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Showing results for "organizations".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33580/psn-pdf
    April 01, 2022 - This rating system gives each organization (e.g., hospital or nursing home) a star score from 1 to 5

  2. Bad Writing, Wrong Medication | PSNet

    psnet.ahrq.gov/web-mm/bad-writing-wrong-medication
    March 01, 2015 - have been multifactorial and have involved many processes, more than one line of responsibility, and organization-wide

  3. Microsoft PowerPoint - FINAL Spotlight Case_Under Pressure.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2023-06/under_pressure.pdf
    January 01, 2023 - Some brands use Jackson sizing and others use International Sizing Organization (ISO) standards.

  4. Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-and-treatment-occult-hemothorax-following-complicated-central-line
    April 01, 2008 - December 14, 2022 Factors causing variation in World Health Organization surgical

  5. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/aviation-medicine-applying-concepts-aviation-safety-risk-management-ambulatory-care
    June 03, 2020 - Study From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Citation Text: Wilf-Miron R, Lewenhoff I, Benyamini Z, et al. From aviation to medicine: applying concepts of aviation safety to risk management in ambulatory care. Qual Saf Hea…

  6. "Free lessons" in aviation safety. | PSNet

    psnet.ahrq.gov/issue/free-lessons-aviation-safety
    October 19, 2022 - Commentary "Free lessons" in aviation safety. Citation Text: Rose A. “Free lessons” in aviation safety. Aircraft Engineering and Aerospace Technology. 2006;76(5). doi:10.1108/00022660410555130. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML E…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846770/psn-pdf
    March 29, 2023 - Procedure Complications – Who is Responsible for Follow up? March 29, 2023 Chalupsky M, Wei H, Marquet E. Procedure Complications – Who is Responsible for Follow up? PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow The Case A 74-year-old man with newly diagnose…

  8. "Recurrent" Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - "Recurrent" Appendicitis Citation Text: Greenberg CC. "Recurrent" Appendicitis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  9. Unexpected Drawbacks of Electronic Order Sets | PSNet

    psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
    December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets Citation Text: McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX …

  10. A Seasonal Care Transition Failure | PSNet

    psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
    June 01, 2016 - A Seasonal Care Transition Failure Citation Text: Young JQ. A Seasonal Care Transition Failure. 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 X…

  11. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules | PSNet

    psnet.ahrq.gov/web-mm/unintentional-ketamine-overdose-operating-room-mixing-ampules
    March 25, 2020 - Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules Citation Text: Bohringer C. Unintentional Ketamine Overdose in the Operating Room – Mixing Up the Ampules. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  12. The Wrongful Resuscitation | PSNet

    psnet.ahrq.gov/web-mm/wrongful-resuscitation
    October 12, 2012 - The Wrongful Resuscitation Citation Text: Teno JM. The Wrongful Resuscitation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

  13. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfer Troubles 1 2 Source and Credits This presentation is based on the June 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Isla M. Hains, PhD; Centre for Health Systems and Safety Research, Australia…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865984/psn-pdf
    May 29, 2024 - Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D-dimer. May 29, 2024 Agusala V, Deen J, Schaefer S. Fatal Oversight: Misdiagnosis of Nocturnal Chest Pain with Elevated D- dimer. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-d…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49848/psn-pdf
    January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49677/psn-pdf
    February 01, 2013 - CVC Placement: Speak Now or Do Not Use the Line February 1, 2013 Ault M, Rosen B. CVC Placement: Speak Now or Do Not Use the Line. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/cvc-placement-speak-now-or-do-not-use-line The Case A 48-year-old woman with a history of hypertension, psychiatric illness, and a…

  17. Don't Pick the PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-pick-picc
    December 01, 2011 - Don't Pick the PICC Citation Text: McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33656/psn-pdf
    September 01, 2007 - In Conversation with...Atul Gawande, MD, MA, MPH September 1, 2007 In Conversation with..Atul Gawande, MD, MA, MPH. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withatul-gawande-md-ma-mph Editor's Note: Atul Gawande, MD, MA, MPH, Associate Professor of Surgery at Harvard Medical School a…

  19. Wrong Turn through Colon: Misplaced PEG | PSNet

    psnet.ahrq.gov/web-mm/wrong-turn-through-colon-misplaced-peg
    May 01, 2017 - Wrong Turn through Colon: Misplaced PEG Citation Text: Sorokin R, Conn M. Wrong Turn through Colon: Misplaced PEG. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote…

  20. Pathologic Mistake | PSNet

    psnet.ahrq.gov/web-mm/pathologic-mistake
    February 15, 2010 - Pathologic Mistake Citation Text: Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…
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