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Showing results for "occurred".

  1. Celiac Disease | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/health-topics/celiac-disease
    July 26, 2016 - Skip to main content An official website of the Department of Health & Human Services Careers Contact Us Español FAQs Effective Health Care Program Powered by the Evidence-based Practice Centers …

  2. Delirium | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/health-topics/delirium
    September 06, 2018 - Skip to main content An official website of the Department of Health & Human Services Careers Contact Us Español FAQs Effective Health Care Program Powered by the Evidence-based Practice Centers …

  3. Cardiac Arrest | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/health-topics/cardiac-arrest
    December 12, 2011 - Skip to main content An official website of the Department of Health & Human Services Careers Contact Us Español FAQs Effective Health Care Program Powered by the Evidence-based Practice Centers …

  4. Climate Change | Effective Health Care (EHC) Program

    effectivehealthcare-admin.ahrq.gov/health-topics/climate-change
    November 20, 2024 - Skip to main content An official website of the Department of Health & Human Services Careers Contact Us Español FAQs Effective Health Care Program Powered by the Evidence-based Practice Centers …

  5. Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet

    psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
    March 10, 2010 - Commentary Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. Citation Text: McCraw B, Crutcher T, Polancich S, et al. Preventing Central Line-Associated Bloodstream Infections in the Intensive Care Unit: Appl…

  6. Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-nerve-blocks-systematic-literature-review-guide-principles-prevention
    July 22, 2020 - Review Wrong-site nerve blocks: a systematic literature review to guide principles for prevention. Citation Text: Deutsch ES, Yonash RA, Martin DE, et al. Wrong-site nerve blocks: A systematic literature review to guide principles for prevention. J Clin Anesth. 2018;46:101-111. doi:10.10…

  7. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

    psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
    November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

  8. The elephant of patient safety: what you see depends on how you look. | PSNet

    psnet.ahrq.gov/issue/elephant-patient-safety-what-you-see-depends-how-you-look
    June 22, 2022 - Commentary Classic The elephant of patient safety: what you see depends on how you look. Citation Text: Shojania KG. The elephant of patient safety: what you see depends on how you look. Jt Comm J Qual Patient Saf. 2010;36(9):399-401. Copy Citation Format:…

  9. Emergency department crowding and risk of preventable medical errors. | PSNet

    psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
    November 23, 2011 - Study Emergency department crowding and risk of preventable medical errors. Citation Text: Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8. Copy Citation …

  10. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. | PSNet

    psnet.ahrq.gov/issue/transforming-morbidity-and-mortality-conference-promote-safety-and-quality-picu
    April 28, 2021 - Study Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Citation Text: Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1…

  11. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
    September 28, 2010 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

  12. Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. | PSNet

    psnet.ahrq.gov/issue/comparison-medication-safety-systems-critical-access-hospitals-combined-analysis-two-studies
    September 28, 2016 - Study Comparison of medication safety systems in critical access hospitals: combined analysis of two studies. Citation Text: Cochran GL, Barrett RS, Horn SD. Comparison of medication safety systems in critical access hospitals: Combined analysis of two studies. Am J Health Syst Pharm. 20…

  13. Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. | PSNet

    psnet.ahrq.gov/issue/investigation-urology-intraoperative-events-leading-root-cause-analysis-national-va-medical
    June 02, 2021 - Study Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Citation Text: Investigation of urology intraoperative events leading to root cause analysis at national VA medical centers. Peard LM, Teplitsky S, Annabathula A, et al. Ca…

  14. Performance measures in neurosurgical patient care: differing applications of patient safety indicators. | PSNet

    psnet.ahrq.gov/issue/performance-measures-neurosurgical-patient-care-differing-applications-patient-safety
    June 03, 2020 - Study Performance measures in neurosurgical patient care: differing applications of patient safety indicators. Citation Text: Moghavem N, McDonald KM, Ratliff JK, et al. Performance Measures in Neurosurgical Patient Care: Differing Applications of Patient Safety Indicators. Med Care. 201…

  15. Predictive value of alert triggers for identification of developing adverse drug events. | PSNet

    psnet.ahrq.gov/issue/predictive-value-alert-triggers-identification-developing-adverse-drug-events
    October 19, 2022 - Study Predictive value of alert triggers for identification of developing adverse drug events. Citation Text: Moore C, Li J, Hung C-C, et al. Predictive Value of Alert Triggers for Identification of Developing Adverse Drug Events. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181bc0…

  16. Current approaches to punitive action for medication errors by boards of pharmacy. | PSNet

    psnet.ahrq.gov/issue/current-approaches-punitive-action-medication-errors-boards-pharmacy
    May 26, 2011 - Study Current approaches to punitive action for medication errors by boards of pharmacy. Citation Text: Holdsworth M, Wittstrom K, Yeitrakis T. Current approaches to punitive action for medication errors by boards of pharmacy. Ann Pharmacother. 2013;47(4):475-81. doi:10.1345/aph.1R668. …

  17. ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. | PSNet

    psnet.ahrq.gov/issue/ashp-national-survey-pharmacy-practice-hospital-settings-dispensing-and-administration-2017
    September 30, 2020 - Study ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. Citation Text: Schneider PJ, Pedersen CA, Scheckelhoff DJ. ASHP national survey of pharmacy practice in hospital settings: Dispensing and administration-2017. Am J Health Syst Pharm.…

  18. The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. | PSNet

    psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
    January 06, 2017 - Review The lingering safety menace: a 10-year review of enteral misconnection adverse events and narrative review. Citation Text: Ethington S, Volpe A, Guenter P, et al. The lingering safety menace: A 10‐year review of enteral misconnection adverse events and narrative review. Nutr Clin …

  19. Influence of perioperative handoffs on complications and outcomes. | PSNet

    psnet.ahrq.gov/issue/influence-perioperative-handoffs-complications-and-outcomes
    October 14, 2020 - Commentary Influence of perioperative handoffs on complications and outcomes. Citation Text: Burden AR, Potestio C, Pukenas E. Influence of perioperative handoffs on complications and outcomes. Adv Anesth. 2021;39:133-148. doi:10.1016/j.aan.2021.07.008. Copy Citation Format: …

  20. Surgical fire in the United States: 2000-2020. | PSNet

    psnet.ahrq.gov/issue/surgical-fire-united-states-2000-2020
    March 03, 2021 - Study Surgical fire in the United States: 2000-2020. Citation Text: Grauer JS, Kana LA, Alzouhayli SJ, et al. Surgical fire in the United States: 2000–2020. Surgery. 2022;173(2):357-364. doi:10.1016/j.surg.2022.10.015. Copy Citation Format: DOI Google Scholar BibTeX EndNote…
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