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Showing results for "represents".

241. 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

242. In Conversation with...Patrick S. Romano, MD, MPH | PSNet
     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

243. 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…

244. Error | PSNet
     psnet.ahrq.gov/taxonomy/term/3475
     September 15, 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…

245. 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

246. 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

247. 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

248. 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

249. 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…

250. 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…

251. 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…

252. 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

253. 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

254. 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…

255. 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…

256. 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

257. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
     psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
     June 24, 2020 - Be sure to involve multiple viewpoints in your determination of whether a given error represents an honest

258. 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

259. 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…

260. 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