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Showing results for "occurred".

3621. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - Safety In Dentistry August 1, 2016 Ramoni R, Walji MF, Kalenderian E. Safety In Dentistry. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/safety-dentistry Perspective In a famous scene from the 1976 film, Marathon Man, Laurence Olivier, playing dentist Dr. Christian Szell tortures Babe Levy (played by…

3622. ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay | PSNet
      psnet.ahrq.gov/innovation/echo-care-transitions-successfully-reduces-patient-readmissions-skilled-nursing
      October 30, 2024 - ECHO-Care Transitions Successfully Reduces Patient Readmissions from Skilled Nursing Facilities, Reduces Length of Stay Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL August 25, 2021 Innova…

3623. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33838/psn-pdf
      July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? July 1, 2017 Studdert DM. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-…

3624. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49391/psn-pdf
      February 01, 2003 - When "Psychiatric" Symptoms Are Not February 1, 2003 Goldberg RJ. When "Psychiatric" Symptoms Are Not. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/when-psychiatric-symptoms-are-not The Case A 70-year-old man without documented past psychiatric history was placed on an involuntary hold as a danger to oth…

3625. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49836/psn-pdf
      July 01, 2018 - Primary Workaround, Secondary Complication July 1, 2018 Debono D, Levett-Jones T. Primary Workaround, Secondary Complication. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/primary-workaround-secondary-complication The Case A young adult with a progressive neurological disorder presented to a hospital emerg…

3626. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49655/psn-pdf
      June 01, 2012 - A Painful Dilemma June 1, 2012 Davison SN. A Painful Dilemma. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/painful-dilemma The Case A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with fever. She was taking propoxyphene or hydrocodone at home for pain. She h…

3627. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33719/psn-pdf
      October 01, 2011 - The Context Is the Intervention October 1, 2011 Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/context-intervention Perspective Introduction What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this context.…

3628. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49756/psn-pdf
      April 01, 2016 - Lost in Sign Out and Documentation April 1, 2016 Detsky ME. Lost in Sign Out and Documentation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/lost-sign-out-and-documentation The Case A 71-year-old man presented to the emergency department with chest pain. While being evaluated by the emergency physician, …

3629. The Magnetic Deflection | PSNet
      psnet.ahrq.gov/web-mm/magnetic-deflection
      November 18, 2016 - The Magnetic Deflection Citation Text: Kanal E. The Magnetic Deflection. 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 PubMe…

3630. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport | PSNet
      psnet.ahrq.gov/web-mm/misplaced-vial-medication-kit-variability-contributes-medication-error-during-patient
      March 12, 2021 - Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport Citation Text: MacDowell P, McGee E. Misplaced Vial: Medication Kit Variability Contributes to Medication Error During Patient Transport. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Q…

3631. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33600/psn-pdf
      June 16, 2024 - Patient Safety 101 June 16, 2024 Patient Safety 101. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/patient-safety-101 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…

3632. Individual Clinician Performance Issues | PSNet
      psnet.ahrq.gov/primer/individual-clinician-performance-issues
      March 15, 2025 - Individual Clinician Performance Issues Citation Text: Individual Clinician Performance Issues. 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 X…

3633. Improving Patient Safety and Team Communication through Daily Huddles | PSNet
      psnet.ahrq.gov/primer/improving-patient-safety-and-team-communication-through-daily-huddles
      December 15, 2024 - Improving Patient Safety and Team Communication through Daily Huddles Citation Text: Shaikh U. Improving Patient Safety and Team Communication through Daily Huddles. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citatio…

3634. Rescue Improvement Conference Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary
      September 23, 2024 - Rescue Improvement Conference Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL July 23, 2024 View more articles from the same authors. Innovation Contact …

3635. System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/system-approaches-social-determinants-health-screening-and-intervention-innovation
      July 23, 2024 - System Approaches to Social Determinants of Health Screening and Intervention Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL September 23, 2024 View more articles from the same…

3636. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49802/psn-pdf
      August 01, 2017 - Add-on Case and the Missing Checklist August 1, 2017 Catchpole K. Add-on Case and the Missing Checklist. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/add-case-and-missing-checklist The Case A 65-year-old woman was admitted for evaluation of abdominal pain and weight loss. Based on diagnostic data and ima…

3637. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840255/psn-pdf
      November 16, 2022 - Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions November 16, 2022 Carayon P, Werner N, Makkenchery A, et al. Using Human Factors Engineering and the SEIPS Model to Advance Patient Safety in Care Transitions . PSNet [internet]. 2022. https://psnet.ahrq.gov/perspecti…

3638. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49788/psn-pdf
      March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…

3639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33856/psn-pdf
      April 01, 2018 - Patient Safety During Hospital Discharge April 1, 2018 Liang K, Alper E. Patient Safety During Hospital Discharge. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge Perspective Patients are admitted to the hospital in the United States 35 million times per year.(1)…

3640. 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…