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Showing results for "processes".

  1. Dangerous Shift | PSNet

    psnet.ahrq.gov/web-mm/dangerous-shift
    July 24, 2013 - SPOTLIGHT CASE Dangerous Shift Citation Text: Patterson ES. Dangerous Shift. 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 Endno…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33720/psn-pdf
    November 01, 2011 - In Conversation With… Eduardo Salas, PhD November 1, 2011 In Conversation With… Eduardo Salas, PhD . PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/conversation-eduardo-salas-phd Editor's note: Eduardo Salas, PhD, is a University Trustee Chair and Pegasus Professor of Psychology at the University of Ce…

  3. Emergent Triage Miss | PSNet

    psnet.ahrq.gov/web-mm/emergent-triage-miss
    March 06, 2015 - Emergent Triage Miss Citation Text: Travers D. Emergent Triage Miss. 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 tagged PubMedId …

  4. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

  5. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? | PSNet

    psnet.ahrq.gov/web-mm/delayed-management-necrotizing-soft-tissue-infection-who-does-patient-belong
    March 31, 2021 - Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? Citation Text: Rinderknecht T, Utter GH. Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…

  6. Verbal Orders and Medication Overrides: A Dangerous Combination | PSNet

    psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
    September 27, 2023 - Verbal Orders and Medication Overrides: A Dangerous Combination Citation Text: Mueller C, MacDowell P, Bourgeois JA. Verbal Orders and Medication Overrides: A Dangerous Combination. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024…

  7. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet

    psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
    September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

  8. In Conversation With… Enrico Coiera, MB, BS, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-enrico-coiera-mb-bs-phd
    February 01, 2014 - Coiera has researched and written about clinical communication processes and information systems. … So let's put in handling strategies and processes that minimize their impact.

  9. 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. | PSNet

    psnet.ahrq.gov/issue/2024-network-patient-safety-databases-chartbook-medication-and-other-substance-events
    September 11, 2024 - Book/Report 2024 Network of Patient Safety Databases Chartbook: Medication and Other Substance Events. Citation Text: 2024 Network Of Patient Safety Databases Chartbook: Medication And Other Substance Events. Rockville, MD: Agency for Healthcare Research and Quality; 2024. AHRQ Pub. No. …

  10. Flying blind. | PSNet

    psnet.ahrq.gov/issue/flying-blind
    January 18, 2023 - Newspaper/Magazine Article Flying blind. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL April 29, 2009 View more articles from the same authors. This article explores how inf…

  11. ASHP statement on the role of the medication safety leader. | PSNet

    psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
    June 16, 2019 - Organizational Policy/Guidelines ASHP statement on the role of the medication safety leader. Citation Text: ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-312. doi:10.1093/ajhp/zxz292. Copy Citation Format: DOI Google Sc…

  12. Safer Clinical Systems. | PSNet

    psnet.ahrq.gov/issue/safer-clinical-systems
    December 04, 2015 - Multi-use Website Safer Clinical Systems. Citation Text: Safer Clinical Systems. London, UK: Health Foundation. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  13. Anesthesia Awareness Registry. | PSNet

    psnet.ahrq.gov/issue/anesthesia-awareness-registry
    May 24, 2015 - Multi-use Website Anesthesia Awareness Registry. Citation Text: Anesthesia Awareness Registry. American Society of Anesthesiologists, University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836843/psn-pdf
    April 07, 2022 - eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. April 7, 2022 Geva A, Albert BD, Hamilton S, et al. eSIMPLER: a dynamic, electronic health record-integrated checklist for clinical decision support during PICU daily rounds. Pediatr Crit Care…

  15. 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety. | PSNet

    psnet.ahrq.gov/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
    June 16, 2019 - Meeting/Conference Proceedings 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: Improving patient care and medication safety. Citation Text: 2004 ASHP Leadership Conference on Pharmacy Practice Management Executive Summary: improving patient care and m…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852270/psn-pdf
    August 09, 2023 - Final Report on Prioritization of Patient Safety Practices for a New Rapid Review or Rapid Response. Making Healthcare Safer IV Series. August 9, 2023 Rosen M, Dy SM, Stewart CM, et al. Making Healthcare Safer IV Series.  Rockville, MD: Agency for Healthcare Research and Quality; July 2023. AHRQ Publication n…

  17. Wrong site surgery: a critical incident analysis of a near miss. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgery-critical-incident-analysis-near-miss
    June 15, 2024 - Commentary Wrong site surgery: a critical incident analysis of a near miss. Citation Text: Tichanow S. Wrong site surgery: A critical incident analysis of a near miss. J Perioper Pract. 2016;26(1-2):11-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML End…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43959/psn-pdf
    September 01, 2016 - Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward. September 1, 2016 DiPoto JP, Buckley MS, Kane-Gill SL. Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive …

  19. Are patients in part to blame when doctors miss the diagnosis? | PSNet

    psnet.ahrq.gov/issue/are-patients-part-blame-when-doctors-miss-diagnosis
    May 01, 2013 - Newspaper/Magazine Article Are patients in part to blame when doctors miss the diagnosis? Citation Text: Are patients in part to blame when doctors miss the diagnosis? Chen PW Copy Citation Save Save to your library Print Download PDF Share …

  20. For second opinion, consult a computer? | PSNet

    psnet.ahrq.gov/issue/second-opinion-consult-computer
    June 03, 2020 - Newspaper/Magazine Article For second opinion, consult a computer? Citation Text: For second opinion, consult a computer? Hafner K. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …
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