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Total Results: over 10,000 records

Showing results for "outcome".

9641. Turn the Other Cheek | PSNet
      psnet.ahrq.gov/web-mm/turn-other-cheek
      October 26, 2010 - Outcome of 6 years of protocol use for preventing wrong site office surgery. … February 10, 2012 Outcome of 6 years of protocol use for preventing wrong site office … August 2, 2015 Outcome of 6 years of protocol use for preventing wrong site office surgery

9642. Refused Medication Error | PSNet
      psnet.ahrq.gov/web-mm/refused-medication-error
      November 01, 2005 - is problematic on many levels, this commentary focuses on the three likely causes of the unfortunate outcome … transfer can be discussed and improved upon.( 11 ) Several best practices might have led to a different outcome … overcome those barriers to effectively communicate.( 7 ) Such practices might have led to a better outcome

9643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - studies cite practitioner communication skills as a factor in malpractice.(1,2) Furthermore, the tragic outcome … /psnet.ahrq.gov/web-mm/hard-swallow https://psnet.ahrq.gov//#references were made NPO pending the outcome … clinicians at the time, could have led to follow-up actions to mitigate or avert an adverse patient outcome

9644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49833/psn-pdf
      June 01, 2018 - challenges us to review potential system and cognitive factors that could have contributed to this outcome … This case represents the treatment of a stroke mimic or misdiagnosis that contributed to an adverse outcome … Association of outcome with early stroke treatment: pooled analysis of ATLANTIS, ECASS, and NINDS rt-PA

9645. Ohio Patient Safety Institute. | PSNet
      psnet.ahrq.gov/issue/ohio-patient-safety-institute-opsi
      January 08, 2020 - Multi-use Website Ohio Patient Safety Institute. Citation Text: Ohio Hospital Association, 155 East Broad St, Suite 301, Columbus, OH 43215-3620.  Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin …

9646. Patient Engagement in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-engagement-safety
      January 01, 2018 - Annual Perspective Patient Engagement in Safety Rachel J. Stern, MD, and Urmimala Sarkar, MD | January 1, 2017  View more articles from the same authors. Citation Text: Stern RJ, Sarkar U. Patient Engagement in Safety. PSNet [internet]. Rockville (MD): Agency…

9647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866847/psn-pdf
      September 25, 2024 - In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 25, 2024 Stockmeier CA, Mossburg S, Lee M. In Conversation with Carole Stockmeier about Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Are…

9648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33761/psn-pdf
      February 01, 2014 - Interruptions and Distractions in Health Care: Improved Safety With Mindfulness February 1, 2014 Beyea SC. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness. PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulne…

9649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49773/psn-pdf
      July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…

9650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73146/psn-pdf
      April 28, 2021 - Patient Safety in Home Dialysis April 28, 2021 Morfín JA, Fitall E, Hall KK, et al. Patient Safety in Home Dialysis. PSNet [internet]. 2021. https://psnet.ahrq.gov/perspective/patient-safety-home-dialysis Dialysis Care and Patient Safety Concerns In patients with chronic kidney disease, kidney function declines ov…

9651. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
      March 01, 2007 - The Soil, Not the Seed: The Real Problem with Root Cause Analysis Patrice Spath, BA, RHIT, and William Minogue, MD | July 1, 2008  View more articles from the same authors. Citation Text: Spath P, Minogue W. The Soil, Not the Seed: The Real Problem with Root Cause …

9652. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
      February 26, 2025 - New Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …

9653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867427/psn-pdf
      December 18, 2024 - The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls Falls are not a new issue, especially among older adults. The Centers for D…

9654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33681/psn-pdf
      March 01, 2009 - The Role of Health Literacy in Patient Safety March 1, 2009 Wolf MS, Bailey SC. The Role of Health Literacy in Patient Safety. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/role-health-literacy-patient-safety Perspective Clear health communication is increasingly recognized as essential for promoting …

9655. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.284_slideshow.ppt
      November 01, 2012 - Spotlight Case July 2008 Spotlight Case Transfusion Overload 1 2 Source and Credits This presentation is based on the November 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Manish S. Patel, MD, and Jeffrey L. Carson, MD, of UMDNJ−Robert Wood …

9656. Testing a classification model for emergency department errors. | PSNet
      psnet.ahrq.gov/issue/testing-classification-model-emergency-department-errors
      March 02, 2010 - October 26, 2010 EMS helicopter crashes: what influences fatal outcome?

9657. A leadership challenge: staff nurse perceptions after an organizational TeamSTEPPS initiative. | PSNet
      psnet.ahrq.gov/issue/leadership-challenge-staff-nurse-perceptions-after-organizational-teamstepps-initiative
      May 11, 2016 - May 11, 2016 A human factors intervention in a hospital--evaluating the outcome of a

9658. Did hospital engagement networks actually improve care? | PSNet
      psnet.ahrq.gov/issue/did-hospital-engagement-networks-actually-improve-care
      July 18, 2016 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome

9659. Systems Analysis of Critical Incidents: the London Protocol. | PSNet
      psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
      April 06, 2016 - June 28, 2017 Improving the Measurement of Surgical Site Infection Risk Stratification/Outcome

9660. Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events. | PSNet
      psnet.ahrq.gov/issue/safety-inpatient-pediatric-otolaryngology-service-many-small-errors-few-adverse-events
      October 27, 2010 - surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome