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Total Results: 4,038 records

Showing results for "occurs".

901. 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…

902. 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-…

903. 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-…

904. 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…

905. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40921/psn-pdf
     November 16, 2011 - Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events. November 16, 2011 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; October 2011. Report No. OEI-01-08-00590. https://psnet.ahrq.gov/issue/adverse-events-hospitals-medicares-response…

906. Pregnant With Danger | PSNet
     psnet.ahrq.gov/web-mm/pregnant-danger
     January 12, 2011 - intimal tear originating within 2 cm of the aortic valve in 75% of cases.( 7 ) The aortic tear commonly occurs

907. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49420/psn-pdf
     October 01, 2003 - To LP or Not LP October 1, 2003 Landrigan CP. To LP or Not LP. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/lp-or-not-lp The Case A 4-month-old male infant was seen in the office setting of a large multisite practice. He presented with fever and irritability without an obvious source. He was referred to …

908. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49387/psn-pdf
     February 01, 2003 - Patient Mix-Up February 1, 2003 Shojania KG. Patient Mix-Up. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/patient-mix The Case Joe Smith [not his real name], a 42-year-old man with nausea and vomiting for 4 days, was on the general medical service at an academic medical center. Overnight, another man wit…

909. 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

910. 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

911. 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…

912. 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…

913. 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…

914. 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…

915. 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…

916. 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…

917. 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…

918. 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…

919. 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…

920. 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…