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Showing results for "reviews".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49857/psn-pdf
    March 01, 2019 - Duplicate Insulin Order March 1, 2019 Acquisto NM, Cobaugh DJ. Duplicate Insulin Order. PSNet [internet]. 2019. https://psnet.ahrq.gov/web-mm/duplicate-insulin-order The Case A 45-year-old man with a history of insulin-dependent diabetes mellitus was seen in the emergency department (ED) for complaints of letharg…

  2. Wrong Catheter in the Right Patient | PSNet

    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - Wrong Catheter in the Right Patient Citation Text: Chia C, Molla M. Wrong Catheter in the Right Patient. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

  3. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet

    psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
    November 13, 2024 - The Second Victim Phenomenon: A Harsh Reality of Health Care Professions Susan D. Scott RN, MSN | May 1, 2011  View more articles from the same authors. Citation Text: Scott SD. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions. PSNet [intern…

  4. Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2024-03/delayed_diagnosis_and_treatment_of_sle.pdf
    January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Delayed Diagnosis and Treatment of Lupus_SLIDES - FINAL.pptx Spotlight Delayed Diagnosis and Treatment of Systemic Lupus Erythematosus with a Psychiatric Presentation Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the full …

  5. Root Cause Analysis Gone Wrong | PSNet

    psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
    August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72811/psn-pdf
    September 01, 2022 - Algorithm-Based Decision Support System Guides Trauma Staff During Initial Treatment, Leading to Fewer Medical Errors Originally published on March 3, 2021 Last updated on March 16, 2021 https://psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during- initial-treatment Summar…

  7. Patient Engagement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - is not necessarily someone who has had the best experience so they can share only wonderful glowing reviews

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36209/psn-pdf
    October 13, 2010 - Procedures should promote patient safety. October 13, 2010 Spath P. Procedures should promote patient safety. Hospital peer review. 2006;31(8):113-6. https://psnet.ahrq.gov/issue/procedures-should-promote-patient-safety This article discusses the importance of developing practical procedures in hospital care and ho…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35997/psn-pdf
    September 22, 2010 - The Safety and Quality of Health Care: Where are We Now? September 22, 2010 Med J Aust. 2006;184(S10):S39-S72. https://psnet.ahrq.gov/issue/safety-and-quality-health-care-where-are-we-now This special issue includes numerous articles reviewing the activities and successes of the patient safety movement outside th…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38424/psn-pdf
    September 24, 2016 - Interruptions in healthcare: theoretical views. September 24, 2016 Grundgeiger T, Sanderson P. Interruptions in healthcare: theoretical views. Int J Med Inform. 2009;78(5):293-307. doi:10.1016/j.ijmedinf.2008.10.001. https://psnet.ahrq.gov/issue/interruptions-healthcare-theoretical-views This review article examin…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72739/psn-pdf
    February 10, 2021 - Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism February 10, 2021 McCallum W, Barnes DK. Delay in Appropriate Diagnosis and Treatment Leading to Death from Pulmonary Embolism. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leadi…

  12. In Conversation with…Vineet Arora, MD, MA | PSNet

    psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
    March 01, 2011 - In Conversation with…Vineet Arora, MD, MA March 1, 2011  Also Read an Essay Citation Text: In Conversation with…Vineet Arora, MD, MA . PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. …

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39555/psn-pdf
    May 26, 2010 - Quality in cancer diagnosis. May 26, 2010 Raab SS, Grzybicki DM. Quality in cancer diagnosis. CA Cancer J Clin. 2010;60(3):139-165. doi:10.3322/caac.20068. https://psnet.ahrq.gov/issue/quality-cancer-diagnosis This review discusses quality of pathology testing in oncology and calls for improvements to prevent dia…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36817/psn-pdf
    August 26, 2011 - Fault trees uncover complex causes. August 26, 2011 Spath P. Fault trees uncover complex causes. Hospital peer review. 2007;32(4):49-52. https://psnet.ahrq.gov/issue/fault-trees-uncover-complex-causes This article discusses the use of a fault tree diagram to identify root causes of an incident within complex syste…

  15. HQI and Hospital Council Annual Conference. | PSNet

    psnet.ahrq.gov/issue/hqi-and-hospital-council-annual-conference
    October 25, 2006 - United States Meeting/Conference HQI and Hospital Council Annual Conference. Citation Text: Hospital Quality Institute. The Everline Resort & Spa, Lake Tahoe, Olympic Valley, CA, October 15-16, 2023. Copy Citation Save Save to your library Print S…

  16. Annual Diagnostic Excellence Summit. | PSNet

    psnet.ahrq.gov/issue/annual-diagnostic-excellence-summit
    May 09, 2024 - United States Meeting/Conference Annual Diagnostic Excellence Summit. Citation Text: The Armstrong Institute Center for Diagnostic Excellence. Johns Hopkins University, Baltimore, MD, May 22, 2024, 9:00 AM-4:00 PM (eastern). Copy Citation Save Save to your library…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49688/psn-pdf
    August 21, 2013 - Discharge Instructions in the PACU: Who Remembers? August 21, 2013 Engel KG. Discharge Instructions in the PACU: Who Remembers? PSNet [internet]. 2013. https://psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers The Case A 42-year-old woman was diagnosed with a torn anterior cruciate ligament (ACL) in …

  18. Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2020-11/final_nov_spotlight_case_premature_closing-snycope_11.20.2020-revised.pdf
    January 01, 2020 - Microsoft PowerPoint - FINAL Nov_Spotlight Case_Premature Closing-Snycope_11.20.2020-revised.pptx Spotlight Premature Closure: Was it Just Syncope? Source and Credits • This presentation is based on the November 2020 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.gov/webmm o CME credit i…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49703/psn-pdf
    March 01, 2014 - After-Visit Confusion March 1, 2014 Ventres W. After-Visit Confusion. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/after-visit-confusion The Case An otherwise healthy 18-year-old woman presented to an urgent care clinic with new bumps and white spots near her tongue. The patient's mother accompanied her …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846125/psn-pdf
    March 15, 2023 - The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis March 15, 2023 https://psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels- and-effective Summary …
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