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Total Results: 3,730 records

Showing results for "reason".

3521. Medication Mix-Up Leads to Patient Death | PSNet
      psnet.ahrq.gov/web-mm/medication-mix-leads-patient-death
      July 08, 2022 - Medication Mix-Up Leads to Patient Death Citation Text: Sanchez L, Romano PS. Medication Mix-Up Leads to Patient Death. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: Google Scholar BibTeX En…

3522. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
      psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
      July 23, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 31, 2023 Innovation Contact …

3523. Patient and Family Engagement in Long Term Care | PSNet
      psnet.ahrq.gov/curated-library/patient-and-family-engagement-long-term-care
      April 10, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Patient and Family Engagement in Long Term Care  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Lorri Zipperer, C…

3524. New Oral Anticoagulants | PSNet
      psnet.ahrq.gov/web-mm/new-oral-anticoagulants
      July 01, 2011 - SPOTLIGHT CASE New Oral Anticoagulants Citation Text: Fang MC. New Oral Anticoagulants. 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 …

3525. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - SPOTLIGHT CASE The Consequences of Miscommunication Regarding a Possible Artifact Citation Text: Gwal K. The Consequences of Miscommunication Regarding a Possible Artifact. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 20…

3526. Wrong Catheter in the Right Patient | PSNet
      psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
      May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

3527. Failure to Latch | PSNet
      psnet.ahrq.gov/web-mm/failure-latch
      November 27, 2012 - Failure to Latch Citation Text: Rodriguez M, Mannel R, Frye DR. Failure to Latch. 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 tag…

3528. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
      psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
      September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. Sittig, PhD, and Hardeep Singh, MD, MPH | September 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Sittig DF, Singh H. Assessing the Safe…

3529. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - I have heard some people say we do not need to do RCA anymore, but I think there is a reason why it has

3530. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Essay View more articles from the same authors. Citation Text: Savitz LA, S…

3531. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - Learning Health Systems for Patient Safety Lucy A. Savitz, MBA, PhD; Zoe Sousane, BS; Sarah E. Mossburg, RN, PhD | February 26, 2025  Also Read the Conversation View more articles from the same authors. Citation Text: Savitz LA, Sousane Z, Mossburg SE. Learning …

3532. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - I have heard some people say we do not need to do RCA anymore, but I think there is a reason why it has

3533. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - One reason is because we saw that there was a difference between monitoring in the critical care setting

3534. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023  Also Read the Conversation View more articles from the same authors. Citation Text: Van CM, Mossb…

3535. In Conversation With... Joel Willis, DO, PA, MA, MPhiL and Neal Sikka, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-joel-willis-do-pa-ma-mphil-and-neal-sikka-md
      May 14, 2020 - assistants to review and update information regarding the patient’s medical history, validate that the reason

3536. Telehealth and Patient Safety During the COVID-19 Response | PSNet
      psnet.ahrq.gov/perspective/telehealth-and-patient-safety-during-covid-19-response
      May 14, 2020 - assistants to review and update information regarding the patient’s medical history, validate that the reason

3537. An Inadvertent Bolus of Norepinephrine. | PSNet
      psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
      December 04, 2016 - SPOTLIGHT CASE An Inadvertent Bolus of Norepinephrine. Citation Text: Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation F…

3538. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety Patricia McGaffigan, MS, RN, CPPS; Cindy Manaoat Van, MHSA, CPPS; Sarah E. Mossburg, RN, PhD | August 30, 2023  Also Read the Essay View more articles from the same authors. …

3539. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - For this reason, researchers purport that the Safety-II view helps us understand the value of variability

3540. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
      July 31, 2023 - Regina Hoffman: That is our primary reason for existence—to support interorganizational learning.