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Showing results for "occurring".

  1. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfer Troubles 1 2 Source and Credits This presentation is based on the June 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…

  2. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - PowerPoint Presentation Spotlight Diagnostic Delay in the Emergency Department 1 Source and Credits This presentation is based on the May 2017 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Kyle Marshall, MD, Geisinger Medical Center, Danv…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49497/psn-pdf
    December 01, 2005 - Slippery Slide Into Life December 1, 2005 Halamek LP. Slippery Slide Into Life. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/slippery-slide-life The Case A 25-year-old woman presented to the hospital in labor and at full gestation after receiving uncomplicated prenatal care. A third-year obstetrics and g…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49582/psn-pdf
    April 01, 2009 - Breakage of a PICC Line April 1, 2009 Dimov V. Breakage of a PICC Line. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/breakage-picc-line Case Objectives Appreciate the incidence and consequences of PICC line breakage. Understand the risk factors for PICC line breakage. Understand the treatment options in…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33605/psn-pdf
    March 12, 2021 - Medication Administration Errors March 12, 2021 MacDowell P, Cabri A, Davis M. Medication Administration Errors. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/medication-administration-errors Updated in March 2021. Originally published in January 2018 by researchers at the University of California, San Fra…

  6. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-470
    December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  7. Sick and Pregnant | PSNet

    psnet.ahrq.gov/web-mm/sick-and-pregnant
    August 25, 2021 - Sick and Pregnant Citation Text: El-Ibiary S. Sick and Pregnant. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  8. The Wrongful Resuscitation | PSNet

    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - The Wrongful Resuscitation Citation Text: Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  9. Diagnosis: Interpreting the Shadows. | PSNet

    psnet.ahrq.gov/issue/diagnosis-interpreting-shadows
    June 29, 2016 - Book/Report Diagnosis: Interpreting the Shadows. Citation Text: Diagnosis: Interpreting the Shadows. Croskerry P, Cosby KS, Graber ML, Singh H. Boca Raton, FL: CRC Press; 2017. ISBN: 9781409432333. Copy Citation Save Save to your library Print Download P…

  10. Without question. | PSNet

    psnet.ahrq.gov/issue/without-question
    July 15, 2020 - Commentary Without question. Citation Text: Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  11. Patient Safety in Private Hospitals: the Known and the Unknown Risk. | PSNet

    psnet.ahrq.gov/issue/patient-safety-private-hospitals-known-and-unknown-risk
    June 18, 2013 - Book/Report Patient Safety in Private Hospitals: the Known and the Unknown Risk. Citation Text: Patient Safety in Private Hospitals: the Known and the Unknown Risk. Leys C, Toft B. London, UK: Centre for Health and the Public Interest; August 2014. Copy Citation Save …

  12. Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. | PSNet

    psnet.ahrq.gov/issue/ockenden-report-emerging-fndings-and-recommendations-independent-review-maternity-services
    April 27, 2022 - Book/Report Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. Citation Text: Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at …

  13. 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…

  14. 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…

  15. 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…

  16. ‘They can’t ignore us any more’: five women on long Covid and medical misogyny. | PSNet

    psnet.ahrq.gov/issue/they-cant-ignore-us-any-more-five-women-long-covid-and-medical-misogyny
    September 14, 2022 - Newspaper/Magazine Article ‘They can’t ignore us any more’: five women on long Covid and medical misogyny. Citation Text: ‘They can’t ignore us any more’: five women on long Covid and medical misogyny. Lu D. The Guardian. October 18, 2022. Copy Citation Save Sav…

  17. Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. | PSNet

    psnet.ahrq.gov/issue/supplementary-advisory-results-pa-psrs-workgroup-pharmacy-computer-system-safety
    October 21, 2020 - Government Resource Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Citation Text: Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety. Patient Safety Advisory Copy Citation Save …

  18. To eliminate bias, some seek out doctors of their own race or ethnicity. | PSNet

    psnet.ahrq.gov/issue/eliminate-bias-some-seek-out-doctors-their-own-race-or-ethnicity
    December 11, 2019 - Newspaper/Magazine Article To eliminate bias, some seek out doctors of their own race or ethnicity. Citation Text: To eliminate bias, some seek out doctors of their own race or ethnicity. Glicksman E. Washington Post. December 11, 2021. Copy Citation Save Save t…

  19. People of color with long COVID face uphill battle to be heard. | PSNet

    psnet.ahrq.gov/issue/people-color-long-covid-face-uphill-battle-be-heard
    August 24, 2022 - Newspaper/Magazine Article People of color with long COVID face uphill battle to be heard. Citation Text: People of color with long COVID face uphill battle to be heard. Farah T. Scientific American. September 22, 2022. Copy Citation Save Save to your library …

  20. Health Care Comes Home: The Human Factors. | PSNet

    psnet.ahrq.gov/issue/health-care-comes-home-human-factors
    June 08, 2011 - Book/Report Health Care Comes Home: The Human Factors. Citation Text: Health Care Comes Home: The Human Factors. Committee on the Role of Human Factors in Home Health Care. Washington, DC: National Research Council; 2011. ISBN: 9780309212366. Copy Citation Save …
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