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Total Results: 3,911 records

Showing results for "reason".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33719/psn-pdf
    October 01, 2011 - The Context Is the Intervention October 1, 2011 Øvretveit J. The Context Is the Intervention. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/context-intervention Perspective Introduction What we say, do, and feel are facts. We live and work in groups, in a society, and are influenced by this context.…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49808/psn-pdf
    October 01, 2017 - High-Risk Medications, High-Risk Transfers October 1, 2017 Staggers N. High-Risk Medications, High-Risk Transfers. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers The Case A 47-year-old woman with history of primary pulmonary arterial hypertension (PAH) was admitted …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49502/psn-pdf
    February 01, 2006 - Deciphering the Code February 1, 2006 Goldstein MK. Deciphering the Code. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/deciphering-code The Case An 85-year-old man with advanced oxygen-dependent chronic obstructive pulmonary disease (COPD) presented to the emergency department (ED) with increasing shortn…

  4. Falling Between the Cracks in the Software | PSNet

    psnet.ahrq.gov/web-mm/falling-between-cracks-software
    March 09, 2011 - Falling Between the Cracks in the Software Citation Text: Adler-Milstein J. Falling Between the Cracks in the Software. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX En…

  5. DNR in the OR and Afterwards | PSNet

    psnet.ahrq.gov/web-mm/dnr-or-and-afterwards
    July 01, 2003 - DNR in the OR and Afterwards Citation Text: Lo B. DNR in the OR and Afterwards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49661/psn-pdf
    August 01, 2012 - Residual Anesthesia: Tepid Burn August 1, 2012 Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn The Case A 42-year-old Filipino man presented to an outpatient surgery center for scheduled repair of an anal fistula. The pat…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867652/psn-pdf
    February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…

  8. Individual Clinician Performance Issues | PSNet

    psnet.ahrq.gov/primer/individual-clinician-performance-issues
    March 15, 2025 - Individual Clinician Performance Issues Citation Text: Individual Clinician Performance Issues. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 X…

  9. The Weekend Effect | PSNet

    psnet.ahrq.gov/perspective/weekend-effect
    April 01, 2008 - Annual Perspective The Weekend Effect Sumant Ranji, MD | January 1, 2017  View more articles from the same authors. Citation Text: Ranji SR. The Weekend Effect. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Hea…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60167/psn-pdf
    April 12, 2024 - Discharge Planning and Transitions of Care March 25, 2020 Bajorek SA, McElroy V. Discharge Planning and Transitions of Care. PSNet [internet]. 2020. https://psnet.ahrq.gov/primer/discharge-planning-and-transitions-care Background Transitions of care refer to the movement of patients between different healthcare se…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33619/psn-pdf
    September 01, 2005 - In Conversation with…Carolyn Clancy, MD September 1, 2005 In Conversation with…Carolyn Clancy, MD. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/conversation-withcarolyn-clancy-md Editor's Note: Dr. Carolyn Clancy has been the Director of the Agency for Healthcare Research and Quality (AHRQ) since 200…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49430/psn-pdf
    January 01, 2004 - Triage Time Bomb January 1, 2004 Washington DL. Triage Time Bomb. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/triage-time-bomb The Case A parent presented with a child to the emergency department (ED) triage area (located around the corner and down the hall from the actual ED). The child was febrile, an…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49788/psn-pdf
    March 01, 2017 - Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention March 1, 2017 Nelson SD. Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist Intervention. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention The Case A 48-year…

  14. In Conversation With... José A, Morfín, MD, FASN | PSNet

    psnet.ahrq.gov/perspective/conversation-jose-morfin-md-fasn
    April 28, 2021 - you have more aggressive fluid removal than if you are doing it every day, which is really the major reason

  15. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
    May 01, 2007 - Reason JT. Human Error. New York, NY: Cambridge University Press; 1990. 7.

  16. In Conversation with...Joseph Britto, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
    February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007  Also Read an Essay Citation Text: In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007.In Conversation with...Joseph Britto, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research …

  17. Patient Safety in the United Kingdom: Evolution and Progress | PSNet

    psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
    May 01, 2007 - Reason JT. Human Error. New York, NY: Cambridge University Press; 1990. 7.

  18. In Conversation with...Dean Schillinger, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withdean-schillinger-md
    March 01, 2009 - In Conversation with...Dean Schillinger, MD March 22, 2009  Also Read an Essay Citation Text: In Conversation with..Dean Schillinger, MD. PSNet [internet]. 2009.In Conversation with...Dean Schillinger, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Re…

  19. In Conversation With… Susan Haas, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
    March 01, 2019 - One reason: doctors don't take them seriously.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837784/psn-pdf
    August 05, 2022 - In Conversation With... Francoise Marvel, MD August 5, 2022 In Conversation With.. Francoise Marvel, MD. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-francoise-marvel-md Editor’s note: Francoise A. Marvel, MD, is an assistant professor of medicine within the Division of Cardiology at Joh…
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