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Total Results: 1,064 records

Showing results for "occurred".

561. Error rate greatest in hospital radiology. | PSNet
     psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
     December 24, 2008 - Newspaper/Magazine Article Error rate greatest in hospital radiology. Citation Text: Error rate greatest in hospital radiology. Stein R; USP; United States Pharmacopeia Copy Citation Save Save to your library Print Download PDF Share Face…

562. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet
     psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
     July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016. Copy Citation Save Save to your library …

563. Dangers of Missing an Epidural Abscess: Multiple Visits and Delayed Diagnosis with a Severely Negative Outcome | PSNet
     psnet.ahrq.gov/web-mm/dangers-missing-epidural-abscess-multiple-visits-and-delayed-diagnosis-severely-negative
     April 27, 2022 - In this case, multiple diagnostic errors occurred.

564. What cannot be said on television about health care. | PSNet
     psnet.ahrq.gov/issue/what-cannot-be-said-television-about-health-care
     January 10, 2018 - Commentary What cannot be said on television about health care. Citation Text: Emanuel EJ. What Cannot Be Said on Television About Health Care. JAMA. 2007;297(19). doi:10.1001/jama.297.19.2131. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

565. Audit of missed or delayed antimicrobial drugs. | PSNet
     psnet.ahrq.gov/issue/audit-missed-or-delayed-antimicrobial-drugs
     August 01, 2012 - Newspaper/Magazine Article Audit of missed or delayed antimicrobial drugs. Citation Text: Audit of missed or delayed antimicrobial drugs. Wright J. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

566. Advancing Anticoagulation Stewardship: A Playbook. | PSNet
     psnet.ahrq.gov/issue/advancing-anticoagulation-stewardship-playbook
     March 23, 2012 - Book/Report Advancing Anticoagulation Stewardship: A Playbook. Citation Text: Advancing Anticoagulation Stewardship: A Playbook. Washington DC; National Quality Forum and Anticoagulation Forum; 2022. Copy Citation Save Save to your library Print Download…

567. Potassium may no longer be stocked on patient care units, but serious threats still exist! | PSNet
     psnet.ahrq.gov/issue/potassium-may-no-longer-be-stocked-patient-care-units-serious-threats-still-exist
     May 02, 2018 - Newspaper/Magazine Article Potassium may no longer be stocked on patient care units, but serious threats still exist! Citation Text: Potassium may no longer be stocked on patient care units, but serious threats still exist! ISMP Medication Safety Alert! Acute care edition. October 4, 200…

568. Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. | PSNet
     psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
     July 18, 2018 - Book/Report Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Citation Text: Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017. Copy Citation Save Save to your library…

569. Medication errors: the year in review: January through December 2021. | PSNet
     psnet.ahrq.gov/issue/medication-errors-year-review-january-through-december-2021
     September 26, 2018 - Newspaper/Magazine Article Medication errors: the year in review: January through December 2021. Citation Text: Medication errors: the year in review: January through December 2021. Pharmacy Practice News Special Edition. December 13, 2022: 43-54. Copy Citation Save …

570. Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. | PSNet
     psnet.ahrq.gov/issue/giving-back-pen-disclosure-apology-and-early-compensation-discussions-after-harm-healthcare
     April 26, 2012 - Commentary Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Citation Text: Giving back the pen: disclosure, apology and early compensation discussions after harm in the healthcare setting. Pelletier E, Robson. Healthc Q…

571. On the Other Hand | PSNet
     psnet.ahrq.gov/web-mm/other-hand
     December 12, 2012 - Because most of the case occurred during the nighttime, the family may have been unavailable, but the

572. 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 - It is unclear if transitions of care occurred in this case, but patient volume and turnover demands often

573. Safety in EMS. | PSNet
     psnet.ahrq.gov/issue/safety-ems
     March 14, 2018 - Special or Theme Issue Safety in EMS. Citation Text: Safety in EMS. Brice JH, Patterson PD, eds. Prehosp Emerg Care. 2012;16:1-108.   Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Lin…

574. Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. | PSNet
     psnet.ahrq.gov/issue/zero-eliminating-unnecessary-deaths-post-pandemic-nhs
     August 06, 2016 - Book/Report Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Citation Text: Zero: Eliminating Unnecessary Deaths in a Post-pandemic NHS. Hunt J. London, UK: Swift Press; 2022. ISBN: ‎ 9781800751224. Copy Citation Save Save to your library Pri…

575. Interruptions and multitasking in nursing care. | PSNet
     psnet.ahrq.gov/issue/interruptions-and-multitasking-nursing-care
     September 28, 2010 - Study Interruptions and multitasking in nursing care. Citation Text: Kalisch BJ, Aebersold M. Interruptions and multitasking in nursing care. Jt Comm J Qual Patient Saf. 2010;36(3):126-132. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endn…

576. ISMP Medication Safety Self Assessment for High-Alert Medications. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
     June 07, 2017 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment for High-Alert Medications. Citation Text: ISMP Medication Safety Self Assessment for High-Alert Medications. Horsham, PA: Institute for Safe Medication Practices; 2017. Copy Citation Save Save to y…

577. Clinical ICT Systems in the Victorian Public Health Sector. | PSNet
     psnet.ahrq.gov/issue/clinical-ict-systems-victorian-public-health-sector
     September 08, 2010 - Book/Report Clinical ICT Systems in the Victorian Public Health Sector. Citation Text: Clinical ICT Systems in the Victorian Public Health Sector. Doyle J. Melbourne, Australia: Victorian Auditor-General's Office; October 30, 2013. Copy Citation Save Save to…

578. Another tragic parenteral nutrition compounding error. | PSNet
     psnet.ahrq.gov/issue/another-tragic-parenteral-nutrition-compounding-error
     June 10, 2018 - Newspaper/Magazine Article Another tragic parenteral nutrition compounding error. Citation Text: Another tragic parenteral nutrition compounding error. ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3. Copy Citation Save Save to your library…

579. Adverse Health Events in Minnesota: Annual Reports. | PSNet
     psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
     February 28, 2015 - Book/Report Adverse Health Events in Minnesota: Annual Reports. Citation Text: Adverse Health Events in Minnesota: Annual Reports. St Paul, MN: Minnesota Department of Health. Copy Citation Save Save to your library Print Download PDF Share F…

580. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad | PSNet
     psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
     January 01, 2014 - SPOTLIGHT CASE Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad Citation Text: Ranji SR. Antibiotics for URI/Sinusitis—A Simple Decision Gone Bad. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citatio…