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Showing results for "occurring".

  1. Fluorouracil Incident Root Cause Analysis Report. | PSNet

    psnet.ahrq.gov/issue/fluorouracil-incident-root-cause-analysis-report
    September 02, 2014 - Book/Report Fluorouracil Incident Root Cause Analysis Report. Citation Text: Fluorouracil Incident Root Cause Analysis Report. Toronto, CA: Institute for Safe Medication Practices Canada; May 2007. Copy Citation Save Save to your library Print Download …

  2. Keeping patients safe from iatrogenic methadone overdoses. | PSNet

    psnet.ahrq.gov/issue/keeping-patients-safe-iatrogenic-methadone-overdoses
    February 27, 2019 - Newspaper/Magazine Article Keeping patients safe from iatrogenic methadone overdoses. Citation Text: Keeping patients safe from iatrogenic methadone overdoses. ISMP Medication Safety Alert! Acute care edition. February 14, 2008. Copy Citation Save Save to your lib…

  3. Product-related issues make error potential enormous with investigational drugs. | PSNet

    psnet.ahrq.gov/issue/product-related-issues-make-error-potential-enormous-investigational-drugs
    May 07, 2018 - Newspaper/Magazine Article Product-related issues make error potential enormous with investigational drugs. Citation Text: Product-related issues make error potential enormous with investigational drugs. ISMP Medication Safety Alert! Acute care edition. 2007;12(2):1-3. Copy Citation …

  4. Another fatal failure at King/Drew. | PSNet

    psnet.ahrq.gov/issue/another-fatal-failure-kingdrew
    May 03, 2017 - Newspaper/Magazine Article Another fatal failure at King/Drew. Citation Text: Another fatal failure at King/Drew. Weber T; Ornstein C. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin…

  5. Preventing infection from the misuse of vials. | PSNet

    psnet.ahrq.gov/issue/preventing-infection-misuse-vials
    September 11, 2023 - Sentinel Event Alerts Preventing infection from the misuse of vials. Citation Text: Preventing infection from the misuse of vials. Sentinel Event Alert. 2014;June 16(52):1-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  6. "Near injury" alters procedures at Virginia Mason. | PSNet

    psnet.ahrq.gov/issue/near-injury-alters-procedures-virginia-mason
    September 21, 2005 - Newspaper/Magazine Article "Near injury" alters procedures at Virginia Mason. Citation Text: "Near injury" alters procedures at Virginia Mason. Ostrom CM. Seattle Times. May 21, 2005. Copy Citation Save Save to your library Print Download PDF …

  7. BBC News 'wrong guy' is revealed. | PSNet

    psnet.ahrq.gov/issue/bbc-news-wrong-guy-revealed
    August 05, 2020 - Newspaper/Magazine Article BBC News 'wrong guy' is revealed. Citation Text: BBC News 'wrong guy' is revealed. BBC News. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  8. Eliminating vincristine administration events. | PSNet

    psnet.ahrq.gov/issue/eliminating-vincristine-administration-events
    February 15, 2023 - Newspaper/Magazine Article Eliminating vincristine administration events. Citation Text: Eliminating vincristine administration events. Quick Safety. October 16, 2017;(37):1-3. Copy Citation Save Save to your library Print Download PDF Share …

  9. Lyme disease is baffling, even to experts, but new insights are at last accumulating. | PSNet

    psnet.ahrq.gov/issue/lyme-disease-baffling-even-experts-new-insights-are-last-accumulating
    August 19, 2020 - Newspaper/Magazine Article Lyme disease is baffling, even to experts, but new insights are at last accumulating. Citation Text: Lyme disease is baffling, even to experts, but new insights are at last accumulating. O'Rourke M. The Atlantic. September 2019. Copy Citation …

