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Total Results: 5,427 records

Showing results for "severe".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43488/psn-pdf
    September 10, 2014 - The relationship between hospital systems load and patient harm. September 10, 2014 Pedroja AT, Blegen MA, Abravanel R, et al. The relationship between hospital systems load and patient harm. J Patient Saf. 2014;10(3):168-75. doi:10.1097/PTS.0b013e31829e4f82. https://psnet.ahrq.gov/issue/relationship-between-hospi…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36797/psn-pdf
    August 26, 2011 - The American College of Surgeons' closed claims study: new insights for improving care. August 26, 2011 Griffen FD, Stephens LS, Alexander JB, et al. The American College of Surgeons’ Closed Claims Study: New Insights for Improving Care. J Am Coll Surg. 2007;204(4). doi:10.1016/j.jamcollsurg.2007.01.013. https://p…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848820/psn-pdf
    May 10, 2023 - Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. May 10, 2023 Passini L, Le Bouedec S, Dassieu G, et al. Error disclosure in neonatal intensive care: a multicentre, prospective, observational study. BMJ Qual Saf. 2023;32(10):589-599. doi:10.1136/bmjqs-2022-015247. https…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46744/psn-pdf
    January 17, 2018 - Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. January 17, 2018 Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps at improving physician decision…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37448/psn-pdf
    January 06, 2017 - Patient safety rounds in a pediatric tertiary care center. January 6, 2017 Rinke ML, Zimmer KP, Lehmann CU, et al. Patient safety rounds in a pediatric tertiary care center. Jt Comm J Qual Patient Saf. 2008;34(1):5-12. https://psnet.ahrq.gov/issue/patient-safety-rounds-pediatric-tertiary-care-center Executive walk…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44907/psn-pdf
    May 25, 2016 - Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. May 25, 2016 Bannan DF, Tully MP. Bundle interventions used to reduce prescribing and administration errors in hospitalized children: a systematic review. J Clin Pharm Ther. 2016;41(3):246-55. d…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35229/psn-pdf
    January 02, 2017 - Patient Safety Leadership WalkRounds™ at Partners HealthCare: learning from implementation. January 2, 2017 Frankel A, Grillo SP, Baker EG, et al. Patient Safety Leadership WalkRounds at Partners Healthcare: learning from implementation. Jt Comm J Qual Patient Saf. 2005;31(8):423-37. https://psnet.ahrq.gov/issue/p…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764403/psn-pdf
    March 02, 2022 - Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. March 2, 2022 Lamoureux C, Hanna TN, Sprecher D, et al. Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned. Emerg Radiol. 2021;28(6):1135-1141. doi:10.1…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850355/psn-pdf
    June 14, 2023 - Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. June 14, 2023 Vaughan-Malloy AM, Chan Yuen J, Sandora TJ. Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene. Am J Infect Control. 20…

  10. Emergency nursing and medical error—a survey of two states. | PSNet

    psnet.ahrq.gov/issue/emergency-nursing-and-medical-error-survey-two-states
    January 25, 2010 - December 1, 2011 Are temporary staff associated with more severe emergency department

  11. ISMP QuarterWatch Reports. | PSNet

    psnet.ahrq.gov/issue/ismp-quarterwatch-reports
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home

  12. 2017 ISMP Medication Safety Self Assessment for Community/Ambulatory Pharmacy. | PSNet

    psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessment-communityambulatory-pharmacy
    June 07, 2017 - May 11, 2017 Severe hyperglycemia in patients incorrectly using insulin pens at home.

  13. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-24
    December 01, 2011 - July 8, 2013 Are temporary staff associated with more severe emergency department medication

  14. Nursing Care Quality at NQF. | PSNet

    psnet.ahrq.gov/issue/nursing-care-quality-nqf
    September 06, 2011 - July 8, 2009 Antecedents of severe and nonsevere medication errors.

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49811/psn-pdf
    November 01, 2017 - worsening respiratory status, liver abnormalities, and colonic pseudo-obstruction were all consistent with severe … These are rare but life-threatening conditions that result from either decompensated thyrotoxicosis or severe … Effects Score Absent 0 Mild (agitation) 10 Moderate (delirium, psychosis, extreme lethargy) 20 Severe … 25 Congestive Heart Failure Score Absent 0 Mild (pedal edema) 5 Moderate (bibasilar rales) 10 Severe

  16. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - advanced care discussions Case: Code Status Confusion A 60-year-old woman with a history of severe … preferences in scenarios with uncertain outcomes i.e., successful cardiac resuscitation with resultant severe

  17. 10 Medication Safety Tips for Hospitalized Patients. | PSNet

    psnet.ahrq.gov/issue/10-medication-safety-tips-hospitalized-patients
    February 06, 2019 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home

  18. ISMP Long-Term Care Advise-ERR. | PSNet

    psnet.ahrq.gov/issue/ismp-long-term-care-advise-err
    June 07, 2017 - June 13, 2018 Severe hyperglycemia in patients incorrectly using insulin pens at home

  19. Clinical Issues Series. | PSNet

    psnet.ahrq.gov/issue/clinical-issues-series
    July 05, 2006 - 2006 National Partnership for Maternal Safety: consensus bundle on support after a severe

  20. Fatal gas line mix-up: How to avoid making this "gastly" mistake. | PSNet

    psnet.ahrq.gov/issue/fatal-gas-line-mix-how-avoid-making-gastly-mistake
    April 29, 2018 - September 12, 2016 ALERT: reports of severe harm after intravenous administration of
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