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Total Results: 4,035 records

Showing results for "occurring".

  1. Duplicate Therapies in Retail Pharmacy | PSNet

    psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
    August 05, 2022 - Duplicate Therapies in Retail Pharmacy Citation Text: Punatar N, Molla M, Lee S. Duplicate Therapies in Retail Pharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX E…

  2. Diagnostic Errors | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors
    December 01, 2013 - Annual Perspective Diagnostic Errors Urmimala Sarkar, MD; Kaveh Shojania, MD | January 1, 2014  Also Read a Conversation View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Diagnostic Errors. PSNet [internet]. Rockville (MD): Ag…

  3. In Conversation With… Michelle Mello, MPhil, JD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-michelle-mello-mphil-jd-phd
    July 01, 2017 - In Conversation With… Michelle Mello, MPhil, JD, PhD July 1, 2017  Also Read an Essay Citation Text: In Conversation With… Michelle Mello, MPhil, JD, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Hum…

  4. Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? | PSNet

    psnet.ahrq.gov/perspective/doctors-multiple-malpractice-claims-disciplinary-actions-and-complaints-what-do-we-know
    July 01, 2017 - Doctors With Multiple Malpractice Claims, Disciplinary Actions, and Complaints: What Do We Know? David Studdert, LLB, ScD | July 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Studdert DM. Doctors With Multiple Malprac…

  5. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-12/spotlight_case_csf_leak_after_elective_spine_surgery_slides_-_final.pptx
    January 01, 2024 - Spotlight Spotlight Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis 1 Source and Credits This presentation is based on the December 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Comment…

  6. ISMP Medication Safety Self Assessment® for Perioperative Settings. | PSNet

    psnet.ahrq.gov/issue/ismp-medication-safety-self-assessmentr-perioperative-settings
    January 26, 2023 - Measurement Tool/Indicator ISMP Medication Safety Self Assessment® for Perioperative Settings. Citation Text: ISMP Medication Safety Self Assessment® for Perioperative Settings. Institute for Safe Medication Practices Copy Citation Save Save to your library …

  7. A deadly epidural, delivered by a doctor with a history of mistakes. | PSNet

    psnet.ahrq.gov/issue/deadly-epidural-delivered-doctor-history-mistakes
    January 24, 2024 - Newspaper/Magazine Article A deadly epidural, delivered by a doctor with a history of mistakes. Citation Text: A deadly epidural, delivered by a doctor with a history of mistakes. Goldstein J. New York Times. January 23, 2023. Copy Citation Save Save to your lib…

  8. The Habits of an Improver. Thinking About Learning for Improvement in Health Care. | PSNet

    psnet.ahrq.gov/issue/habits-improver-thinking-about-learning-improvement-health-care
    November 25, 2015 - Book/Report The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Citation Text: The Habits of an Improver. Thinking About Learning for Improvement in Health Care. Lucas B, Nacer H. London, UK: Health Foundation; October 2015. ISBN: 9781906461676. Copy Cita…

  9. Fluorouracil Incident Root Cause Analysis Report. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …

  10. Learning from Disasters: A Management Approach. Third ed. | PSNet

    psnet.ahrq.gov/issue/learning-disasters-management-approach-third-ed
    June 18, 2013 - Book/Report Learning from Disasters: A Management Approach. Third ed. Citation Text: Learning from Disasters: A Management Approach. Third ed. Toft B, Reynolds S. Leicester, UK: Perpetuity Press Limited; 2005. ISBN: 9781349279029. Copy Citation Save Save to yo…

  11. Coding for Success: Simple Technology for Safer Patient Care. | PSNet

    psnet.ahrq.gov/issue/coding-success-simple-technology-safer-patient-care
    July 01, 2020 - Book/Report Coding for Success: Simple Technology for Safer Patient Care. Citation Text: Coding for Success: Simple Technology for Safer Patient Care. Healthcare Quality Directorate, Department of Health. London, UK; Crown Copyright: 2007. Copy Citation Save Sav…

  12. Lyme disease is baffling, even to experts, but new insights are at last accumulating. | PSNet

    psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
    August 19, 2020 - Newspaper/Magazine Article Lyme disease is baffling, even to experts, but new insights are at last accumulating. Citation Text: Lyme disease is baffling, even to experts, but new insights are at last accumulating. O'Rourke M. The Atlantic. September 2019. Copy Citation …

  13. CANDOR Webinar Series. | PSNet

    psnet.ahrq.gov/issue/candor-webinar-series
    June 01, 2023 - Webinar CANDOR Webinar Series. Citation Text: CANDOR Webinar Series. Patient Safety Movement Foundation. 2021.  Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  14. Patient safety in the ED. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ed
    August 11, 2010 - Newspaper/Magazine Article Patient safety in the ED. Citation Text: Patient safety in the ED. Hospitals & health networks. 2006;80(5):6 p. following 48, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  15. "Near injury" alters procedures at Virginia Mason. | PSNet

    psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
    September 21, 2005 - Newspaper/Magazine Article "Near injury" alters procedures at Virginia Mason. Citation Text: "Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005. Copy Citation Save Save to your library Print Download PDF …

  16. Washington Hospital Center safety program seeks to catch 'near-misses.' | PSNet

    psnet.ahrq.gov/issue/washington-hospital-center-safety-program-seeks-catch-near-misses
    November 29, 2016 - Newspaper/Magazine Article Washington Hospital Center safety program seeks to catch 'near-misses.' Citation Text: Washington Hospital Center safety program seeks to catch 'near-misses.' Sun LH. Copy Citation Save Save to your library Print Download …

  17. Misadventures in Health Care: Inside Stories. | PSNet

    psnet.ahrq.gov/issue/misadventures-health-care-inside-stories
    July 06, 2011 - Book/Report Misadventures in Health Care: Inside Stories. Citation Text: Misadventures in Health Care: Inside Stories. Bogner MS, ed. New York, NY: Psychology Press; 2013. ISBN: 9780805833775. Copy Citation Save Save to your library Print Download P…

  18. Each Baby Counts. | PSNet

    psnet.ahrq.gov/issue/each-baby-counts-key-messages-2015
    July 26, 2017 - Multi-use Website Each Baby Counts. Citation Text: Each Baby Counts. Royal College of Obstetricians and Gynaecologists. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Medication errors 2018: the year in review. | PSNet

    psnet.ahrq.gov/issue/medication-errors-2018-year-review
    October 23, 2019 - Newspaper/Magazine Article Medication errors 2018: the year in review. Citation Text: Medication errors 2018: the year in review. Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018. Copy Citation Save Save to your libr…

  20. Right Patient, Wrong Sample | PSNet

    psnet.ahrq.gov/web-mm/right-patient-wrong-sample
    June 01, 2004 - The Commentary Background Errors in laboratory services encompass a number of problems occurring outside … often attribute to errors inside the laboratory, are actually the result of preanalytic problems occurring … Specific Errors in This Case The particular error in this case is a mislabeling error occurring outside
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