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Showing results for "reason".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867497/psn-pdf
    February 26, 2025 - Applying the Reason “Swiss cheese” model of error propagation can be informative in understanding the

  2. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. | PSNet

    psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
    November 16, 2022 - Review The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Citation Text: Landrigan CP. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. Pediatr Clin North Am. 2005;52(4):979-93, …

  3. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. | PSNet

    psnet.ahrq.gov/issue/incidence-adverse-drug-reactions-hospitalized-patients-meta-analysis-prospective-studies
    October 04, 2017 - Study Classic Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective studies. Citation Text: Lazarou J, Pomeranz BH, Corey PN. Incidence of adverse drug reactions in hospitalized patients: a meta-analysis of prospective st…

  4. Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. | PSNet

    psnet.ahrq.gov/issue/are-incorrectly-used-drugs-more-frequently-involved-adverse-drug-reactions-prospective-study
    March 08, 2017 - Study Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. Citation Text: Jonville-Béra AP, Béra F, Autret-Leca E. Are incorrectly used drugs more frequently involved in adverse drug reactions? A prospective study. Eur J Clin Pharmacol. 20…

  5. Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis. | PSNet

    psnet.ahrq.gov/issue/incidence-and-causes-critical-incidents-emergency-departments-comparison-and-root-cause
    January 18, 2023 - Study Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis. Citation Text: Thomas M, Mackway-Jones K. Incidence and causes of critical incidents in emergency departments: a comparison and root cause analysis. Emerg Med J. 2008;25(6):…

  6. Team resource management and patient safety: a team focused approach to clinical governance. | PSNet

    psnet.ahrq.gov/issue/team-resource-management-and-patient-safety-team-focused-approach-clinical-governance
    August 26, 2015 - Study Team resource management and patient safety: a team focused approach to clinical governance. Citation Text: Boddington R, Arthur H, Cummings D, et al. Team Resource Management and patient safety. Clinical Governance: An International Journal. 2006;11(1). doi:10.1108/1477727061064…

  7. Distractors in obstetric ultrasound: do sonographers have safety concerns? | PSNet

    psnet.ahrq.gov/issue/distractors-obstetric-ultrasound-do-sonographers-have-safety-concerns
    March 08, 2023 - Study Distractors in obstetric ultrasound: do sonographers have safety concerns? Citation Text: Najafzadeh A, Woodrow N, Thoirs K. Distractors in obstetric ultrasound: Do sonographers have safety concerns? Australas J Ultrasound Med. 2019;22(3):206-213. doi:10.1002/ajum.12134. Copy Cit…

  8. The use of computers for clinical care: a case series of advanced US sites. | PSNet

    psnet.ahrq.gov/issue/use-computers-clinical-care-case-series-advanced-us-sites
    August 04, 2021 - Study The use of computers for clinical care: a case series of advanced US sites. Citation Text: Doolan DF, Bates DW, James BC. The use of computers for clinical care: a case series of advanced U.S. sites. J Am Med Inform Assoc. 2003;10(1):94-107. Copy Citation Format: Go…

  9. Organizational learning and patient safety: hospital pharmacy settings. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-and-patient-safety-hospital-pharmacy-settings
    September 23, 2020 - Study Organizational learning and patient safety: hospital pharmacy settings. Citation Text: Abdallah W, Johnson C, Nitzl C, et al. Organizational learning and patient safety: hospital pharmacy settings. J Health Organ Manag. 2019;33(6):695-713. doi:10.1108/JHOM-11-2018-0319. Copy Cit…

  10. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-457
    September 25, 2024 - September 25, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, repo…

  11. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-451
    August 28, 2024 - August 7, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports,…

  12. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-426
    February 28, 2024 - February 7, 2024 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

  13. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization | PSNet

    psnet.ahrq.gov/web-mm/ventricular-wall-injury-during-diagnostic-cardiac-catheterization
    September 01, 2012 - Ventricular Wall Injury during a Diagnostic Cardiac Catheterization Citation Text: Pham TH, Atreja S. Ventricular Wall Injury during a Diagnostic Cardiac Catheterization. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Ci…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49762/psn-pdf
    June 01, 2016 - The Case of Mistaken Intubation June 1, 2016 Silveira MJ. The Case of Mistaken Intubation. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/case-mistaken-intubation Case Objectives Appreciate that most older adults and many younger chronically ill patients have discussed or documented their preferences for l…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    January 01, 2008 - In Conversation with…Jennifer Daley, MD January 1, 2008 In Conversation with…Jennifer Daley, MD. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withjennifer-daley-md Editor's note: Jennifer Daley, MD, is the Chief Medical Officer of Partners Community Healthcare Inc., the organization for …

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49848/psn-pdf
    January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49664/psn-pdf
    January 01, 2013 - Empty Handoff September 1, 2012 Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/empty-handoff The Case A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a leg wound. The patient's medical history included chronic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33724/psn-pdf
    February 01, 2012 - In Conversation With… Lawrence Smith, MD February 1, 2012 In Conversation With… Lawrence Smith, MD. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/conversation-lawrence-smith-md Editor's note: Lawrence G. Smith, MD, is the founding Dean of Hofstra North Shore-LIJ School of Medicine and Executive Vice P…

  19. Too Much, Too Fast | PSNet

    psnet.ahrq.gov/web-mm/too-much-too-fast
    June 14, 2019 - Too Much, Too Fast Citation Text: Tuot D. Too Much, Too Fast. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Don't Pick the PICC | PSNet

    psnet.ahrq.gov/web-mm/dont-pick-picc
    December 01, 2011 - Don't Pick the PICC Citation Text: McGill RL. Don't Pick the PICC. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…
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