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Total Results: 4,038 records

Showing results for "occurs".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49514/psn-pdf
     July 01, 2006 - thiazide Salt substitutes   Succinylcholine   Trimethoprim Amiloride-like effect on distal tubule; occurs

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867805/psn-pdf
     February 26, 2025 - When a fall occurs, the nurse has to do a report. … to ensure (1) that the ordering physician is aware and (2) that the appropriate follow-up actually occurs

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40745/psn-pdf
     September 07, 2011 - A prospective observational study of physician handoff for intensive-care-unit-to-ward patient transfers. September 7, 2011 Li P, Stelfox HT, Ghali WA. A Prospective Observational Study of Physician Handoff for Intensive-Care- Unit-to-Ward Patient Transfers. Am J Med. 2011;124(9). doi:10.1016/j.amjmed.2011.04.027. …

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47502/psn-pdf
     June 02, 2019 - Failure to debrief after critical events in anesthesia is associated with failures in communication during the event. June 2, 2019 Arriaga AF, Sweeney RE, Clapp JT, et al. Failure to Debrief after Critical Events in Anesthesia Is Associated with Failures in Communication during the Event. Anesthesiology. 2019;130(…

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33603/psn-pdf
     September 15, 2024 - NHSN) defines a surgical site infection (SSI) as an infection related to an operative procedure that occurs

406. Heed this warning! Don't miss important computer alerts. | PSNet
     psnet.ahrq.gov/issue/heed-warning-dont-miss-important-computer-alerts
     May 07, 2018 - Newspaper/Magazine Article Heed this warning! Don't miss important computer alerts. Citation Text: Heed this warning! Don't miss important computer alerts. ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2. Copy Citation Save Save to your l…

407. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
     psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
     March 23, 2022 - Study Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. Citation Text: LaGrone LN, McIntyre LK, Riggle A, et al. Changes in error patterns in unanticipated trauma deaths during 20 years: In pursuit of zero preventable deaths.…

408. Enteral nutrition: an underappreciated source of patient safety events. | PSNet
     psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
     February 01, 2023 - Study Enteral nutrition: an underappreciated source of patient safety events. Citation Text: Citty SW, Chew M, Hiller LD, et al. Enteral nutrition: an underappreciated source of patient safety events. Nutr Clin Prac. 2024;39(4):784-799. doi:10.1002/ncp.11153. Copy Citation Format: …

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34779/psn-pdf
     December 21, 2014 - Measuring and managing quality of surgery. Statistical vs incidental approaches. December 21, 2014 McGuire HH, Horsley JS, Salter DR, et al. Measuring and managing quality of surgery. Statistical vs incidental approaches. Arch Surg. 1992;127(6):733-7; discussion 738. https://psnet.ahrq.gov/issue/measuring-and-mana…

410. Spotlight Case July 2008 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
     May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33592/psn-pdf
     December 15, 2024 - Adverse Events, Near Misses, and Errors December 15, 2024 Adverse Events, Near Misses, and Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/adverse-events-near-misses-and-errors PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current re…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34784/psn-pdf
     June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37309/psn-pdf
     January 05, 2012 - Adverse drug events in hospitalized cardiac patients. January 5, 2012 Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9. https://psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients This study noted two adverse drug event…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44001/psn-pdf
     May 06, 2015 - Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. May 6, 2015 Hudson ME, Chelly JE, Lichter JR. Wrong-site nerve blocks: 10 yr experience in a large multihospital health-care system. Br J Anaesth. 2015;114(5):818-24. doi:10.1093/bja/aeu490. https://psnet.ahrq.gov/issue/wrong-si…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73109/psn-pdf
     April 07, 2021 - Common general surgical never events: analysis of NHS England never event data. April 7, 2021 Omar I, Singhal R, Wilson M, et al. Common general surgical never events: analysis of NHS England never event data. Int J Qual Health Care. 2021;33(1):mzab045. doi:10.1093/intqhc/mzab045. https://psnet.ahrq.gov/issue/comm…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74252/psn-pdf
     January 12, 2022 - Staffing, PPE [personal protective equipment], or when the event occurs, such as during the period of … I'm interested to see what occurs over the next two quarters and [in] which areas staff resume standard

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49845/psn-pdf
     October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne…

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49393/psn-pdf
     April 01, 2003 - Which End Is Which? April 1, 2003 Campbell AR. Which End Is Which? PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/which-end-which The Case A 39-year-old woman with chronic peri-anal fistulas and infected anal sinuses underwent laparoscopic diverting colostomy to divert her fecal stream and allow the perine…

419. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. | PSNet
     psnet.ahrq.gov/issue/medication-safety-emergency-department-study-serious-medication-errors-reported-101-hospitals
     March 24, 2021 - Study Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020. Citation Text: Kukielka E, Jones R. Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 20…

420. How to Identify and Manage Problem Behaviors | PSNet
     psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
     December 01, 2009 - If the event occurs, addressing it in real time is essential to prevent a negative downstream effect. … The problem is that when an event occurs, does it represent an anomaly or just one more event that identifies