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Total Results: 2,764 records

Showing results for "representative".

381. Rapid Response Systems | PSNet
     psnet.ahrq.gov/primer/rapid-response-systems
     July 18, 2024 - Rapid Response Systems Citation Text: Rapid Response Systems. 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 XML Endnote tagged PubMedId RIS …

382. Rapid Response Systems | PSNet
     psnet.ahrq.gov/curated-library/rapid-response-systems
     September 15, 2024 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Rapid Response Systems  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: AHRQ Date Created: January 24, 20…

383. Checklists | PSNet
     psnet.ahrq.gov/primer/checklists
     September 15, 2024 - Checklists Citation Text: Checklists. 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 XML Endnote tagged PubMedId RIS Download Citation…

384. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     September 15, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49824/psn-pdf
     March 01, 2018 - Missing ECG and Missed Diagnosis Lead to Dangerous Delay March 1, 2018 O'Connor RE. Missing ECG and Missed Diagnosis Lead to Dangerous Delay. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/missing-ecg-and-missed-diagnosis-lead-dangerous-delay The Case A 35-year-old woman with no prior cardiac history calle…

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - Feeling No Pain July 1, 2003 Bogner MS. Feeling No Pain. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/feeling-no-pain The Case A 33-year-old female underwent hysterectomy for refractory endometriosis. For pain post-operatively, the patient was placed on a Patient-Controlled Analgesia (PCA) pump containin…

387. Computerized Provider Order Entry and Patient Safety | PSNet
     psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
     January 01, 2014 - Annual Perspective Computerized Provider Order Entry and Patient Safety Urmimala Sarkar, MD, and Kaveh Shojania, MD | January 1, 2015  View more articles from the same authors. Citation Text: Sarkar U, Shojania KG. Computerized Provider Order Entry and Patien…

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47666/psn-pdf
     January 01, 2020 - A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019 Lane-Fall MB, Pascual JL, Peifer HG, et al. A Partially Structured Postoperative Ha…

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37856/psn-pdf
     June 16, 2011 - Improving patient safety in intensive care units in Michigan. June 16, 2011 Pronovost P, Berenholtz SM, Goeschel CA, et al. Improving patient safety in intensive care units in Michigan. J Crit Care. 2008;23(2):207-212. doi:10.1016/j.jcrc.2007.09.002. https://psnet.ahrq.gov/issue/improving-patient-safety-intensive-…

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40477/psn-pdf
     March 23, 2012 - Adverse drug events in U.S. adult ambulatory medical care. March 23, 2012 Sarkar U, Lopez A, Maselli JH, et al. Adverse drug events in U.S. adult ambulatory medical care. Health Serv Res. 2011;46(5):1517-1533. doi:10.1111/j.1475-6773.2011.01269.x. https://psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulator…

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38412/psn-pdf
     September 01, 2016 - Overrides of medication alerts in ambulatory care. September 1, 2016 Isaac T, Weissman JS, Davis RB, et al. Overrides of medication alerts in ambulatory care. Arch Intern Med. 2009;169(3):305-311. doi:10.1001/archinternmed.2008.551. https://psnet.ahrq.gov/issue/overrides-medication-alerts-ambulatory-care The safet…

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34794/psn-pdf
     November 18, 2015 - Accident analysis of large-scale technological disasters applied to an anaesthetic complication. November 18, 2015 Eagle CJ, Davies JM, Reason J. Accident analysis of large-scale technological disasters applied to an anaesthetic complication. Can J Anaesth. 1992;39(2):118-22. https://psnet.ahrq.gov/issue/accident-…

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35886/psn-pdf
     July 23, 2010 - In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. July 23, 2010 Parshuram CS, Kirpalani H, Mehta S, et al. In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units. Crit Care Med. 2006;…

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47582/psn-pdf
     December 12, 2018 - Success in hospital-acquired pressure ulcer prevention: a tale in two data sets. December 12, 2018 Smith S, Snyder A, McMahon LF, et al. Success In Hospital-Acquired Pressure Ulcer Prevention: A Tale In Two Data Sets. Health Aff (Millwood). 2018;37(11):1787-1796. doi:10.1377/hlthaff.2018.0712. https://psnet.ahrq.g…

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36003/psn-pdf
     March 28, 2011 - The "To Err Is Human Report" and the patient safety literature. March 28, 2011 Stelfox HT, Palmisani S, Scurlock C, et al. The "To Err is Human" report and the patient safety literature. Qual Saf Health Care. 2006;15(3):174-8. https://psnet.ahrq.gov/issue/err-human-report-and-patient-safety-literature This study …

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35531/psn-pdf
     May 27, 2011 - U.S. adoption of computerized physician order entry systems. May 27, 2011 Cutler DM, Feldman NE, Horwitz JR. U.S. adoption of computerized physician order entry systems. Health Aff (Millwood). 2005;24(6):1654-63. https://psnet.ahrq.gov/issue/us-adoption-computerized-physician-order-entry-systems This study discov…

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34775/psn-pdf
     February 07, 2019 - Escape Fire: Lessons for the Future of Health Care. February 7, 2019 Berwick DM. Washington DC: Commonwealth Fund; 2002. https://psnet.ahrq.gov/issue/escape-fire-lessons-future-health-care This report represents an edited version of Donald Berwick’s Plenary Address presented at the Institute for Healthcare Improve…

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45700/psn-pdf
     September 01, 2018 - Resolving malpractice claims after tort reform: experience in a self-insured Texas public academic health system. September 1, 2018 Sage WM, Harding MC, Thomas EJ. Resolving Malpractice Claims after Tort Reform: Experience in a Self- Insured Texas Public Academic Health System. Health Serv Res. 2016;51 Suppl 3:2615…

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42149/psn-pdf
     December 23, 2016 - Medical device alarm safety in hospitals. December 23, 2016 Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. https://psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals The cacophony of alarms in hospitals has led many health care providers to become desensitized to them, a con…

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35324/psn-pdf
     February 03, 2011 - Neurobehavioral performance of residents after heavy night call vs after alcohol ingestion. February 3, 2011 Arnedt JT, Owens J, Crouch M, et al. Neurobehavioral Performance of Residents After Heavy Night Call vs After Alcohol Ingestion. JAMA. 2005;294(9). doi:10.1001/jama.294.9.1025. https://psnet.ahrq.gov/issue/…