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Showing results for "severe".

  1. Strategies and Approaches for Investigating Patient Safety Events | PSNet

    psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
    March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49441/psn-pdf
    March 01, 2004 - Fumbled Handoff March 1, 2004 Vidyarthi A. Fumbled Handoff. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/fumbled-handoff The Case A 73-year-old female with history of hypertension, non-insulin dependent diabetes mellitus (NIDDM), and chronic renal insufficiency was admitted for an elective sigmoid resect…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49773/psn-pdf
    July 01, 2016 - Near Miss With Neonate October 1, 2016 Malana J, Lyndon A. Near Miss With Neonate. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/near-miss-neonate The Case A 37-year-old pregnant woman was admitted to the hospital for scheduled induction of labor for postterm dates. Early the next morning, intravenous oxy…

  4. Spotlight

    psnet.ahrq.gov/sites/default/files/2020-05/webmm.ahrq_.gov_.392_slideshow.pptx
    January 01, 2020 - Spotlight Spotlight Suicidal Ideation in the Family Medicine Clinic 1 Source and Credits This presentation is based on the December 2016 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm CME credit is available Commentary by: Christine Moutier, MD, Chief Medical Officer, American …

  5. Charcoal Lavage of the Lungs | PSNet

    psnet.ahrq.gov/web-mm/charcoal-lavage-lungs
    January 01, 2016 - Charcoal Lavage of the Lungs Citation Text: Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49390/psn-pdf
    February 01, 2003 - Flying Object Hits MRI February 1, 2003 Gosbee JW, Gosbee LL. Flying Object Hits MRI. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/flying-object-hits-mri The Case A child was brought to the Magnetic Resonance Imaging (MRI) room for a brain scan. Accompanied by an anesthesiologist, the child was receiving…

  7. Medication administration and interruptions in nursing homes: a qualitative observational study. | PSNet

    psnet.ahrq.gov/issue/medication-administration-and-interruptions-nursing-homes-qualitative-observational-study
    March 15, 2023 - Study Medication administration and interruptions in nursing homes: a qualitative observational study. Citation Text: Odberg KR, Hansen BS, Aase K, et al. Medication administration and interruptions in nursing homes: A qualitative observational study. J Clin Nurs. 2018;27(5-6):1113-1124.…

  8. Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. | PSNet

    psnet.ahrq.gov/issue/pediatric-crisis-resource-management-training-improves-emergency-medicine-trainees-perceived
    March 25, 2020 - Study Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. Citation Text: Bank I, Snell L, Bhanji F. Pediatric crisis resource management training improves emergency medicine t…

  9. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. | PSNet

    psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
    June 15, 2022 - Study Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. Citation Text: Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…

  10. Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-disease-management-moderating-medication-errors-and-risks-pharmacy-benefit
    February 13, 2019 - Commentary Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment. Citation Text: Nair V, Salmon JW, Kaul AF. Iatrogenic Disease Management: Moderating Medication Errors and Risks in a Pharmacy Benefit Management Environment…

  11. Responding to medical errors — implementing the modern ethical paradigm. | PSNet

    psnet.ahrq.gov/issue/responding-medical-errors-implementing-modern-ethical-paradigm
    August 18, 2021 - Commentary Responding to medical errors — implementing the modern ethical paradigm. Citation Text: Gallagher TH, Kachalia A. Responding to medical errors — implementing the modern ethical paradigm. New Engl J Med. 2024;390(3):193-197. doi:10.1056/nejmp2309554. Copy Citation Format:…

  12. Assessing the value of electronic prescribing in ambulatory care: A focus group study. | PSNet

    psnet.ahrq.gov/issue/assessing-value-electronic-prescribing-ambulatory-care-focus-group-study
    September 01, 2016 - Study Assessing the value of electronic prescribing in ambulatory care: A focus group study. Citation Text: Weingart SN, Massagli M, Cyrulik A, et al. Assessing the value of electronic prescribing in ambulatory care: a focus group study. Int J Med Inform. 2009;78(9):571-8. doi:10.1016/j…

  13. Diagnostic delays in infectious diseases. | PSNet

    psnet.ahrq.gov/issue/diagnostic-delays-infectious-diseases
    December 15, 2021 - Study Diagnostic delays in infectious diseases. Citation Text: Suneja M, Beekmann SE, Dhaliwal G, et al. Diagnostic delays in infectious diseases. Diagnosis (Berl). 2022;9(3):332-339. doi:10.1515/dx-2021-0092. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML E…

  14. Use of electronic health records in US hospitals. | PSNet

    psnet.ahrq.gov/issue/use-electronic-health-records-us-hospitals
    February 17, 2011 - Meeting/Conference Proceedings Use of electronic health records in US hospitals. Citation Text: Jha AK, DesRoches CM, Campbell EG, et al. Use of electronic health records in U.S. hospitals. doi:10.1056/NEJMsa0900592. Copy Citation Format: DOI Google Scholar PubMed BibTeX …

  15. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. | PSNet

    psnet.ahrq.gov/issue/i-pass-mentored-implementation-handoff-curriculum-implementation-guide-and-resources
    November 16, 2022 - Commentary I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. Citation Text: O'Toole JK, Starmer AJ, Calaman S, et al. I-PASS Mentored Implementation Handoff Curriculum: implementation guide and resources. MedEdPORTAL. 2018;14(1):10736. doi:10.15766/me…

  16. Weight stigma and barriers to effective obesity care. | PSNet

    psnet.ahrq.gov/issue/weight-stigma-and-barriers-effective-obesity-care
    August 18, 2021 - Review Weight stigma and barriers to effective obesity care. Citation Text: Puhl RM. Weight stigma and barriers to effective obesity care. Gastroenterol Clin North Am. 2023;52(2):417-428. doi:10.1016/j.gtc.2023.02.002. Copy Citation Format: DOI Google Scholar BibTeX EndNote…

  17. The effects of physical environments in medical wards on medication communication processes affecting patient safety. | PSNet

    psnet.ahrq.gov/issue/effects-physical-environments-medical-wards-medication-communication-processes-affecting
    November 17, 2021 - Study The effects of physical environments in medical wards on medication communication processes affecting patient safety. Citation Text: Liu W, Manias E, Gerdtz M. The effects of physical environments in medical wards on medication communication processes affecting patient safety. Heal…

  18. Frequency of medication administration timing error in hospitals: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-medication-administration-timing-error-hospitals-systematic-review
    March 15, 2023 - Review Frequency of medication administration timing error in hospitals: a systematic review. Citation Text: Pullam T, Russell CL, White-Lewis S. Frequency of medication administration timing error in hospitals: a systematic review. J Nurs Care Qual. 2023;38(2):126-133. doi:10.1097/ncq.0…

  19. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. | PSNet

    psnet.ahrq.gov/issue/barriers-and-facilitators-associated-implementation-surgical-safety-checklists-qualitative
    August 17, 2022 - Review Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. Citation Text: Paterson C, Mckie A, Turner M, et al. Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitati…

  20. On error management: lessons from aviation. | PSNet

    psnet.ahrq.gov/issue/error-management-lessons-aviation
    September 13, 2011 - Commentary Classic On error management: lessons from aviation. Citation Text: Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML En…
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