  10. Opening a Window to Depression | Digital Healthcare Research

    digital.ahrq.gov/program-overview/research-stories/opening-window-depression
    January 01, 2023 - Opening a Window to Depression Theme: Engaging and Empowering Patients and Caregivers Subtheme: Using Digital Healthcare Tools in Chronic Disease Self-Management Many people with depression who do not have upcoming medical appointments go undiagnosed. An online questionnaire can help get t…

  11. Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. | PSNet

    psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report
    July 18, 2018 - Book/Report Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Citation Text: Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. Cambridge, MA: CRICO Strategies; 2016. Copy Citation Save Save to your library …

  12. Safety-I and Safety-II: The Past and Future of Safety Management. | PSNet

    psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management
    July 22, 2019 - Book/Report Classic Safety-I and Safety-II: The Past and Future of Safety Management. Citation Text: Safety-I and Safety-II: The Past and Future of Safety Management. Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085. Copy Citation…

  13. Error rate greatest in hospital radiology. | PSNet

    psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
    December 24, 2008 - Newspaper/Magazine Article Error rate greatest in hospital radiology. Citation Text: Error rate greatest in hospital radiology. Stein R; USP; United States Pharmacopeia Copy Citation Save Save to your library Print Download PDF Share Face…

  14. Evaluating a Prediction Tool and Decision Aid for Patients with Crohn’s Disease - 2012 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/evaluating-prediction-tool-and-decision-aid-patients-crohns-disease/annual-summary/2012
    January 01, 2012 - Evaluating a Prediction Tool and Decision Aid for Patients with Crohn’s Disease - 2012 Project Name Evaluating a Prediction Tool and Decision Aid for Patients with Crohn's Disease Principal Investigator Siegel, Corey Organization Dartmouth College Funding Mechanism …

  15. Neil N et al. 2003 "Improving rates of screening and prevention by leveraging existing information systems." | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/neil-n-et-al-2003
    January 01, 2003 - Neil N et al. 2003 "Improving rates of screening and prevention by leveraging existing information systems." Reference Neil N. Improving rates of screening and prevention by leveraging existing information systems. Jt Comm J Qual Patient Saf 2003;29(11):610-618. Abstract "BACKGROUND: In 1997 V…

  16. Why accountability sharing in health care organizational cultures means patients are probably safer. | PSNet

    psnet.ahrq.gov/issue/why-accountability-sharing-health-care-organizational-cultures-means-patients-are-probably
    May 27, 2020 - Commentary Why accountability sharing in health care organizational cultures means patients are probably safer. Citation Text: Why accountability sharing in health care organizational cultures means patients are probably safer. Eng DM, Schweikart SJ. AMA J Ethics. 2020;22(9):e779-e783. …

  17. A Conversation with Patient Safety Officers. | PSNet

    psnet.ahrq.gov/issue/conversation-patient-safety-officers
    April 30, 2024 - Book/Report A Conversation with Patient Safety Officers. Citation Text: A Conversation with Patient Safety Officers. Harrisburg, PA: Patient Safety Authority; 2007. Copy Citation Save Save to your library Print Download PDF Share Facebook…

  18. Process Improvement | Digital Healthcare Research

    digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/all-workflow-tools/process
    January 01, 2023 - Process Improvement Lean Description Lean is a systematic method for streamlining a process by identifying and eliminating unnecessary elements of a process that do not contribute value to the desired outcome or the product being created (also known as waste). The seven types …

  19. Patient safety in the ED. | PSNet

    psnet.ahrq.gov/issue/patient-safety-ed
    August 11, 2010 - Newspaper/Magazine Article Patient safety in the ED. Citation Text: Patient safety in the ED. Hospitals & health networks. 2006;80(5):6 p. following 48, 2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Report faults Children's Hospital for medication errors. | PSNet

    psnet.ahrq.gov/issue/report-faults-childrens-hospital-medication-errors
    August 24, 2016 - Newspaper/Magazine Article Report faults Children's Hospital for medication errors. Citation Text: Report faults Children's Hospital for medication errors. Kowalczyk L. Boston Globe. May 27, 2018. Copy Citation Save Save to your library Print Download PD…
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