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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49577/psn-pdf
    January 01, 2009 - procedures to https://psnet.ahrq.gov/web-mm/are-two-insulin-pumps-better-one https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references guide management of the insulin pump patient during hospitalization … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#box https://psnet.ahrq.gov//#references … Professor of Medicine Division of Endocrinology Mayo Clinic, Scottsdale, AZ https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references References 1.
  2. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
    September 01, 2007 - regimens Discontinuity of care Short hospitalizations Inadequate patient education See Notes for references … discharge Cause half of all preventable adverse drug events 30 days after discharge See Notes for references … responsibilities for each component of the process assigned to the parties involved See Notes for references … in continuous improvement and monitoring for compliance are likely success factors See Notes for references … staff should ensure that patients are educated about any changes in medication regimen See Notes for references
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49494/psn-pdf
    January 01, 2006 - Autonomy and physician (not just housestaff) independence have long https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references histories in western medicine.(5,6) Physicians have consistently … preserve patient safety and educate housestaff while hopefully preserving https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references a sense of physician autonomy.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49468/psn-pdf
    December 16, 2004 - conclusion, all of the surgical, https://psnet.ahrq.gov/web-mm/mark-my-limb https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references anesthesia and nursing professionals … https://psnet.ahrq.gov//#references Today, the Universal Protocol and the specific internal systems … Healthcare Organizations Emeritus Professor of Family Medicine, University of Minnesota Medical School References
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49793/psn-pdf
    May 01, 2017 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references Unfortunately, that did not help the clinicians determine if the … University Neuropsychiatric Institute South Jordan Health Center Clinical Laboratories Salt Lake City, UT References … [go to PubMed] https://psnet.ahrq.gov//#table https://psnet.ahrq.gov//#references https://www.ncbi.nlm.nih.gov
  6. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.164_slideshow.ppt
    December 01, 2007 - personal safety Also leads to safety risks due to the decreased capacity of the patient See Notes for references … police by security as appropriate Notification of appropriate administrative personnel See Notes for references … to unit May depend on time elapsed Providers should be familiar with local policies See Notes for references … adequately supervise and observe patients and to maintain safe conditions on the premises See Notes for references … patient’s condition Failure to properly search for the patient following elopement See Notes for references
  7. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.173_slideshow.ppt
    April 01, 2008 - Sinusitis occurs after or in conjunction with a viral upper respiratory tract infection See Notes for references … guidelines from both CDC and American Academy of Otolaryngology–Head and Neck Surgery See Notes for references … infections, including sinusitis, since these infections are rarely bacterial in origin See Notes for references … prescribing possibly counteracted by increase in prescribing broad-spectrum antibiotics See Notes for references … criteria Desire to respond to patient’s explicit (or implied) request for antibiotics See Notes for references
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49487/psn-pdf
    August 21, 2005 - investigators and teachers to independently develop and sustain the web-based https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#slideshow infrastructure for every quality … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#figure … https://psnet.ahrq.gov//#references Jeffrey M. … for Research & Innovation in Patient Care University of California, San Francisco School of Nursing References
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49391/psn-pdf
    February 01, 2003 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#table … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … What systems can do: https://psnet.ahrq.gov//#references Use “M&M” conferences to highlight the “myth … , MD, MS Department of Psychiatry, Brown University Rhode Island Hospital and The Miriam Hospital References
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49644/psn-pdf
    December 01, 2011 - https://psnet.ahrq.gov/web-mm/missing-point-eye-injury https://psnet.ahrq.gov//#references The ED assessment … and both globe and intracranial injury are https://psnet.ahrq.gov//#figure https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references Rahul Sharma, MD, MBA Assistant Director for Operations Department … Clinical Affairs Associate Professor, Department of Emergency Medicine University of Minnesota References
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49516/psn-pdf
    August 01, 2006 - The residents and staff perhaps subconsciously attempted to correlate their https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references examination findings with what they expected to observe. … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#figure based on conversations with recent … https://psnet.ahrq.gov//#references References 1. Cook DJ.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49780/psn-pdf
    January 01, 2017 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Twenty-five years later, PACS … possible displayed, in the OR during surgery in addition to reviewing the https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references images prior to surgery. … References 1. Clarke-Pearson DL, Geller EJ. Complications of hysterectomy.
