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Total Results: 2,765 records

Showing results for "represented".

61. Unplanned return to theater: a quality of care and risk management index? | PSNet
    psnet.ahrq.gov/issue/unplanned-return-theater-quality-care-and-risk-management-index
    August 20, 2018 - incidence of unplanned return to surgery, but their clinical review indicated that half of such cases represented

62. Improving patient safety in intensive care units in Michigan. | PSNet
    psnet.ahrq.gov/issue/improving-patient-safety-intensive-care-units-michigan
    February 17, 2011 - This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins

63. Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. | PSNet
    psnet.ahrq.gov/issue/why-do-we-still-page-each-other-examining-frequency-types-and-senders-pages-academic-medical
    September 11, 2019 - This represented a nearly 50% increase in the volume of pages compared to 1988.

64. Reasons for computerised provider order entry (CPOE)-based inpatient medication ordering errors: an observational study of voided orders. | PSNet
    psnet.ahrq.gov/issue/reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
    June 27, 2018 - This observational study analyzed voided clinician orders to determine if they represented true medication

65. Iatrogenic illness on a general medical service at a university hospital. | PSNet
    psnet.ahrq.gov/issue/iatrogenic-illness-general-medical-service-university-hospital
    August 17, 2017 - Exposure to drugs represented a particularly important factor in determining which patients experienced

66. An electronic trigger based on care escalation to identify preventable adverse events in hospitalised patients. | PSNet
    psnet.ahrq.gov/issue/electronic-trigger-based-care-escalation-identify-preventable-adverse-events-hospitalised
    September 28, 2016 - About half of trigger-positive cases represented preventable adverse events, and there was moderate agreement

67. Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety. | PSNet
    psnet.ahrq.gov/issue/two-decades-err-human-assessment-progress-and-emerging-priorities-patient-safety
    January 16, 2019 - The release of the Institute of Medicine's To Err Is Human in 1999 represented a seminal moment in

68. Patient safety incidents involving sick children in primary care in England and Wales: a mixed methods analysis. | PSNet
    psnet.ahrq.gov/issue/patient-safety-incidents-involving-sick-children-primary-care-england-and-wales-mixed-methods
    October 12, 2016 - They found that about one third of 2191 safety incidents represented cases of severe harm.

69. Improving formal incivility reporting in ambulatory oncology: implementing the CIVIC Duty program. | PSNet
    psnet.ahrq.gov/innovation/improving-formal-incivility-reporting-ambulatory-oncology-implementing-civic-duty
    March 14, 2022 - In the second quarter of 2022, incivility incidents represented 1 in every 88 reports.

70. Let us to the TWISST; Plan, Simulate, Study and Act. | PSNet
    psnet.ahrq.gov/innovation/let-us-twisst-plan-simulate-study-and-act
    October 12, 2018 - The SbCST simulation scenario represented a patient with hypotensive shock, progressive respiratory failure

71. Undiagnosed Vaginal Bleeding | PSNet
    psnet.ahrq.gov/web-mm/undiagnosed-vaginal-bleeding
    July 06, 2022 - Minorities are disproportionately represented among the uninsured: 37% of Hispanics and 25% of Blacks … progressive disease have been reported, here it appears that this woman's advanced stage cervical cancer represented

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/49434/psn-pdf
    February 01, 2004 - Minorities are disproportionately represented among the uninsured: 37% of Hispanics and 25% of Blacks … progressive disease have been reported, here it appears that this woman's advanced stage cervical cancer represented

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - Instead of ordering 2 mg/kg, the physician ordered 190 mg, which represented approximately 12 mg/kg. … The subsequent error message represented a barrier designed to catch such discrepancies.

74. Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose | PSNet
    psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
    March 15, 2023 - Instead of ordering 2 mg/kg, the physician ordered 190 mg, which represented approximately 12 mg/kg. … The subsequent error message represented a barrier designed to catch such discrepancies.

75. Healthcare industry representatives: maximizing benefits and reducing risks. | PSNet
    psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks
    March 18, 2010 - Newspaper/Magazine Article Healthcare industry representatives: maximizing benefits and reducing risks. Citation Text: Healthcare industry representatives: maximizing benefits and reducing risks. PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19. Copy Citation Save …

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50392/psn-pdf
    September 01, 2019 - center of all of those stakeholders, and it's important in all of our work for those stakeholders to be represented … The diversity of viewpoints that are represented, the inherent tensions that come with that, the wrestling

77. In Conversation With… Shantanu Agrawal, MD, MPhil | PSNet
    psnet.ahrq.gov/perspective/conversation-shantanu-agrawal-md-mphil
    February 26, 2025 - center of all of those stakeholders, and it's important in all of our work for those stakeholders to be represented … The diversity of viewpoints that are represented, the inherent tensions that come with that, the wrestling

78. Implementation of Patient Safety Projects | PSNet
    psnet.ahrq.gov/curated-library/implementation-patient-safety-projects
    August 10, 2025 - This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins … This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins

79. Contaminated or Not? Guidelines for Interpretation of Positive Blood Cultures | PSNet
    psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - from blood cultures that in most circumstances would represent contamination but, in this instance, represented … I believe that this represented an interpretation error.

80. PSNet Curated Library (pdf file)
    psnet.ahrq.gov/print/pdf/node/848754
    January 01, 2025 - This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins … This project, funded by AHRQ, represented a collaboration between patient safety experts at Johns Hopkins