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Total Results: 4,035 records

Showing results for "occurring".

3241. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49789/psn-pdf
      April 01, 2017 - Engaging Seriously Ill Older Patients in Advance Care Planning April 1, 2017 Heyland DK. Engaging Seriously Ill Older Patients in Advance Care Planning. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/engaging-seriously-ill-older-patients-advance-care-planning Case Objectives Define advance care planning an…

3242. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49475/psn-pdf
      March 01, 2005 - Techno Trip March 1, 2005 Cook RI. Techno Trip. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/techno-trip The Case A 70-year-old woman was admitted to a community hospital after developing confusion and right-sided weakness. A CT scan of her brain showed an acute subdural hematoma. The hospital arranged a…

3243. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33788/psn-pdf
      June 01, 2015 - In Conversation With… Christine Cassel, MD June 1, 2015 In Conversation With… Christine Cassel, MD. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-christine-cassel-md Editor's note: Christine Cassel, MD, is President and CEO of the National Quality Forum (NQF). Dr. Cassel, one of the foun…

3244. Unexpected Drawbacks of Electronic Order Sets | PSNet
      psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
      December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …

3245. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49762/psn-pdf
      June 01, 2016 - The Case of Mistaken Intubation June 1, 2016 Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/case-mistaken-intubation Case Objectives Appreciate that most older adults and many younger chronically ill patients have discussed or documented their preferences for l…

3246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49513/psn-pdf
      July 01, 2006 - Moving Pains July 1, 2006 Schell H, Wachter R. Moving Pains. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/moving-pains Case Objectives Appreciate the risk posed by intrahospital transport Identify key features of current transport practice and policies Propose interventions that might improve safety of …

3247. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33596/psn-pdf
      June 01, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/failure-rescue Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet primers are regularly reviewed and updated to ensure that they reflect cur…

3248. On the Other Hand | PSNet
      psnet.ahrq.gov/web-mm/other-hand
      December 12, 2012 - On the Other Hand Citation Text: Henneman EA. On the Other Hand. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2007. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

3249. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49679/psn-pdf
      March 01, 2013 - The Unfamiliar Catheter March 1, 2013 Swayze SC, James A. The Unfamiliar Catheter. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/unfamiliar-catheter The Case A 28-year-old woman, 20 months post–bilateral lung transplant, presented to the emergency department with sudden onset of severe shortness of breath…

3250. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49754/psn-pdf
      February 01, 2016 - Picking Up the Cause of the Stroke February 1, 2016 Chopra V. Picking Up the Cause of the Stroke. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/picking-cause-stroke The Case A 62-year-old man with poorly controlled diabetes was transferred to a tertiary care center from a community hospital for management…

3251. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - The Wrong Channel Citation Text: Gosbee JW. The Wrong Channel . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

3252. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 14, 2023 Innov…

3253. PSNet Curated Library (pdf file)
      psnet.ahrq.gov/print/pdf/node/865864
      January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Error Curated Library Incidence of Diagnostic Errors 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…

3254. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? | PSNet
      psnet.ahrq.gov/web-mm/managing-care-challenges-group-home-setting-staffing-adequate-unplanned-incidents
      April 27, 2022 - Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents? Citation Text: Ordona R, Bakerjian D. Managing Care Challenges in a Group Home Setting: Is Staffing Adequate for Unplanned Incidents?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…

3255. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet
      psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
      March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

3256. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

3257. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49693/psn-pdf
      October 01, 2013 - It's Sarah, Not Stephen! October 1, 2013 Sarkar U. It's Sarah, Not Stephen!. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/its-sarah-not-stephen Case Objectives Define and distinguish the terms gender identity, gender expression, and gender variance. Delineate patient safety issues associated with transge…

3258. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - Discharge Instructions in the PACU: Who Remembers? Citation Text: Engel KG. Discharge Instructions in the PACU: Who Remembers?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar B…

3259. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.122_slideshow.ppt
      April 01, 2006 - Spotlight Case [MONTH] 2003 Spotlight Case April 2006 Is the “Surgical Personality” a Threat to Patient Safety? Source and Credits This presentation is based on the April 2006 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary …

3260. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33572/psn-pdf
      December 15, 2024 - Checklists December 15, 2024 Checklists. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/checklists PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Background …