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Total Results: 1,419 records

Showing results for "scheduled".

441. PowerPoint Presentation (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.398_slideshow.ppt
     February 01, 2017 - She left the hospital and went directly to a previously scheduled positron emission tomography CT scan

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41028/psn-pdf
     May 14, 2018 - Health care worker fatigue and patient safety. May 14, 2018 Sentinel Event Alert. December 14, 2011;(48):1-4. (addendum May 14, 2018). https://psnet.ahrq.gov/issue/health-care-worker-fatigue-and-patient-safety The Joint Commission issues sentinel event alerts to emphasize pressing safety issues and provide guideli…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39283/psn-pdf
     December 21, 2014 - Parents' medication administration errors: role of dosing instruments and health literacy. December 21, 2014 Yin S, Mendelsohn A, Wolf MS, et al. Parents' medication administration errors: role of dosing instruments and health literacy. Arch Pediatr Adolesc Med. 2010;164(2):181-6. doi:10.1001/archpediatrics.2009.26…

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43593/psn-pdf
     May 06, 2015 - Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. May 6, 2015 Chicago, IL: American Hospital Association, Health Research and Educational Trust, and Joint Commission Center for Transforming Healthcare; 2014. https://psnet.ahrq.gov/issu…

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47313/psn-pdf
     September 12, 2018 - The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running two rooms" does not compromise outcomes or patient safety in joint arthroplasty. September 12, 2018 Hamilton WG, Ho H, Parks NL, et al. The Lawrence D. Dorr Surgical Techniques & Technologies Award: "Running Two Rooms" Does Not Compromise Out…

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39232/psn-pdf
     February 14, 2011 - Improving prescription drug warnings to promote patient comprehension. February 14, 2011 Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. https://psnet.ahrq.gov/issue/improving-prescripti…

447. Spotlight Case (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.206_slideshow.ppt
     October 01, 2009 - Spotlight Case Spotlight Case Difficult Encounters: A CMO and CNO Respond Source and Credits This presentation is based on the October 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Ernie Ring, MD; Jane Hirsch, RN, MS UCSF Medical Cen…

448. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     August 11, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47491/psn-pdf
     November 07, 2018 - Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter- professional team. November 7, 2018 Kutaimy R, Zhang L, Blok D, et al. Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. BMC Med Ed…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46567/psn-pdf
     January 24, 2019 - Association of overlapping surgery with increased risk for complications following hip surgery. January 24, 2019 Ravi B, Pincus D, Wasserstein D, et al. Association of Overlapping Surgery With Increased Risk for Complications Following Hip Surgery: A Population-Based, Matched Cohort Study. JAMA Intern Med. 2018;17…

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49438/psn-pdf
     March 05, 2004 - OR Peeping March 1, 2004 Mackenzie CF. OR Peeping. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/or-peeping The Case A healthy unmarried woman was undergoing a dilation and curettage (D&C) following an incomplete spontaneous abortion (miscarriage). At this community hospital, a new operating room (OR) su…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38674/psn-pdf
     February 17, 2011 - Cost implications of reduced work hours and workloads for resident physicians. February 17, 2011 Nuckols TK, Bhattacharya J, Wolman DM, et al. Cost implications of reduced work hours and workloads for resident physicians. N Engl J Med. 2009;360(21):2202-15. doi:10.1056/NEJMsa0810251. https://psnet.ahrq.gov/issue/c…

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40239/psn-pdf
     February 23, 2011 - Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. February 23, 2011 Field T, Tjia J, Mazor KM, et al. Randomized trial of a warfarin communication protocol for nursing homes: an SBAR-based approach. Am J Med. 2011;124(2):179.e1-7. doi:10.1016/j.amjmed.2010.09.017. htt…

454. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40393/psn-pdf
     December 21, 2014 - Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. December 21, 2014 O'Leary KJ, Buck R, Fligiel HM, et al. Structured interdisciplinary rounds in a medical teaching unit: improving patient safety. Arch Intern Med. 2011;171(7):678-684. doi:10.1001/archinternmed.2011.128. http…

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38077/psn-pdf
     January 31, 2011 - Building physician work hour regulations from first principles and best evidence. January 31, 2011 Volpp KG, Landrigan CP. Building physician work hour regulations from first principles and best evidence. JAMA. 2008;300(10):1197-9. doi:10.1001/jama.300.10.1197. https://psnet.ahrq.gov/issue/building-physician-work-…

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33574/psn-pdf
     March 15, 2025 - Ambulatory Care Safety March 15, 2025 Ambulatory Care Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/ambulatory-care-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Las…

457. A Seasonal Care Transition Failure | PSNet
     psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
     June 01, 2016 - These patients should be scheduled proactively by the clinic for longer appointments during the first

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46843/psn-pdf
     June 21, 2018 - Electronic health record reviews to measure diagnostic uncertainty in primary care. June 21, 2018 Bhise V, Rajan SS, Sittig DF, et al. Electronic health record reviews to measure diagnostic uncertainty in primary care. J Eval Clin Pract. 2018;24(3):545-551. doi:10.1111/jep.12912. https://psnet.ahrq.gov/issue/elect…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45255/psn-pdf
     January 23, 2017 - Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop medication administration system using RFID and barcode. January 23, 2017 Hwang Y, Yoon D, Ahn EK, et al. Provider risk factors for medication administration error alerts: analyses of a large-scale closed-loop m…

460. Systems Approach | PSNet
     psnet.ahrq.gov/primer/systems-approach
     June 15, 2024 - The procedure was the surgeon's last of six scheduled procedures that day, and delays in the outpatient