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Total Results: 4,038 records

Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49801/psn-pdf
    August 01, 2017 - Despite Clues, Failed to Rescue August 1, 2017 Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/despite-clues-failed-rescue Case Objectives Define failure to rescue. Identify the main contributors to failure-to-rescue events. Appreciate the ongoing areas of scien…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49611/psn-pdf
    October 01, 2010 - The Deadly Duo October 1, 2010 Maldonado JR. The Deadly Duo. PSNet [internet]. 2010. https://psnet.ahrq.gov/web-mm/deadly-duo The Case A 29-year-old man with a history of depression and possible psychosis was found unconscious and unresponsive at home and was brought to the emergency department. He was tachycardi…

  3. Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle | PSNet

    psnet.ahrq.gov/innovation/reducing-preventable-patient-harm-due-retained-surgical-items-rsi-bundle
    July 23, 2024 - Reducing Preventable Patient Harm Due to Retained Surgical Items: The RSI Bundle Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 29, 2024 View more articles from the same authors. Inno…

  4. 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…

  5. All in the History | PSNet

    psnet.ahrq.gov/web-mm/all-history
    February 28, 2011 - SPOTLIGHT CASE All in the History Citation Text: Fee C. All in the History. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853902/psn-pdf
    September 27, 2023 - by or on patients” and relevant financial relationships as “financial relationships in any amount occurring

  11. A Missed Bowel Perforation - the Importance of Diagnostic Reasoning | PSNet

    psnet.ahrq.gov/web-mm/missed-bowel-perforation-importance-diagnostic-reasoning
    January 29, 2021 - used by or on patients” and relevant financial relationships as “financial relationships in any amount occurring

  12. When is the surgeon too old to operate? | PSNet

    psnet.ahrq.gov/issue/when-surgeon-too-old-operate
    February 12, 2016 - Newspaper/Magazine Article When is the surgeon too old to operate? Citation Text: When is the surgeon too old to operate? Span P. New York Times. February 1, 2019. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  13. Complications. | PSNet

    psnet.ahrq.gov/issue/complications
    November 28, 2018 - Special or Theme Issue Complications. Citation Text: Complications. Anaesthesia. 2018;73(suppl 1):3-101. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL J…

  14. 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…

  15. National Patient Safety Syllabus 1.0 Training for all NHS Staff. | PSNet

    psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
    September 26, 2018 - Book/Report National Patient Safety Syllabus 1.0 Training for all NHS Staff. Citation Text: National Patient Safety Syllabus 1.0 Training for all NHS Staff. London, UK: Academy of Medical Royal Colleges; 2020. Copy Citation Save Save to your library Print …

  16. Seven (potentially) deadly prescribing errors. | PSNet

    psnet.ahrq.gov/issue/seven-potentially-deadly-prescribing-errors
    June 12, 2013 - Newspaper/Magazine Article Seven (potentially) deadly prescribing errors. Citation Text: Seven (potentially) deadly prescribing errors. Graham LR, Scudder L, Stokowski L. Medscape. October 22, 2015. Copy Citation Save Save to your library Print Downloa…

  17. 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 …

  18. Keeping patients safe from iatrogenic methadone overdoses. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
    February 27, 2019 - Newspaper/Magazine Article Keeping patients safe from iatrogenic methadone overdoses. Citation Text: Keeping patients safe from iatrogenic methadone overdoses. ISMP Medication Safety Alert! Acute care edition. February 14, 2008. Copy Citation Save Save to your lib…

  19. Product-related issues make error potential enormous with investigational drugs. | PSNet

    psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
    May 07, 2018 - Newspaper/Magazine Article Product-related issues make error potential enormous with investigational drugs. Citation Text: Product-related issues make error potential enormous with investigational drugs. ISMP Medication Safety Alert! Acute care edition. 2007;12(2):1-3. Copy Citation …

  20. Another fatal failure at King/Drew. | PSNet

    psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
    May 03, 2017 - Newspaper/Magazine Article Another fatal failure at King/Drew. Citation Text: Another fatal failure at King/Drew. Weber T; Ornstein C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…
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