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Showing results for "occurred".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49700/psn-pdf
    February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients February 1, 2014 Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/nonsustaine…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49770/psn-pdf
    September 01, 2016 - Wrong-Time Error With High-Alert Medication September 1, 2016 Yang A, Nelson LS. Wrong-Time Error With High-Alert Medication. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication The Case A 60-year-old man was admitted to the hospital for a total knee arthroplasty. During th…

  3. Spotlight Case (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.127_slideshow.ppt
    May 01, 2006 - Spotlight Case Spotlight Case May 2006 Right? Left? Neither! Source and Credits This presentation is based on the May 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: Elizabeth A. Howell, MD, MPP; Mark R. Chassin, MD…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60547/psn-pdf
    May 28, 2020 - The Role of the FDA in Ensuring Device Safety May 28, 2020 Fitall E, Hall KK, Gale B. The Role of the FDA in Ensuring Device Safety . PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/role-fda-ensuring-device-safety Introduction The Food and Drug Administration (FDA) plays a critical role in ensuring the …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49542/psn-pdf
    August 21, 2007 - Copy and Paste August 21, 2007 Hersh WR. Copy and Paste. PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/copy-and-paste The Case A 77-year-old woman was admitted to a teaching hospital with diarrhea and dehydration after completing her fifth cycle of chemotherapy for ovarian cancer. Her only relevant past m…

  6. Radiation Safety | PSNet

    psnet.ahrq.gov/primer/radiation-safety
    September 15, 2024 - Radiation Safety Citation Text: Radiation Safety. 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 Downl…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33808/psn-pdf
    May 01, 2016 - Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue May 1, 2016 Jacques S, Williams E. Reducing the Safety Hazards of Monitor Alert and Alarm Fatigue. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/reducing-safety-hazards-monitor-alert-and-alarm-fatigue Perspective Alarm fatigue occurs whe…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33684/psn-pdf
    May 01, 2009 - Patient Safety: A Perspective from Office Practice May 1, 2009 Baron RJ. Patient Safety: A Perspective from Office Practice. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/patient-safety-perspective-office-practice Perspective Most patient interactions with the health care system occur in the outpatien…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49745/psn-pdf
    October 01, 2015 - Amphotericin Toxicity October 1, 2015 Nagel J, Nguyen E. Amphotericin Toxicity. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/amphotericin-toxicity The Case A 42-year-old woman status-post left pneumonectomy for aspergilloma was being treated with oral posaconazole for residual fungal disease. She present…

  10. The Hidden Harms of Hand Sanitizer | PSNet

    psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer
    March 04, 2020 - The Hidden Harms of Hand Sanitizer Citation Text: Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

  11. Final Progress Report: Ambulatory Pediatric Patient Safety Learning Lab: Pursuing Safe Healthcare at Home (pdf file)

    www.ahrq.gov/sites/default/files/2025-03/walsh-kirkendall-report.pdf
    January 01, 2025 - reason is duplicate doses administered by two different caregivers.10 In children with leukemia, errors occurred … Two physicians independently determined if an error occurred and its severity (clinically trivial, potential … Inter-rater reliability was calculated using percent agreement on whether an incorrect process occurred … All four errors with harm were separate incidents that occurred for two patients with comorbid mental

  12. AHRQ-Funded Patient Safety Highlights: Improving Healthcare Safety by Supporting Measure Implementation (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-measure-implementation.pdf
    August 01, 2025 - Readmission within 3 months occurred in 11.2% of the cohort and was higher among male infants and those … Researchers determined that adverse events occurred in 37.3% of discharges of LTC residents from the … More than half of these occurred within the first 7 days after returning to the facility from the hospital … NLP successfully identified which of 45 NYPORTS events occurred in 57,452 discharge summaries, achieving … Key Findings/Impact: In 2001, medical injuries occurred in Wisconsin at a rate of 133.3/1,000 inpatient

  13. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
    June 01, 2021 - Guide to Sustainability Planning: Long-Term Care Facilities AHRQ Safety Program for Improving Antibiotic Use Guide to Sustainability Planning: Long-Term Care Facilities Sustainability Planning 2 AHRQ Safety Program for Improving Antibiotic Use – Long-Term Care Introduction Johns Hopkins Medicine and NOR…

  14. Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/uti-guide.docx
    September 01, 2022 - Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections – Facilitator Guide AHRQ Safety Program for Improving Antibiotic Use 1 Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Ambulatory Care Slide Title …

  15. Using Data To Drive Change and Improve Patient Safety Facilitator Notes (doc file)

    www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/data-change-notes.docx
    April 01, 2022 - Using Data To Drive Change and Improve Patient Safety Facilitator Notes CUSP Module: Using Data To Drive Change and Improve Patient Safety Facilitator Guide Slide Number and Image This module, “Using Data To Drive Change and Improve Patient Safety” is part of the Agency for Healthcare Research and Quality, or A…

  16. Final Progress Report: Patient-centered approach to reducing harm from VTE (pdf file)

    www.ahrq.gov/sites/default/files/2024-07/rothberg-report.pdf
    January 01, 2024 - Final Progress Report: Patient-centered approach to reducing harm from VTE Title: Patient-centered approach to reducing harm from VTE Principal Investigator: Michael Rothberg, MD, MPH Team Members: Aaron Hamilton, Bo Hu, Michael Kattan, Phuc Le, Lei Kou, Jacqueline Fox Organization: Cleveland Clinic Foundation In…

  17. PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections

    www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/best-practices/ASB-UTI-slides.pptx
    November 01, 2019 - PowerPoint Presentation: Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Best Practices in the Diagnosis and Treatment of Asymptomatic Bacteriuria and Urinary Tract Infections Acute Care AHRQ Safety Program for Improving Antibiotic Use AHRQ Pub. No. 17(20)-0028-EF…

  18. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet

    psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
    October 28, 2020 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. Citation Text: Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

  19. Recommendation: Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication | United States Preventive Services Taskforce

    www.uspreventiveservicestaskforce.org/uspstf/recommendation/ocular-prophylaxis-for-gonococcal-ophthalmia-neonatorum-preventive-medication
    January 29, 2019 - Share to Facebook Share to X Share to WhatsApp Share to Email Print Final Recommendation Statement Ocular Prophylaxis for Gonococcal Ophthalmia Neonatorum: Preventive Medication January 29, 2019 Recommendations made by the USPSTF are inde…

  20. A National Conference on the Role of Health IT to Improve Medication Management - Q&A (pdf file)

    digital.ahrq.gov/sites/default/files/docs/improve-medication-management-qa-091318.pdf
    September 13, 2018 - A National Conference on the Role of Health IT to Improve Medication Management - Q&A Dr. Farris: Dr. Schnipper: …
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