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Total Results: 4,038 records

Showing results for "occurs".

3901. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2022-05/final_cme_reviewed_-_spotlight_missing_a_large_vessel_occlusion_stroke_04.14.2022_-_copy.pdf
      January 01, 2022 - Spotlight Spotlight Missing a Large Vessel Occlusion Stroke in a Patient with a History of Seizures Source and Credits • This presentation is based on the May 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit is available o Commentary by: Kevin Keenan, MD and D…

3902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857258/psn-pdf
      November 30, 2023 - Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon November 30, 2023 Bohringer C, Ashley S. Always Check the Muscle Twitch: Residual Neuromuscular Block After Removal of a Gastric Balloon. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/always-check-muscle-twitch-…

3903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49657/psn-pdf
      July 01, 2012 - Not-So-Therapeutic Tap July 1, 2012 Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap Case Objectives Describe current issues with training clinicians to perform procedures. Understand how simulation can be used to ensure trainees are competent in proc…

3904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49491/psn-pdf
      September 01, 2005 - Time of Death? September 1, 2005 Taekman JM, Wright MC. Time of Death? PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/time-death The Case An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease (COPD), was found pulseless and cyanotic in her hospital bed. A code was ca…

3905. But See the Patient First | PSNet
      psnet.ahrq.gov/web-mm/see-patient-first
      September 27, 2023 - But See the Patient First Citation Text: Sinigayan VR. But See the Patient First. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

3906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - In Conversation with...Steven J. Spear, DBA, MS, MS August 1, 2009 In Conversation with..Steven J. Spear, DBA, MS, MS . PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms Editor's note: Steven Spear, DBA, MS, MS, is Senior Lecturer at Massachusetts Institute of Tech…

3907. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49843/psn-pdf
      October 01, 2018 - Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis October 1, 2018 Kuye I, Rhee C. Spotlight: Overdiagnosis and Delay: Challenges in Sepsis Diagnosis. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/spotlight-overdiagnosis-and-delay-challenges-sepsis-diagnosis Case Objectives Realize the im…

3908. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49422/psn-pdf
      November 01, 2003 - effectiveness of the confirmation process and lessens the likelihood that effective communication occurs

3909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49725/psn-pdf
      January 01, 2015 - checklists (it's a change, a possible slight increase in time and effort, a bureaucratic exercise, etc.) occurs—until

3910. 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…

3911. 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…

3912. 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…

3913. 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…

3914. 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…

3915. 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…

3916. 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…

3917. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36200/psn-pdf
      February 15, 2011 - Choosing your words carefully: how physicians would disclose harmful medical errors to patients. February 15, 2011 Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Arch Intern Med. 2006;166(15):1585-1593. https://psnet.ahr…

3918. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46302/psn-pdf
      December 22, 2017 - Non–health care facility medication errors resulting in serious medical outcomes. December 22, 2017 Hodges NL, Spiller HA, Casavant MJ, et al. Non-health care facility medication errors resulting in serious medical outcomes. Clin Toxicol (Phila). 2018;56(1):43-50. doi:10.1080/15563650.2017.1337908. https://psnet.a…

3919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41522/psn-pdf
      December 02, 2014 - Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. December 2, 2014 Doherty C, Donnell CM. Tenfold medication errors: 5 years' experience at a university-affiliated pediatric hospital. Pediatrics. 2012;129(5):916-924. doi:10.1542/peds.2011-2526. https://psnet.ahrq.gov/iss…

3920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40819/psn-pdf
      January 07, 2015 - Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation. January 7, 2015 Merry A, Webster CS, Hannam J, et al. Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective ran…