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Total Results: 4,035 records

Showing results for "occurring".

2261. More hospitals move to confront medical errors head on. | PSNet
      psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head
      June 21, 2023 - Audiovisual More hospitals move to confront medical errors head on. Citation Text: More hospitals move to confront medical errors head on. Gorenstein D. Tradeoffs. November 16, 2023. Copy Citation Save Save to your library Print Download PDF Shar…

2262. Patient safety front and center. | PSNet
      psnet.ahrq.gov/issue/patient-safety-front-and-center
      November 20, 2024 - Newspaper/Magazine Article Patient safety front and center. Citation Text: Terry K. Patient safety front and center. National forces converge, strategies emerge to push the movement forward. Hospitals & health networks. 2011;85(7):38-40, 42. Copy Citation Format: Google Sch…

2263. Radically redesigning patient safety. | PSNet
      psnet.ahrq.gov/issue/radically-redesigning-patient-safety
      November 13, 2024 - Newspaper/Magazine Article Radically redesigning patient safety. Citation Text: Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

2264. Implement strategies to prevent persistent medication errors and hazards. | PSNet
      psnet.ahrq.gov/issue/implement-strategies-prevent-persistent-medication-errors-and-hazards
      March 14, 2023 - Newspaper/Magazine Article Implement strategies to prevent persistent medication errors and hazards. Citation Text: Implement strategies to prevent persistent medication errors and hazards. ISMP Medication Safety Alert! Acute care edition. March 23, 2023;28(6):1-4. Copy Citation …

2265. Patient safety and acute care medicine: lessons for the future, insights from the past. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-acute-care-medicine-lessons-future-insights-past
      April 27, 2022 - Review Patient safety and acute care medicine: lessons for the future, insights from the past. Citation Text: Brindley PG. Patient safety and acute care medicine: lessons for the future, insights from the past. Crit Care. 2010;14(2):217. doi:10.1186/cc8858. Copy Citation Format: …

2266. Behind Human Error, Second Edition. | PSNet
      psnet.ahrq.gov/issue/behind-human-error-second-edition
      April 13, 2018 - Book/Report Classic Behind Human Error, Second Edition. Citation Text: Behind Human Error, Second Edition. Woods DD, Dekker S, Cook R, Johannesen L. Boca Raton, FL: CRC Press; 2017. ISBN: 9781317175537. Copy Citation Save Save to your lib…

2267. Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. | PSNet
      psnet.ahrq.gov/issue/adverse-drug-events-us-hospitals-2010-versus-2014
      October 03, 2018 - Book/Report Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Citation Text: Adverse Drug Events in U.S. Hospitals, 2010 Versus 2014. Weiss AJ, Freeman WJ, Heslin KC, Barrett ML. HCUP Statistical Brief #234. Rockville, MD: Agency for Healthcare Research and Quality; January 2018. …

2268. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet
      psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
      January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

2269. Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/analysis-ismp-national-vaccine-errors-reporting-program-part-1-and-part-2
      July 08, 2015 - Newspaper/Magazine Article Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. Citation Text: Analysis of ISMP National Vaccine Errors Reporting Program—part 1 and part 2. ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;…

2270. Commission of Inquiry on Hormone Receptor Testing. | PSNet
      psnet.ahrq.gov/issue/commission-inquiry-hormone-receptor-testing
      May 26, 2021 - Book/Report Commission of Inquiry on Hormone Receptor Testing. Citation Text: Commission of Inquiry on Hormone Receptor Testing. Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.   Copy Citation Save Save to y…

2271. The vanishing nonforensic autopsy. | PSNet
      psnet.ahrq.gov/issue/vanishing-nonforensic-autopsy
      February 09, 2011 - Commentary The vanishing nonforensic autopsy. Citation Text: Shojania KG, Burton EC. The vanishing nonforensic autopsy. N Engl J Med. 2008;358(9):873-5. doi:10.1056/NEJMp0707996. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …

2272. Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. | PSNet
      psnet.ahrq.gov/issue/engineering-patient-safety-radiation-oncology-university-north-carolinas-pursuit-high
      May 04, 2016 - Book/Report Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. Citation Text: Engineering Patient Safety in Radiation Oncology: University of North Carolina's Pursuit for High Reliability and Value Creation. M…

2273. Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. | PSNet
      psnet.ahrq.gov/issue/updated-guidance-needed-longstanding-large-volume-parenteral-lvp-labeling-and-packaging
      March 10, 2021 - Newspaper/Magazine Article Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. Citation Text: Updated guidance needed for longstanding large volume parenteral (LVP) labeling and packaging problems. ISMP Medication Safety Alert! Acute ca…

2274. Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. | PSNet
      psnet.ahrq.gov/issue/medication-related-malpractice-risks-2016-crico-strategies-national-cbs-report
      July 18, 2018 - Book/Report Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Citation Text: Medication-related Malpractice Risks. 2016 CRICO Strategies National CBS Report. Boston, MA: CRICO Strategies; 2017. Copy Citation Save Save to your library…

2275. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet
      psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
      September 12, 2018 - Book/Report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Citation Text: A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…

2276. Organizational learning in hospitals: a realist review. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
      June 19, 2019 - Review Organizational learning in hospitals: a realist review. Citation Text: Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. Copy Citation Format: DOI Google Scholar Bi…

2277. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.281_slideshow.ppt
      October 01, 2012 - Spotlight Case July 2008 Spotlight Case CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure * * Source and Credits This presentation is based on the October 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Catherine L…

2278. Language Barrier | PSNet
      psnet.ahrq.gov/web-mm/language-barrier
      February 28, 2024 - Language Barrier Citation Text: Flores G. Language Barrier. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

2279. Breakage of a PICC Line | PSNet
      psnet.ahrq.gov/web-mm/breakage-picc-line
      June 21, 2023 - SPOTLIGHT CASE Breakage of a PICC Line Citation Text: Dimov V. Breakage of a PICC Line. 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 …

2280. Medication Mix-Up: From Bad to Worse | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-bad-worse
      March 01, 2018 - Medication Mix-Up: From Bad to Worse Citation Text: Wollitz A, O'Connor MF. Medication Mix-Up: From Bad to Worse. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: Google Scholar BibTeX EndNote …