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Total Results: 4,038 records

Showing results for "occurs".

461. 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…

462. 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…

463. 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…

464. 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…

465. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? | PSNet
     psnet.ahrq.gov/issue/wrong-sidewrong-site-wrong-procedure-and-wrong-patient-adverse-events-are-they-preventable
     February 24, 2011 - Study Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: are they preventable? Citation Text: Seiden SC, Barach P. Wrong-side/wrong-site, wrong-procedure, and wrong-patient adverse events: Are they preventable? Arch Surg. 2006;141(9):931-9. Copy Citation Fo…

466. 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…

467. 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…

468. 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…

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49726/psn-pdf
     March 01, 2015 - Wrong-level exposure occurs when a level other than the intended level of surgery is exposed; however

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33628/psn-pdf
     February 01, 2006 - narcissism as it pertains to patient safety the inability to recognize or acknowledge an error when it occurs

471. A Room Without Orders | PSNet
     psnet.ahrq.gov/web-mm/room-without-orders
     September 01, 2011 - Kalish and colleagues ( 5 ) found missed nursing care occurs frequently among staff nurses.

472. 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-…

473. 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…

474. 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…

475. 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-…

476. The Forgotten Turn | PSNet
     psnet.ahrq.gov/web-mm/forgotten-turn
     August 01, 2018 - ulcers, when they should also be used for high-risk individuals on the "'front end"— before an ulcer occurs

477. 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…

478. 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-…

479. 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-…

480. 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…