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Showing results for "service".

7341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49573/psn-pdf
      January 01, 2009 - Dangerous Shift November 1, 2008 Patterson ES. Dangerous Shift. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/dangerous-shift Case Objectives Review the evidence base on erroneous actions related to shift changes. Understand the limits of standardizing handoffs in preventing errors at shift change. Expla…

7342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49760/psn-pdf
      May 01, 2016 - Mismanagement of Delirium May 1, 2016 Merrilees J, Lee KP. Mismanagement of Delirium. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/mismanagement-delirium The Case An 85-year-old man with early stage vascular dementia fell on the sidewalk and fractured his leg. Although fitted with a cast at a regional ho…

7343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49400/psn-pdf
      May 01, 2003 - Central Line Clot May 1, 2003 Randolph AG. Central Line Clot. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/central-line-clot Case Objectives List the complications of central line manipulation Appreciate the limitations of diagnostic studies for PE in children Describe modalities for prevention of cathe…

7344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49567/psn-pdf
      September 01, 2008 - Empiric Steroids: the Good, the Bad, and the Ugly September 1, 2008 Harris ED. Empiric Steroids: the Good, the Bad, and the Ugly. PSNet [internet]. 2008. https://psnet.ahrq.gov/web-mm/empiric-steroids-good-bad-and-ugly Case Objectives Describe appropriate indications for use of steroids. Appreciate contraindicati…

7345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49702/psn-pdf
      March 01, 2014 - Tough Call: Addressing Errors From Previous Providers March 1, 2014 Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers Case Objectives Define what it means to be a professional. Identi…

7346. Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans | PSNet
      psnet.ahrq.gov/innovation/preventing-falls-through-patient-and-family-engagement-create-customized-prevention
      July 23, 2024 - Preventing Falls Through Patient and Family Engagement to Create Customized Prevention Plans Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL May 31, 2023 Innovation Contact …

7347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861880/psn-pdf
      January 31, 2024 - Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) January 31, 2024 https://psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication- program-reduce-medical Summary Medica…

7348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846769/psn-pdf
      March 29, 2023 - Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. March 29, 2023 Jimenez S, Crossen S. Missed Diagnosis of Addison’s Disease in Adolescent Presenting with Fatigue. PSNet [internet]. 2023. https://psnet.ahrq.gov/web-mm/missed-diagnosis-addisons-disease-adolescent-presenting-fatigue The C…

7349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866579/psn-pdf
      August 28, 2024 - Infection After Carpal Tunnel Surgery August 28, 2024 Szabo RM. Infection After Carpal Tunnel Surgery. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/infection-after-carpal-tunnel-surgery The Case A woman presented for surgery on her right wrist as a treatment for carpal tunnel syndrome. There were no repo…

7350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74149/psn-pdf
      January 07, 2022 - Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings January 7, 2022 Erb JL, Shah SB, Schiff G. Multiple Missed Opportunities for Suicide Risk Assessment in Emergency and Primary Care Settings. PSNet [internet]. 2022. https://psnet.ahrq.gov/web-mm/multiple-missed-opportu…

7351. The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE | PSNet
      psnet.ahrq.gov/innovation/johns-hopkins-venous-thromboembolism-vte-collaborative-studies-and-implements-methods
      June 19, 2024 - The Johns Hopkins Venous Thromboembolism (VTE) Collaborative Studies and Implements Methods to Prevent Avoidable Cases of Hospital Associated VTE Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL Apri…

7352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73334/psn-pdf
      August 01, 2024 - An Inadvertent Bolus of Norepinephrine. May 26, 2021 Fazio S, Blackmon E, Doroy A, et al. An Inadvertent Bolus of Norepinephrine. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Counc…

7353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33802/psn-pdf
      February 01, 2016 - Relationships Between Physician Professional Satisfaction and Patient Safety February 1, 2016 Friedberg MW. Relationships Between Physician Professional Satisfaction and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/relationships-between-physician-professional-satisfaction-and-patient-…

7354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33598/psn-pdf
      June 15, 2024 - Falls June 15, 2024 Falls. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/falls 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. Last reviewed in 2024. Background Falls are a common …

7355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33588/psn-pdf
      March 15, 2025 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events March 15, 2025 Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events PSNet primers are regu…

7356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49666/psn-pdf
      October 01, 2012 - CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure October 1, 2012 Liu C. CA-MRSA Skin Infections: An Ounce of Prevention is Worth a Pound of Cure. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/ca-mrsa-skin-infections-ounce-prevention-worth-pound-cure Case Objectives Identify risk f…

7357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49729/psn-pdf
      April 01, 2015 - Dissecting the Presentation April 1, 2015 Suat-Ooi SB. Dissecting the Presentation. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/dissecting-presentation Case Objectives Define aortic dissection. Describe the epidemiology of acute aortic dissection. State the common and uncommon presentation of acute aor…

7358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73103/psn-pdf
      March 31, 2021 - Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination March 31, 2021 Valdes W, Utter GH. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination. PSNet [internet]. 2021. https://psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-…

7359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49822/psn-pdf
      March 01, 2018 - Isolated Clot, Real Error March 1, 2018 Parks A, Fang MC. Isolated Clot, Real Error. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/isolated-clot-real-error Case Objectives Appreciate that errors are common in the management of venous thromboembolism disease. Describe patients with venous thromboembolism i…

7360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33580/psn-pdf
      April 01, 2022 - Nursing and Patient Safety April 21, 2021 Phillips J, Malliaris AP, Bakerjian D. Nursing and Patient Safety. PSNet [internet]. 2021. https://psnet.ahrq.gov/primer/nursing-and-patient-safety Updated in March 2021. Originally published in December 2011 by researchers at the University of California, San Francisco.  …