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Showing results for "occurring".

4061. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
      psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
      November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions Susan D. Scott RN, MSN | May 1, 2011  View more articles from the same authors. Citation Text: Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…

4062. Code Status Confusion | PSNet
      psnet.ahrq.gov/web-mm/code-status-confusion
      September 01, 2006 - SPOTLIGHT CASE Code Status Confusion Citation Text: Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

4063. Undetected Foreign Object | PSNet
      psnet.ahrq.gov/web-mm/undetected-foreign-object
      April 24, 2018 - Undetected Foreign Object Citation Text: Cima RR. Undetected Foreign Object. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

4064. HCUP Statistical Brief #122: Bariatric Surgery Utilization and Outcomes in 1998 and 2004 (pdf file)
      hcup-us.ahrq.gov/reports/statbriefs/sb23.pdf
      January 01, 2007 - HCUP Statistical Brief #122: Bariatric Surgery Utilization and Outcomes in 1998 and 2004 HEALTHCARE COST AND UTILIZATION PROJECT Agen Res January 2007 From numbe increa to 121 Across fastes surger adults fold in surger 16,000 The na assoc declin percen in 200 died in which perfor …

4065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846769/psn-pdf
      March 29, 2023 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. March 29, 2023 Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue The C…

4066. Statistical Brief #7
      hcup-us.ahrq.gov/reports/statbriefs/sb7.jsp
      May 01, 2006 - Statistical Brief #7 An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Updates …

4067. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - The Safety Challenges of Supervision and Night Coverage in Academic Residency Citation Text: Raffel K. The Safety Challenges of Supervision and Night Coverage in Academic Residency. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019…

4068. 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 …

4069. Missed Patient Assignment: Is Anyone There? | PSNet
      psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
      September 01, 2017 - Missed Patient Assignment: Is Anyone There? Citation Text: Sittig DF, Campbell EM, Singh H. Missed Patient Assignment: Is Anyone There?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google …

4070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854848/psn-pdf
      October 31, 2023 - Delay in Malignancy Diagnosis Reflects Systemic Failures October 31, 2023 Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures The Case A 32-year-old man presented to the hospital with…

4071. Final Progress Report: Re-engineering the Hospital Discharge for Patient Safety--Safe Practices Implementation Challenge Grant (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jack-report.pdf
      January 01, 2024 - We analyzed the expected and unexpected errors occurring at the hospital discharge using the process

4072. Chapter 4. Long Term Management | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/man4.html
      December 01, 2017 - high-risk due to risk factors not included on the current MDS or those residents with a new MDS trigger occurring

4073. Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lapane-report.pdf
      January 01, 2024 - Final Progress Report: Pharmacist Technology for Nursing Home Resident Safety TITLE OF PROJECT: PHARMACIST TECHNOLOGY FOR NURSING HOME RESIDENT SAFETY PRINCIPAL INVESTIGATOR: KATE L. LAPANE, PHD ORGANIZATION: BROWN MEDICAL SCHOOL DATES OF PROJECT: 9/30/2001-9/29/2005 PROJECT OFFICER: JUDITH SANGL, PHD ACKNOWLE…

4074. Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-patient-experience-vol2.pdf
      July 01, 2023 - Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors, Volume 2: Eliciting Patient Narratives PATIENT SAFETY e Issue Brief 12 Patient Experience as a Source for Understanding the Origins, Impact, and Remediation of Diagnostic Errors Volume 2: Eliciting Patie…

4075. Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
      January 01, 2012 - Drug-related incidents occurring during the 45 day period following SNF discharge were considered relevant … Drug-related incidents occurring during the course of the SNF stay or the previous hospital stay were

4076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33708/psn-pdf
      March 01, 2011 - So there is a handoff occurring at discharge, and I often think just like you would communicate and

4077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33692/psn-pdf
      February 01, 2010 - Handoffs are occurring at multiple levels in the system at the same time.

4078. PEPTIC ULCER #11 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/peptic-ulcer-horizon-scan-high-impact-1312.pdf
      December 01, 2013 - from PN support.65 The prescribing information states that the most commonly reported adverse events occurring

4079. Refining Key Questions: Interactive Case Study Quiz
      effectivehealthcare.ahrq.gov/sites/default/files/rfviia.pptx
      May 01, 2010 - The Premier database includes information on 40 million annual hospitalizations occurring in 615 U.S. … The Premier database includes information on 40 million annual hospitalizations occurring in 615 U.S.

4080. Refining Key Questions: Interactive Case Study Quiz
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/rfviia.pptx
      May 01, 2010 - The Premier database includes information on 40 million annual hospitalizations occurring in 615 U.S. … The Premier database includes information on 40 million annual hospitalizations occurring in 615 U.S.