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Showing results for "represents".

  1. psnet.ahrq.gov/issue/predictors-hospital-postoperative-opioid-overdose-after-major-elective-operations-nationally
    March 17, 2021 - Study Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study. Citation Text: Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nati…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35863/psn-pdf
    March 18, 2010 - Healthcare industry representatives: maximizing benefits and reducing risks. March 18, 2010 PA PSRS Patient Saf Advis 2006 Mar;3(1):13-19. https://psnet.ahrq.gov/issue/healthcare-industry-representatives-maximizing-benefits-and-reducing-risks This article addresses strategies for minimizing patient safety risks re…
  3. psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
    January 01, 2021 - Approach to Improving Safety 36 37 Approach to Improving Safety (1) • This case represents a classic … Each layer of cheese represents an independent layer of defense against error as long as the holes
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - In the Swiss Cheese Model, each “slice” of “cheese” represents a measure taken to enhance patient safety … Each “moment” represents a point in medication use when actions by the patient or caregiver can reduce
  5. psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - In the Swiss Cheese Model, each “slice” of “cheese” represents a measure taken to enhance patient safety … Each “moment” represents a point in medication use when actions by the patient or caregiver can reduce
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60169/psn-pdf
    March 25, 2020 - side effects of intravenous gentamicin therapy, the erroneous intravenous administration of this drug represents
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/843736/psn-pdf
    February 01, 2023 - Approach to Improving Patient Safety While the patient in this case ultimately had a good outcome, it represents
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33848/psn-pdf
    December 01, 2017 - attending then gravely addressed the assembled surgical attendings and residents: I think that this case represents
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49460/psn-pdf
    September 01, 2004 - The Commentary This case represents a common situation in which a medical student, having noticed an
  10. psnet.ahrq.gov/issue/prospective-memory-icu-effect-visual-cues-task-execution-representative-simulation
    April 24, 2018 - Study Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Citation Text: Grundgeiger T, Sanderson PM, Orihuela B, et al. Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation. Ergo…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41580/psn-pdf
    June 10, 2018 - Raising the index of suspicion: red flags that represent credible threats to patient safety. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3. https://psnet.ahrq.gov/issue/raising-index-suspicion-red-flags-represent-credible-threats-patient-safety This newsletter article highlig…
  12. psnet.ahrq.gov/web-mm/contaminated-or-not-guidelines-interpretation-positive-blood-cultures
    November 16, 2022 - 2 out of 2 blood cultures positive with the same pathogen, even one that is commonly a contaminant, represents
  13. psnet.ahrq.gov/issue/using-pediatric-trigger-tool-estimate-total-harm-burden-hospital-acquired-conditions
    July 03, 2016 - Study Using a pediatric trigger tool to estimate total harm burden hospital-acquired conditions represent. Citation Text: Stockwell DC, Landrigan CP, Schuster MA, et al. Using a Pediatric Trigger Tool to Estimate Total Harm Burden Hospital-acquired Conditions Represent. Pediatr Qual Saf.…
  14. psnet.ahrq.gov/taxonomy/term/3475
    June 09, 2025 - Error An act of commission (doing something wrong) or omission (failing to do the right thing) that leads to an undesirable outcome or significant potential for such an outcome. For instance, ordering a medication for a patient with a documented allergy to that medication would be an act of commission. Failing to pre…
  15. psnet.ahrq.gov/perspective/conversation-withpatrick-s-romano-md-mph
    July 10, 2024 - " because we recognize that these are not measures where we can say that every single flagged event represents
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49448/psn-pdf
    June 01, 2004 - The Commentary The case presented represents a near miss.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33846/psn-pdf
    November 01, 2017 - Health information technology (IT) represents one of the most important tools providers can employ to
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49442/psn-pdf
    May 01, 2004 - The Commentary This case represents an unfortunate failure to identify tuberculosis (TB) in a young
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33850/psn-pdf
    January 01, 2018 - The OpenNotes initiative—which allows patients to read their clinicians' notes—represents another real
  20. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
    May 01, 2007 - Phenytoin Levels 90% bound to plasma proteins, primarily albumin Therapeutic range of 10-20 mcg/mL represents

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