003 Caldwell M, Dracup KA. Check the Bags. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/check-bags The Case A 50-year-old man with new atrial fibrillation was placed on a diltiazem drip in the emergency department for rate control. After arriving at the cardiac care unit (CCU…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33781/psn-pdf
    March 01, 2015 - In Conversation With… Brian Jarman, PhD March 1, 2015 In Conversation With… Brian Jarman, PhD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-brian-jarman-phd Editor's note: Sir Brian Jarman is an emeritus professor at Imperial College School of Medicine and a past president of the Britis…

  10. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.143_slideshow.ppt
    January 01, 2015 - Spotlight Case [MONTH] 2003 Spotlight Case February 2007 The ‘Customer’ Is Always Right Source and Credits This presentation is based on the February 2007 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Niraj L. Sehgal,…

  11. Spotlight Case [MONTH] 2003 (ppt file)

    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 …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867004/psn-pdf
    October 30, 2024 - Critical Radiology Alert Process October 30, 2024 https://psnet.ahrq.gov/innovation/critical-radiology-alert-process Summary Vanderbilt University Medical Center developed an electronic trigger tool that alerts the care team of unrelated abnormal findings and provides a companion follow-up process, with the goal o…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49689/psn-pdf
    August 21, 2013 - Anesthesia: A Weighty Issue August 21, 2013 Sinha AC. Anesthesia: A Weighty Issue. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/anesthesia-weighty-issue The Case A 77-year-old woman was evaluated preoperatively in anticipation of an elective left hip arthroplasty. She reported having a history of hyperte…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33725/psn-pdf
    February 01, 2012 - Balancing Supervision and Autonomy: An Ongoing Tension February 1, 2012 Dine JC, Myers JS. Balancing Supervision and Autonomy: An Ongoing Tension. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension Perspective Graduate Medical Education (GME) has changed …

  15. Alert Fatigue | PSNet

    psnet.ahrq.gov/primer/alert-fatigue
    March 15, 2025 - Alert Fatigue Citation Text: Alert Fatigue. 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 Ci…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866579/psn-pdf
    August 28, 2024 - apparent if the CSI is performed within 3 months of surgery, with less risk of infection if the injection occurred

  17. Infection After Carpal Tunnel Surgery | PSNet

    psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery
    May 28, 2014 - apparent if the CSI is performed within 3 months of surgery, with less risk of infection if the injection occurred

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72517/psn-pdf
    November 25, 2020 - A SIRS (systemic inflammatory response syndrome) alert occurred later in the afternoon due to hypotension

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33855/psn-pdf
    April 01, 2018 - It occurred to me that maybe we didn't understand this phenomenon well enough.

  20. Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer | PSNet

    psnet.ahrq.gov/innovation/ambulatory-safety-nets-reduce-missed-and-delayed-diagnoses-cancer
    February 26, 2025 - Patient outreach occurred in waves with two attempts.
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