  13. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-08/final_spotlight_latex_allergies-slides.pdf
    January 01, 2022 - REFERENCES 28 References 29 1. Kelly KJ, Sussman G. … pubmed/2005317 https://www.ncbi.nlm.nih.gov/pubmed/8027499 http://www.ncbi.nlm.nih.gov/pubmed/12006967 References … Occup Environ Med. 54:335-342 1997 PMID: 9196456 References 31 30.Lagier F, Vervloet D, Lhermet … Closure (2) Latex Allergy Loop Closure (3) Take home points Latex Allergy Take Home Points (1) ReferencesReferences References References
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49862/psn-pdf
    May 01, 2019 - Today ferromagnetic detectors also have been https://psnet.ahrq.gov//#references https://psnet.ahrq.gov … //#references https://psnet.ahrq.gov//#references developed that can specifically scan and screen for … Director, Magnetic Resonance Services Professor of Radiology and Neuroradiology https://psnet.ahrq.gov//#references … Department of Radiology University of Pittsburgh Medical Center References 1.
  15. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.269_slideshow.ppt
    June 01, 2012 - States will be transferred to a different ICU Up to 90% of transfers can be non-emergent See Notes for references … rate remains low, up to 17% of these adverse events result in potential harm to patients See Notes for references … another study, 42% of calls between facilities had errors of either commission or omission See Notes for references … Inappropriate transport method Inappropriate personnel accompanying the patient See Notes for references … shown to improve communication, efficiency, and appropriateness of transport services See Notes for references
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49621/psn-pdf
    March 01, 2011 - https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references An extensive body of literature … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references How could the errors in this … Marlene Miller, MD, MSc Vice Chair, Quality and Safety https://psnet.ahrq.gov//#references https:// … psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Johns Hopkins Children's Center Baltimore … References 1. Santell JP, Hicks R. Medication errors involving pediatric patients.
  17. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.146_slideshow.ppt
    March 01, 2007 - interruptions during drug retrieval by creating a zone of safety around medication storage See Notes for references … Individual feelings of helplessness, fear, and anxiety Avoidance of guilty feelings See Notes for references … learning opportunity for staff and a chance to evaluate the system for improvements See Notes for references … report for this event allowing learning opportunity to be expanded to entire organization See Notes for references … Success attributed to non-punitive culture and assurance of reporter confidentiality See Notes for references
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49448/psn-pdf
    June 01, 2004 - order of decreasing frequency, https://psnet.ahrq.gov/web-mm/listen-family https://psnet.ahrq.gov//#references … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references were eye, groin or genitals … https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#figure … King Ransom Professor of Surgery Chief of Clinical Affairs University of Michigan Health Systems References
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
    February 01, 2011 - for more experienced physicians, who may be overly confident in their knowledge base * See Notes for references … assessment is a complex task that requires time, skill, and often guidance from others * See Notes for references … imperative: seek external guidance and input when practice outside defined or usual scope * See Notes for references … competence Challenge: improved methods for ongoing practice based assessment and learning * See Notes for references … methods for self assessment Alignment with future changes in maintenance of licensure * See Notes for references
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.209_slideshow.ppt
    December 01, 2009 - advocates “competent care”—to avoid judgment distinction between competence and excellence See Notes for references … require a “systems” prevention approach as patients at high risk can be identified See Notes for references … patients adds obstacles to determining ethical standards and decision-making capacity See Notes for references … because they have higher risk of mental health disorders and subtle cognitive deficits See Notes for references … collaborating with a shelter worker, priest, or a homeless person that patient looks up to See Notes for references

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