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Showing results for "reducing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49709/psn-pdf
    May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

  2. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-473
    March 25, 2025 - March 5, 2025 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, …

  3. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.263_slideshow.ppt
    March 01, 2012 - Spotlight Case July 2008 Spotlight Case Postdischarge Follow-Up Phone Call * * Source and Credits This presentation is based on the March 2012 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Michelle Mourad, MD, and Stephanie Rennke, MD; Divi…

  4. Mixup Beyond the Medication Label | PSNet

    psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
    June 01, 2014 - Mixup Beyond the Medication Label Citation Text: Pervanas H, VanValkenburgh D. Mixup Beyond the Medication Label. 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 …

  5. Spotlight Case July 2008 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.302_slideshow.ppt
    June 01, 2013 - Spotlight Case July 2008 Spotlight Case Emergency Error 1 2 Source and Credits This presentation is based on the June 2013 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Nicholas Symons, MBChB, MSc, Imperial College London Editor, AHRQ WebM&M: Robe…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33763/psn-pdf
    March 01, 2014 - How Does Infection Prevention Fit Into a Safety Program? March 1, 2014 Huang SS. How Does Infection Prevention Fit Into a Safety Program? PSNet [internet]. 2014. https://psnet.ahrq.gov/perspective/how-does-infection-prevention-fit-safety-program Perspective In 1999, the Institute of Medicine (IOM) released the To …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49680/psn-pdf
    March 01, 2013 - Pathologic Mistake March 1, 2013 Alaghehbandan R, Raab SS. Pathologic Mistake. PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/pathologic-mistake The Case A 32-year-old previously healthy woman experienced abdominal pain and bloating for 6 months. The discomfort worsened with eating. After losing 15 pounds …

  8. Delay in Treatment: Failure to Contact Patient Leads to Significant Complications | PSNet

    psnet.ahrq.gov/web-mm/delay-treatment-failure-contact-patient-leads-significant-complications
    February 01, 2004 - ) Enlisting the patient's participation in the diagnostic process may be the single best method of reducing

  9. Hypoxemia after Emergency Intubation | PSNet

    psnet.ahrq.gov/web-mm/hypoxemia-after-emergency-intubation
    March 24, 2019 - in the ocean, hypoxemia may persist longer because seawater has higher osmolality than freshwater, reducing

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33600/psn-pdf
    June 16, 2024 - years have brought a much deeper understanding of the causes of safety issues and some progress in reducing

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74242/psn-pdf
    January 07, 2022 - Checklists have been repetitively demonstrated to be effective at reducing errors.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50843/psn-pdf
    January 29, 2020 - first few hours, as this rate of rise in serum sodium is usually sufficient to alleviate symptoms by reducing

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45729/psn-pdf
    September 20, 2017 - Maximize benefits of IV workflow management systems by addressing workarounds and errors. September 20, 2017 ISMP Medication Safety Alert! Acute care edition. September 7, 2017;22:1-4. https://psnet.ahrq.gov/issue/maximize-benefits-iv-workflow-management-systems-addressing- workarounds-and-errors Workflow process…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836810/psn-pdf
    March 30, 2022 - Periodic resuscitation cart checks and nurse situational awareness: an observational study. March 30, 2022 Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12.002. https://psnet.ahrq.gov/issu…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45895/psn-pdf
    February 22, 2017 - Opioids for pain management in older adults: strategies for safe prescribing. February 22, 2017 Davies PS. Opioids for pain management in older adults. Nurse Pract. 2017;42(2). doi:10.1097/01.npr.0000511772.62176.10. https://psnet.ahrq.gov/issue/opioids-pain-management-older-adults-strategies-safe-prescribing Use…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44928/psn-pdf
    April 27, 2016 - Impact of stewardship interventions on antiretroviral medication errors in an urban medical center: a three year, multi-phase study. April 27, 2016 Zucker J, Mittal J, Jen S-P, et al. Impact of Stewardship Interventions on Antiretroviral Medication Errors in an Urban Medical Center: A 3-Year, Multiphase Study. Pha…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853059/psn-pdf
    August 30, 2023 - Anesthesia Risk Alert program: a proactive safety initiative. August 30, 2023 Lee B, Marhalik-Helms J, Penzi L. Anesthesia Risk Alert program: a proactive safety initiative. Jt Comm J Qual Patient Saf. 2023;49(9):441-449. doi:10.1016/j.jcjq.2023.06.005. https://psnet.ahrq.gov/issue/anesthesia-risk-alert-program-pr…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46421/psn-pdf
    November 08, 2017 - A novel ICU hand-over tool: the glass door of the patient room. November 8, 2017 Wessman BT, Sona C, Schallom M. A Novel ICU Hand-Over Tool: The Glass Door of the Patient Room. J Intensive Care Med. 2017;32(8):514-519. doi:10.1177/0885066616653947. https://psnet.ahrq.gov/issue/novel-icu-hand-over-tool-glass-door-p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45726/psn-pdf
    December 14, 2016 - National Cancer Institute–American Society of Clinical Oncology Teams in Cancer Care Project. December 14, 2016 J Oncol Pract. 2016;12(11):955-1194. https://psnet.ahrq.gov/issue/national-cancer-institute-american-society-clinical-oncology-teams-cancer- care-project Team-based care has been adopted in various spec…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37310/psn-pdf
    January 05, 2012 - Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? January 5, 2012 Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens-- are we ready for a DNA time-out? J Urol. 2007;178(4 Pt 1):1245-8. https://psnet.ahrq.gov…
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