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Total Results: 4,038 records

Showing results for "occurs".

441. Urine a Tough Position | PSNet
     psnet.ahrq.gov/web-mm/urine-tough-position
     January 01, 2009 - Urine a Tough Position Citation Text: Gandhi TK. Urine a Tough Position. 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 EndNote 7 XML Endnote tagged PubMe…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49395/psn-pdf
     April 01, 2003 - Medication Overdose April 1, 2003 Kaushal R. Medication Overdose. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/medication-overdose The Case A 15-year-old boy with end-stage AIDS was admitted to the pediatric ICU with mental status changes. He was diagnosed with status epilepticus and started on a loading…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49625/psn-pdf
     May 01, 2011 - Pocket Syringe Swap May 1, 2011 Kulli JC. Pocket Syringe Swap. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/pocket-syringe-swap The Case A 58-year-old man, scheduled for aortoiliac artery bypass graft, had an epidural catheter placed for postoperative pain management. Surgery proceeded uneventfully under…

444. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-11/spotlight_case_neurological_red_flags_final.pptx
     January 01, 2024 - aortic dissection; however, a patient with intermittent episodes of “sharp tearing” chest pain that only occurs … A fourth category not covered in this table, the chronic vestibular syndrome, also occurs and is more

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49615/psn-pdf
     December 01, 2010 - ulcers, when they should also be used for high-risk individuals on the "'front end"—before an ulcer occurs

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61037/psn-pdf
     January 01, 2021 - What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020 Sharma AE, Yang J, Del Rosario JB, et al. What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. Jt Comm J Qual Patie…

447. 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…

448. 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…

449. 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…

450. 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…

451. 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…

452. 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…

453. Spotlight
     psnet.ahrq.gov/sites/default/files/2024-05/spotlight_case_stable_airway_slides_final.pptx
     January 01, 2024 - Spotlight Spotlight A Stable Airway? Fatal Airway Occlusion After Inadequate Post-Tracheostomy Care 1 Source and Credits This presentation is based on the May 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Elizabeth Gould, NP-C, COR…

454. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
     psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
     April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide. Citation Text: Soncrant C, Neily J, Sum-Ping SJT, et al. Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. J Patient Saf. 2021;17(4):e343-e349. doi:10.1097/PTS.000000000000…

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60977/psn-pdf
     January 08, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication The Case A 65-year-old woman co…

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/855057/psn-pdf
     October 31, 2023 - in hospitals were from patients and families toward healthcare workers.8 Horizontal violence that occurs

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49482/psn-pdf
     May 01, 2005 - intimal tear originating within 2 cm of the aortic valve in 75% of cases.( 7) The aortic tear commonly occurs

458. Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery | PSNet
     psnet.ahrq.gov/primer/wrong-site-wrong-procedure-and-wrong-patient-surgery
     September 15, 2024 - Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery Citation Text: Wrong-Site, Wrong-Procedure, and Wrong-Patient Surgery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar Bib…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/612828/psn-pdf
     February 23, 2022 - Delayed Diagnosis of Kidney Transplant Complications February 23, 2022 Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications Objectives Recognition, early evaluation, and management of kidney …

460. 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…