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Total Results: 4,038 records

Showing results for "occurring".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840174/psn-pdf
    August 28, 2024 - Missed CANDOR Implementation Opportunities. November 16, 2022 Schweitzer L. Missed CANDOR Implementation Opportunities. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/missed-candor-implementation-opportunities The Case A 58-year-old man with a history of type 2 diabetes mellitus, hypertension, morbid obesit…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49519/psn-pdf
    September 01, 2006 - Triple Handoff September 1, 2006 Vidyarthi A. Triple Handoff. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/triple-handoff Case Objectives Appreciate the prevalence of handoffs and sign out related errors. Understand the key elements of a safe and effective written and verbal sign out. List Kotter’s 8 st…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49744/psn-pdf
    October 01, 2015 - The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy October 1, 2015 Reider J. The Risks of Absent Interoperability: Medication-Induced Hemolysis in a Patient With a Known Allergy. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/risks-absent-interoperability-me…

  4. 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…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49790/psn-pdf
    April 01, 2017 - Patient Allergies and Electronic Health Records April 1, 2017 Doyle MJ. Patient Allergies and Electronic Health Records. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records The Case A 40-year-old woman presented with recurring intense right upper quadrant pain, whi…

  6. 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…

  7. 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…

  8. 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…

  9. 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…

  10. 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].…

  11. 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

  12. 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

  13. 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

  14. 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

  15. 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?

  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. 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

  18. 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

  19. 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

  20. 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
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