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Showing results for "representative".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48097/psn-pdf
     July 17, 2019 - Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. July 17, 2019 Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Serious misdiagnosis-related harms in malpractice claims: The “Big Three” – vascular events, infections, and cancers. Diagnosis (Berl). …

442. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/glossary/swiss-cheese-model
     September 13, 2021 - Swiss Cheese Model September 13, 2021 Anonymous (not verified) 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 safe…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49550/psn-pdf
     December 01, 2007 - Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? December 1, 2007 Shojania KG. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals The Case …

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45156/psn-pdf
     June 22, 2017 - Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. June 22, 2017 Cresswell K, Mozaffar H, Lee L, et al. Workarounds to hospital electronic prescribing systems: a qualitative study in English hospitals. BMJ Qual Saf. 2017;26(7):542-551. doi:10.1136/bmjqs-2015-005149. h…

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39551/psn-pdf
     May 26, 2010 - Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. May 26, 2010 Bruppacher HR, Alam SK, LeBlanc VR, et al. Simulation-based training improves physicians' performance in patient care in high-stakes clinical setting of cardiac surgery. Anest…

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42900/psn-pdf
     September 19, 2016 - Suicide attempts and completions on medical-surgical and intensive care units. September 19, 2016 Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. https://psnet.ahrq.gov/issue/suicide-attempts-and-compl…

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47150/psn-pdf
     November 21, 2018 - Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. November 21, 2018 Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national mortality surveillance system with …

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39583/psn-pdf
     October 30, 2010 - The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. October 30, 2010 Pham JC, Colantuoni E, Dominici F, et al. The harm susceptibility model: a method to prioritise risks identified in patient safety reporting systems. Qual Saf Health Care. 2010;19(5):440-5. …

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40092/psn-pdf
     December 22, 2010 - The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Chest. 2010;138(6):14…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44711/psn-pdf
     September 21, 2016 - The well-defined pediatric ICU: active surveillance using nonmedical personnel to capture less serious safety events. September 21, 2016 White WA, Kennedy K, Belgum HS, et al. The Well-Defined Pediatric ICU: Active Surveillance Using Nonmedical Personnel to Capture Less Serious Safety Events. Jt Comm J Qual Patien…

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44064/psn-pdf
     November 03, 2015 - The July effect: an analysis of never events in the nationwide inpatient sample. November 3, 2015 Wen T, Attenello FJ, Wu B, et al. The July effect: an analysis of never events in the nationwide inpatient sample. J Hosp Med. 2015;10(7):432-438. doi:10.1002/jhm.2352. https://psnet.ahrq.gov/issue/july-effect-analysi…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45882/psn-pdf
     June 28, 2017 - Early death after discharge from emergency departments: analysis of national US insurance claims data. June 28, 2017 Obermeyer Z, Cohn B, Wilson M, et al. Early death after discharge from emergency departments: analysis of national US insurance claims data. BMJ. 2017;356:j239. doi:10.1136/bmj.j239. https://psnet.a…

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45681/psn-pdf
     January 25, 2017 - Economic evaluation of quality improvement interventions for bloodstream infections related to central catheters: a systematic review. January 25, 2017 Nuckols TK, Keeler E, Morton SC, et al. Economic Evaluation of Quality Improvement Interventions for Bloodstream Infections Related to Central Catheters: A Systema…

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46599/psn-pdf
     August 20, 2018 - Effect of standardized handoff curriculum on improved clinician preparedness in the intensive care unit: a stepped-wedge cluster randomized clinical trial. August 20, 2018 Parent B, LaGrone LN, Albirair MT, et al. Effect of Standardized Handoff Curriculum on Improved Clinician Preparedness in the Intensive Care Un…

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44766/psn-pdf
     January 23, 2017 - Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. January 23, 2017 Carlile N, Rhatigan JJ, Bates DW. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. BMJ Qual Saf. 2017;26(1):24-29. do…

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45483/psn-pdf
     March 20, 2018 - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: a national cohort study. March 20, 2018 Wu J, Gale CP, Hall M, et al. Editor's Choice - Impact of initial hospital diagnosis on mortality for acute myocardial infarction: A national cohort study. Eur Heart J Acute Cardiovasc Care. 20…

457. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis
     May 26, 2021 - surgeon recognized endometriosis might be present; however, if the diagnosis is in doubt, biopsy of a representative

458. Feeling No Pain | PSNet
     psnet.ahrq.gov/web-mm/feeling-no-pain
     August 30, 2023 - Feeling No Pain Citation Text: Bogner MS. Feeling No Pain. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

459. Surprise Wire | PSNet
     psnet.ahrq.gov/web-mm/surprise-wire
     July 15, 2020 - Surprise Wire Citation Text: Pearl JM, Donaldson NE. Surprise Wire. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

460. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet
     psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
     December 23, 2020 - Multiple Levels Involved in Prescribing the Wrong Medication Citation Text: Chin K, Chau V, Spero H, et al. Multiple Levels Involved in Prescribing the Wrong Medication. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Cit…