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Total Results: 4,038 records

Showing results for "occurs".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74754/psn-pdf
    February 09, 2022 - Adverse events during intrahospital transport of critically ill patients: a systematic review and meta-analysis. February 9, 2022 Murata M, Nakagawa N, Kawasaki T, et al. Adverse events during intrahospital transport of critically ill patients: A systematic review and meta-analysis. Am J Emerg Med. 2022;52:13-19. …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73168/psn-pdf
    April 21, 2021 - Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. April 21, 2021 Thomas AN, Balmforth JE. Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017. J Patient Saf. 2021;17(2):e71-e75. doi:10.1097/pts.0…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855098/psn-pdf
    November 08, 2023 - Innovative approaches to analysing aged care falls incident data: International Classification for Patient Safety and correspondence analysis. November 8, 2023 Seaman K, Meulenbroeks I, Nguyen A, et al. Innovative approaches to analysing aged care falls incident data: international classification for patient safet…

  4. Right? Left? Neither! | PSNet

    psnet.ahrq.gov/web-mm/right-left-neither
    November 16, 2022 - SPOTLIGHT CASE Right? Left? Neither! Citation Text: Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XM…

  5. Economic analysis of the prevalence and clinical and economic burden of medication error in England. | PSNet

    psnet.ahrq.gov/issue/economic-analysis-prevalence-and-clinical-and-economic-burden-medication-error-england
    April 17, 2024 - Study Economic analysis of the prevalence and clinical and economic burden of medication error in England. Citation Text: Elliott RA, Camacho E, Jankovic D, et al. Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Qual Saf. 2021;30(2…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867676/psn-pdf
    February 26, 2025 - Responding to Patient Safety Events February 26, 2025 Shaikh U. Responding to Patient Safety Events. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/responding-patient-safety-events Background Patient safety events that occur in health care facilities require prompt action to ensure that further harm is mit…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49421/psn-pdf
    October 01, 2003 - Urine a Tough Position October 1, 2003 Gandhi TK. Urine a Tough Position. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/urine-tough-position The Case A 22-year-old unmarried woman came to her doctor’s office worried that she might be pregnant. Although she did not want to have a baby at that time, she sta…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33586/psn-pdf
    December 15, 2024 - This phenomenon occurs because of the sheer number of alerts, and it is compounded by the fact that

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841141/psn-pdf
    December 07, 2022 - Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and need for systems improvement. December 7, 2022 Pagani K, Lukac D, Olbricht SM, et al. Urgent referrals from primary care to dermatology for lesions suspicious for skin cancer: patterns, outcomes, and n…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60030/psn-pdf
    March 11, 2020 - Soft factors, smooth transport? The role of safety climate and team processes in reducing adverse events during intrahospital transport in intensive care. March 11, 2020 Latzke M, Schiffinger M, Zellhofer D, et al. Soft Factors, Smooth Transport? The role of safety climate and team processes in reducing adverse ev…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72820/psn-pdf
    March 10, 2021 - Medication errors related to computerized provider order entry systems in hospitals and how they change over time: a narrative review. March 10, 2021 Kinlay M, Zheng WY, Burke R, et al. Medication errors related to computerized provider order entry systems in hospitals and how they change over time: A narrative re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74134/psn-pdf
    December 01, 2021 - Remember that patient you saw last week: characteristics and frequency of patients experiencing anticipated and unanticipated death following ED discharge. December 1, 2021 Hoang R, Sampsel K, Willmore A, et al. Remember that patient you saw last week: characteristics and frequency of patients experiencing anticip…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50750/psn-pdf
    January 01, 2020 - Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. December 18, 2019 Sanduende-Otero Y, Villalón-Coca J, Romero-García E, et al. Patterns in medication incidents: A 10-yr experience of a cross-national anaesthesia incident reporting system. Br J Anaesth. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850933/psn-pdf
    June 21, 2023 - The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. June 21, 2023 Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 2023;12(02):125-130. doi:10.1055/s-00…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853773/psn-pdf
    September 27, 2023 - https://psnet.ahrq.gov//#7 https://psnet.ahrq.gov/primer/handoffs-and-signouts After a “never event” occurs

  17. Buprenorphine and the Medically Ill Patient | PSNet

    psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
    August 20, 2018 - treatment of hypertension that is also used to suppress some symptoms related to adrenergic excess that occurs

  18. Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. | PSNet

    psnet.ahrq.gov/issue/do-falls-and-other-safety-issues-occur-more-often-during-handovers-when-nurses-are-away
    January 08, 2020 - Study Do falls and other safety issues occur more often during handovers when nurses are away from patients? Findings from a retrospective study design. Citation Text: Demaria J, Valent F, Danielis M, et al. Do falls and other safety issues occur more often during handovers when nurses a…

  19. Informed or Misled? | PSNet

    psnet.ahrq.gov/web-mm/informed-or-misled
    April 24, 2018 - place; it does not absolve the clinician or the hospital from potential liability if a complication occurs

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33778/psn-pdf
    March 01, 2015 - It also illustrates the augmentation of performance that occurs when clinicians shift from automatic
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