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Total Results: 4,035 records

Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33613/psn-pdf
    May 01, 2005 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience May 1, 2005 Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience Pe…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33571/psn-pdf
    March 15, 2025 - Reporting Patient Safety Events March 15, 2025 Reporting Patient Safety Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/reporting-patient-safety-events PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in th…

  3. Medication Reconciliation | PSNet

    psnet.ahrq.gov/primer/medication-reconciliation
    March 15, 2025 - Medication Reconciliation Citation Text: Medication Reconciliation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

  4. Culture of Safety | PSNet

    psnet.ahrq.gov/primer/culture-safety
    September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  5. Building a Safety Program in a Vast Health Care Network | PSNet

    psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
    March 01, 2019 - Building a Safety Program in a Vast Health Care Network Paul E. Phrampus, MD | March 1, 2019  Also Read a Conversation View more articles from the same authors. Citation Text: Phrampus P. Building a Safety Program in a Vast Health Care Network. PSNet [internet].…

  6. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? Mark L. Graber, MD | February 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…

  7. How Does Infection Prevention Fit Into a Safety Program? | PSNet

    psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program
    March 01, 2014 - report.( 1 ) This publication ignited the nation's efforts to address unintended consequences that were occurring

  8. Balancing Supervision and Autonomy: An Ongoing Tension | PSNet

    psnet.ahrq.gov/perspective/balancing-supervision-and-autonomy-ongoing-tension
    February 01, 2012 - claims involving trainees, lack of resident supervision was implicated as the most common system factor (occurring

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865419/psn-pdf
    March 27, 2024 - by or on patients” and relevant financial relationships as “financial relationships in any amount occurring

  10. In Conversation With... Edwin Loftin, DNP, MBA, RN, NEA-BC-FACHE | PSNet

    psnet.ahrq.gov/perspective/conversation-edwin-loftin-dnp-mba-rn-nea-bc-fache
    August 31, 2020 - With nursing, how do you engage and at what point is engagement occurring?

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74120/psn-pdf
    November 30, 2021 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring

  12. In Conversation With… Lawrence Smith, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-lawrence-smith-md
    February 01, 2012 - claims involving trainees, lack of resident supervision was implicated as the most common system factor (occurring

  13. Direct Oral Anticoagulants are High-Risk Medications with Potentially Complex Dosing | PSNet

    psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
    August 21, 2005 - higher risk of adverse events due to medication errors, with over half of all hospital medication errors occurring

  14. Do Not Miss Sepsis Needles in Viral Haystacks! | PSNet

    psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
    March 27, 2024 - used by or on patients” and relevant financial relationships as “financial relationships in any amount occurring

  15. The Evolution of Patient Safety in Surgery | PSNet

    psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
    August 01, 2017 - For complex operations, we discharge people after a day or two, so most of their complications are occurring

  16. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet

    psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
    December 23, 2020 - or used on patients” and relevant financial relationships as “financial relationships in any amount occurring

  17. Safety Across The Board | PSNet

    psnet.ahrq.gov/perspective/safety-across-board
    August 31, 2020 - With nursing, how do you engage and at what point is engagement occurring?

  18. In Conversation With… Alison Holmes, MD, MPH | PSNet

    psnet.ahrq.gov/perspective/conversation-alison-holmes-md-mph
    March 01, 2014 - report.( 1 ) This publication ignited the nation's efforts to address unintended consequences that were occurring

  19. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
    January 01, 2021 - dysfunction by the time the diagnosis of SEA was made. 11 Overview (3) • Multiple preventable errors occurring

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841306/psn-pdf
    December 14, 2022 - Resilient Healthcare and the Safety-I and Safety-II Frameworks December 14, 2022 Deutsch ES, Van CM, Mossburg SE. Resilient Healthcare and the Safety-I and Safety-II Frameworks. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks Resilient healthca…
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