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Showing results for "occurs".

1161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44599/psn-pdf
      December 09, 2015 - Association between day of delivery and obstetric outcomes: observational study. December 9, 2015 Palmer WL, Bottle A, Aylin P. Association between day of delivery and obstetric outcomes: observational study. BMJ. 2015;351:h5774. doi:10.1136/bmj.h5774. https://psnet.ahrq.gov/issue/association-between-day-delivery-…

1162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36784/psn-pdf
      February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…

1163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43799/psn-pdf
      January 07, 2015 - Omission of high-alert medications: a hidden danger. January 7, 2015 Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155. https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 med…

1164. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34656/psn-pdf
      May 27, 2011 - A look into the nature and causes of human errors in the intensive care unit. May 27, 2011 Donchin Y, Gopher D, Olin M, et al. A look into the nature and causes of human errors in the intensive care unit. Crit Care Med. 1995;23(2):294-300. https://psnet.ahrq.gov/issue/look-nature-and-causes-human-errors-intensive-…

1165. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49420/psn-pdf
      October 01, 2003 - To LP or Not LP October 1, 2003 Landrigan CP. To LP or Not LP. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lp-or-not-lp The Case A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with fever and irritability without an obvious source. He was referred to …

1166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49387/psn-pdf
      February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…

1167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38758/psn-pdf
      July 08, 2009 - An international review of patient safety measures in radiotherapy practice. July 8, 2009 Shafiq J, Barton M, Noble DJ, et al. An international review of patient safety measures in radiotherapy practice. Radiother Oncol. 2009;92(1):15-21. doi:10.1016/j.radonc.2009.03.007. https://psnet.ahrq.gov/issue/international…

1168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44767/psn-pdf
      January 20, 2016 - "What's psychology got to do with it?" Applying psychological theory to understanding failures in modern healthcare settings. January 20, 2016 Rydon-Grange M. 'What's Psychology got to do with it?' Applying psychological theory to understanding failures in modern healthcare settings. J Med Ethics. 2015;41(11):880-…

1169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40921/psn-pdf
      November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…

1170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47291/psn-pdf
      October 31, 2018 - Incidence and method of suicide in hospitals in the United States. October 31, 2018 Williams SC, Schmaltz SP, Castro GM, et al. Incidence and Method of Suicide in Hospitals in the United States. Jt Comm J Qual Patient Saf. 2018;44(11):643-650. doi:10.1016/j.jcjq.2018.08.002. https://psnet.ahrq.gov/issue/incidence-…

1171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37648/psn-pdf
      January 12, 2012 - Office surgery incidents: what seven years of Florida data show us. January 12, 2012 Coldiron BM, Healy C, Bene NI. Office surgery incidents: what seven years of Florida data show us. Dermatol Surg. 2008;34(3):285-91; discussion 291-2. doi:10.1111/j.1524-4725.2007.34060.x. https://psnet.ahrq.gov/issue/office-surge…

1172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49702/psn-pdf
      March 01, 2014 - When a pattern of several misdiagnoses or related safety or quality issues occurs, the Professional

1173. Pocket Syringe Swap | PSNet
      psnet.ahrq.gov/web-mm/pocket-syringe-swap
      July 01, 2006 - Pocket Syringe Swap Citation Text: Kulli JC. Pocket Syringe Swap. 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 XML Endnote tagged PubMedId RIS…

1174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39402/psn-pdf
      August 08, 2010 - The quest to eliminate intrathecal vincristine errors: a 40- year journey. August 8, 2010 Noble DJ, Donaldson LJ. The quest to eliminate intrathecal vincristine errors: a 40-year journey. Qual Saf Health Care. 2010;19(4):323-326. doi:10.1136/qshc.2008.030874. https://psnet.ahrq.gov/issue/quest-eliminate-intratheca…

1175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37499/psn-pdf
      January 10, 2017 - Medicare's decision to withhold payment for hospital errors: the devil is in the details. January 10, 2017 Wachter R, Foster NE, Dudley A. Medicare's decision to withhold payment for hospital errors: the devil is in the det. Jt Comm J Qual Patient Saf. 2008;34(2):116-23. https://psnet.ahrq.gov/issue/medicares-deci…

1176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37446/psn-pdf
      January 06, 2017 - How useful are voluntary medication error reports? The case of warfarin-related medication errors. January 6, 2017 Zhan C, Smith SR, Keyes MA, et al. How useful are voluntary medication error reports? The case of warfarin-related medication errors. Jt Comm J Qual Patient Saf. 2008;34(1):36-45. https://psnet.ahrq.g…

1177. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38675/psn-pdf
      February 15, 2011 - Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study. February 15, 2011 Singh H, Mani S, Espadas D, et al. Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospecti…

1178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39193/psn-pdf
      April 21, 2011 - Disclosing harmful mammography errors to patients. April 21, 2011 Gallagher TH, Cook AJ, Brenner RJ, et al. Disclosing Harmful Mammography Errors to Patients. Radiology. 2009;253(2). doi:10.1148/radiol.2532082320. https://psnet.ahrq.gov/issue/disclosing-harmful-mammography-errors-patients Disclosing errors to pati…

1179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35927/psn-pdf
      February 17, 2011 - Claims, errors, and compensation payments in medical malpractice litigation. February 17, 2011 Studdert DM, Mello MM, Gawande AA, et al. Claims, errors, and compensation payments in medical malpractice litigation. N Engl J Med. 2006;354(19):2024-33. https://psnet.ahrq.gov/issue/claims-errors-and-compensation-payme…

1180. Coming Up Short: Maintaining Safety in the Face of Drug Shortages | PSNet
      psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages
      November 01, 2012 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages Citation Text: Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation …