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Total Results: 3,911 records

Showing results for "reason".

3281. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-282
      March 15, 2021 - Study Prescribers' perspectives on including reason for use information on prescriptions

3282. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-319
      November 30, 2021 - problems were exacerbations of preexisting conditions rather than problems stemming from the primary reason

3283. The Duke Pediatric Residency Safety Council | PSNet
      psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
      November 16, 2022 - pediatric and medicine-pediatric residents. 9 The council’s past and current leaders say that the primary reason

3284. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74713/psn-pdf
      January 26, 2022 - determinants of health such as social support system when deploying pain management strategies.19 For this reason

3285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50611/psn-pdf
      October 30, 2019 - Incorporating indications into medication ordering—time to enter the age of reason.

3286. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49506/psn-pdf
      March 01, 2006 - department or elsewhere in the hospital wishes to have an attending radiologist's review for whatever reason

3287. Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. | PSNet
      psnet.ahrq.gov/web-mm/open-wider-failure-use-interpreter-results-fractured-teeth-and-hypoxia-during-simple
      January 29, 2021 - For this reason, the responsibility of obtaining such details falls on both the surgical and anesthesia

3288. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. | PSNet
      psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue
      October 28, 2020 - For this reason, secondary and tertiary AI result in only partial adrenal gland dysfunction.

3289. In Conversation with…Barbara A. Blakeney, MS, RN | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-blakeney-ms-rn
      August 01, 2005 - Part of the reason probably relates to leaders' perceptions of an intractable nurse shortage, which has

3290. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - This may reveal the nature and location of what James Reason refers to as "error traps" where errors

3291. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - It identified inadequate signout to the night float team as the primary reason why that team did not

3292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49684/psn-pdf
      May 01, 2013 - Reason JT, Carthey J, de Leval MR.

3293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/84413/psn-pdf
      February 23, 2022 - A Loss of Trust and a Missed Diagnosis February 23, 2022 Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counci…

3294. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - Safety In Dentistry Rachel Badovinac Ramoni, DMD, ScD; Muhammad Walji, PhD; and Elsbeth Kalenderian, DDS, MPH, PhD | August 1, 2016  Also Read a Conversation View more articles from the same authors. Citation Text: Ramoni R, Walji MF, Kalenderian E. Safety In De…

3295. Rss
      psnet.ahrq.gov/weekly-resource/rss.xml
      January 01, 2024 - PSNet PSNet PSNet Weekly Resource (Review) The role of AI in detecting and mitigating human errors in safety-critical industries: a review. Artificial intelligence (AI) and machine learning (ML) are being used and tested in numerous ways. This review highlights how they are being used to detect and mitigate human err…

3296. Missed Connection: A Case of Inadequate ECG Oversight in Cardiac Surgery | PSNet
      psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
      March 25, 2020 - For this reason, the clinicians in this case were trying to rapidly cardiovert the patient back to sinus

3297. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation | PSNet
      psnet.ahrq.gov/web-mm/agitated-delirium-contributes-missed-testing-and-delayed-diagnosis-gastric-perforation
      June 28, 2023 - SPOTLIGHT CASE Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation Citation Text: Trask J, Carlsen KM, Kuhn BT. Agitated Delirium Contributes to Missed Testing and Delayed Diagnosis of Gastric Perforation. PSNet [internet]. Rockville (MD): Agency for Healt…

3298. A Loss of Trust and a Missed Diagnosis | PSNet
      psnet.ahrq.gov/web-mm/loss-trust-and-missed-diagnosis
      October 31, 2023 - SPOTLIGHT CASE A Loss of Trust and a Missed Diagnosis Citation Text: Landefeld J, Teasdale S, Jain S. A Loss of Trust and a Missed Diagnosis. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format:…

3299. Retained Surgical Items: Causation and Prevention | PSNet
      psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
      January 04, 2024 - Applying the Reason “ Swiss cheese ” model of error propagation can be informative in understanding the

3300. Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery | PSNet
      psnet.ahrq.gov/web-mm/hurried-team-huddle-and-poor-communication-unsafe-practice-during-anesthesia-emergency
      September 27, 2023 - The reason for this patient’s unusually long duration of neuraxial anesthesia is unknown, but this uncommon