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Total Results: 2,765 records

Showing results for "represents".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33868/psn-pdf
    October 01, 2018 - However, unsafe medication use represents a major public health concern, especially for older adults

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49510/psn-pdf
    May 01, 2006 - As seen in this case, the inadvertent mix-up of unlabeled medication cups represents an understandable

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49395/psn-pdf
    April 01, 2003 - Lest readers think this error represents a tragic “fluke,” another breast cancer patient received an

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854897/psn-pdf
    October 31, 2023 - The Swiss Cheese Model depicts a series of defense layers within a system, where each layer represents

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866812/psn-pdf
    September 25, 2024 - Patient perspectives on adverse event investigations in health care. September 25, 2024 Dijkstra-Eijkemans RI, Knap LJ, Elbers NA, et al. Patient perspectives on adverse event investigations in health care. BMC Health Serv Res. 2024;24(1):1044. doi:10.1186/s12913-024-11522-x. https://psnet.ahrq.gov/issue/patient-p…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49553/psn-pdf
    January 01, 2008 - out of 2 blood cultures positive with the same pathogen, even one that is commonly a contaminant, represents

  7. 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 - The Swiss Cheese Model depicts a series of defense layers within a system, where each layer represents

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48046/psn-pdf
    August 21, 2019 - Educational targets to reduce medication errors by general surgery residents. August 21, 2019 Chaitoff A, Strong AT, Bauer SR, et al. Educational Targets to Reduce Medication Errors by General Surgery Residents. J Surg Educ. 2019;76(6):1612-1621. doi:10.1016/j.jsurg.2019.04.009. https://psnet.ahrq.gov/issue/educat…

  9. Security Lapse | PSNet

    psnet.ahrq.gov/web-mm/security-lapse
    December 18, 2019 - The Commentary This case represents a common situation in which a medical student, having noticed an

  10. Oversight Hearing on Recent Patient Safety Issues. | PSNet

    psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
    November 06, 2019 - Congressional Testimony Oversight Hearing on Recent Patient Safety Issues. Citation Text: Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…

  11. Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - Congressional Testimony Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. Citation Text: Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. US House of Representatives Committee on Veterans' Affa…

  12. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. | PSNet

    psnet.ahrq.gov/issue/prospective-study-evaluate-awareness-about-medication-errors-amongst-health-care-personnel
    May 17, 2018 - Study A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. Citation Text: Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-c…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74267/psn-pdf
    January 19, 2022 - Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. January 19, 2022 Marr R, Goyal A, Quinn M, et al. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Rol…

  14. Workaround Error | PSNet

    psnet.ahrq.gov/web-mm/workaround-error
    October 30, 2024 - This is an efficient (and understandable) solution from their perspective, but it also represents a workaround

  15. Electronic Health Records | PSNet

    psnet.ahrq.gov/primer/electronic-health-records
    March 15, 2025 - However, several experts have observed that the present state of EHRs represents a "big miss," in that

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49818/psn-pdf
    January 01, 2018 - In a world in which financial harm represents a serious patient safety issue, physicians can no longer

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37737/psn-pdf
    January 06, 2017 - Can patient safety be measured by surveys of patient experiences? January 6, 2017 Solberg LI, Asche SE, Averbeck BM, et al. Can patient safety be measured by surveys of patient experiences? Jt Comm J Qual Patient Saf. 2008;34(5):266-274. https://psnet.ahrq.gov/issue/can-patient-safety-be-measured-surveys-patient-e…

  18. Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. | PSNet

    psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm
    December 23, 2012 - Congressional Testimony Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. Citation Text: Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. US House of Representatives Committee on Veterans Affairs Subco…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837959/psn-pdf
    August 31, 2022 - Kelly, MD This case represents a common event that frequently occurred in the hospital and especially … Strict attention to the risk of latex products represents an opportunity to improve health system safety

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851158/psn-pdf
    June 28, 2023 - kidney disease, female sex, and age over 75 years.5,6 Opportunities for Improving Safety This case represents
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