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Total Results: 2,764 records

Showing results for "represents".

261. 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…

262. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49503/psn-pdf
     February 01, 2006 - This is an efficient (and understandable) solution from their perspective, but it also represents a

263. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49824/psn-pdf
     March 01, 2018 - What happened in this case represents a failed handoff of care.

264. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49406/psn-pdf
     June 01, 2003 - were reported in US institutions.(1) This number, drawn from a national “sentinel event” database, represents

265. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49409/psn-pdf
     July 01, 2003 - center.(9-11) In an effort to promote understanding among providers for whom systems-based thinking represents

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49740/psn-pdf
     August 21, 2015 - documentation, a CPOE alert, and a standardized screening question during the clinic intake process—represents

267. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33860/psn-pdf
     June 01, 2018 - While this form factor and price arguably brings disruption to a new level, it represents just the latest

268. Secured But Not Always Safe | PSNet
     psnet.ahrq.gov/web-mm/secured-not-always-safe
     October 01, 2015 - ) The occurrence of mediastinitis with use of LMA is not reported in the literature, so this case represents

269. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33821/psn-pdf
     December 01, 2016 - development of the "RCA2: Root Cause Analysis and Action" (17) model of health care investigation represents

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49649/psn-pdf
     March 01, 2012 - This complicated case of a 55-year-old Vietnamese man who committed suicide is tragic and probably represents

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46118/psn-pdf
     December 20, 2017 - Predictors of in-hospital postoperative opioid overdose after major elective operations: a nationally representative cohort study. December 20, 2017 Cauley CE, Anderson G, Haynes AB, et al. Predictors of In-hospital Postoperative Opioid Overdose After Major Elective Operations: A Nationally Representative Cohort S…

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34952/psn-pdf
     November 17, 2011 - Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004. November 17, 2011 Prevention C for DC and. Assessing the National Electronic Injury Surveillance System-Cooperative Adverse Drug Event Surveillance pr…

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43085/psn-pdf
     March 26, 2014 - A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, East, West Regions of India. March 26, 2014 Sewal RK, Singh PK, Prakash A, et al. A prospective study to evaluate awareness about medication errors amongst health-care personnel representing North, E…

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33702/psn-pdf
     November 01, 2010 - because we recognize that these are not measures where we can say that every single flagged event represents

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35742/psn-pdf
     July 15, 2010 - Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? July 15, 2010 Pezzo M, Pezzo SP. Physician evaluation after medical errors: does having a computer decision aid help or hurt in hindsight? Med Decis Making. 2006;26(1):48-56. https://psnet.ahrq.gov/issue/physi…

276. A Costly Colonoscopy Leads to a Delay in Diagnosis | PSNet
     psnet.ahrq.gov/web-mm/costly-colonoscopy-leads-delay-diagnosis
     September 01, 2014 - In a world in which financial harm represents a serious patient safety issue, physicians can no longer

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46191/psn-pdf
     July 19, 2017 - Performance of a trigger tool for identifying adverse events in oncology. July 19, 2017 Lipitz-Snyderman A, Classen D, Pfister D, et al. Performance of a Trigger Tool for Identifying Adverse Events in Oncology. J Oncol Pract. 2017;13(3). doi:10.1200/jop.2016.016634. https://psnet.ahrq.gov/issue/performance-trigger…

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47760/psn-pdf
     February 06, 2019 - AHRQ National Scorecard on Hospital-Acquired Conditions Updated Baseline Rates and Preliminary Results 2014–2017. February 6, 2019 Rockville, MD: Agency for Healthcare Research and Quality; January 2019. https://psnet.ahrq.gov/issue/ahrq-national-scorecard-hospital-acquired-conditions-updated-baseline-rates- and-…

279. Consequences of Medical Overuse | PSNet
     psnet.ahrq.gov/web-mm/consequences-medical-overuse
     May 05, 2021 - Morgan, MD, MS, and Andrew Foy, MD This case represents a common medical scenario.

280. Diagnostic Errors | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors
     December 01, 2013 - This restoration of performance represents a simple example of cognitive debiasing . … Summary Taken together, the literature published in 2014 represents a significant advance in our thinking