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Total Results: 5,430 records

Showing results for "severe".

4821. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33800/psn-pdf
      January 01, 2015 - Computerized Provider Order Entry and Patient Safety January 1, 2015 Sarkar U, Shojania KG. Computerized Provider Order Entry and Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety Annual Perspective 2015 Computerized provider order entry…

4822. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33799/psn-pdf
      January 01, 2015 - Burnout Among Health Professionals and Its Effect on Patient Safety January 1, 2015 Lyndon A. Burnout Among Health Professionals and Its Effect on Patient Safety. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/burnout-among-health-professionals-and-its-effect-patient-safety Annual Perspective 2015 Bur…

4823. Medication Reconciliation | PSNet
      psnet.ahrq.gov/primer/medication-reconciliation
      March 15, 2025 - Medication Reconciliation Citation Text: Medication Reconciliation. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId R…

4824. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

4825. Culture of Safety | PSNet
      psnet.ahrq.gov/primer/culture-safety
      September 15, 2024 - Culture of Safety Citation Text: Culture of Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

4826. Communication Between Clinicians | PSNet
      psnet.ahrq.gov/primer/communication-between-clinicians
      September 15, 2024 - Communication Between Clinicians Citation Text: Communication Between Clinicians. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

4827. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866839/psn-pdf
      September 25, 2024 - Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations September 25, 2024 Barnes DK, Utter GH. Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/errors-managing-open-wound-elb…

4828. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-09/final_spotlight_case_open_wound_of_the_elbow_slides_09.19.2024.pptx
      January 01, 2024 - Spotlight Spotlight Errors in Managing an Open Wound of the Elbow Leading to Multiple Complications and Operations 1 Source and Credits This presentation is based on the September 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: David…

4829. The Role of Bar Coding and Smart Pumps in Safety | PSNet
      psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
      September 01, 2008 - The Role of Bar Coding and Smart Pumps in Safety Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN | September 1, 2008  Also Read a Conversation View more articles from the same authors. Citation Text: Rothschild JM, Keohane C. The Role of Bar Coding and Sm…

4830. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …

4831. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
      March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil March 1, 2017  Also Read an Essay Citation Text: In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. …

4832. Patient Safety in Office-Based Care Settings | PSNet
      psnet.ahrq.gov/perspective/patient-safety-office-based-care-settings
      January 31, 2024 - Patient Safety in Office-Based Care Settings Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN; Merton Lee, PharmD, PhD; Sarah E. Mossburg, RN, PhD | January 31, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Ricciardi R, L…

4833. In Conversation with...Richard Ricciardi about Office-Based Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-ricciardi-about-office-based-patient-safety
      January 31, 2024 - In Conversation with...Richard Ricciardi about Office-Based Patient Safety Richard Ricciardi, Ph.D., CRNP, FAANP, FAAN | January 31, 2024  Also Read the Essay View more articles from the same authors. Citation Text: Ricciardi R, Lee M, Mossburg S. In Conversatio…

4834. In Conversation With… Christopher P. Landrigan, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-christopher-p-landrigan-md-mph
      April 01, 2013 - In Conversation With… Christopher P. Landrigan, MD, MPH April 1, 2013  Also Read an Essay Citation Text: In Conversation With… Christopher P. Landrigan, MD, MPH. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health …

4835. Spotlight (pdf file)
      psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
      January 01, 2021 - pump failure due to heart failure or shock, or maldistribution of blood flow due to septic shock • Severe

4836. Two Cases of Retained Vaginal Packing: When Writing an Order is Not Enough | PSNet
      psnet.ahrq.gov/web-mm/two-cases-retained-vaginal-packing-when-writing-order-not-enough
      September 01, 2003 - August 10, 2022 Distinguishing high-performing from low-performing hospitals for severe

4837. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience May 1, 2005 Conway JB, Weingart SN. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizat…

4838. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50858/psn-pdf
      January 31, 2020 - Artificial Intelligence and Diagnostic Errors January 31, 2020 Hall KK, Fitall E. Artificial Intelligence and Diagnostic Errors. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/artificial-intelligence-and-diagnostic-errors Definition of Artificial Intelligence The definition of artificial intelligence (…

4839. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49499/psn-pdf
      December 02, 2020 - An Outpatient 'Zebra' January 1, 2006 Berkowitz L. An Outpatient 'Zebra'. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/outpatient-zebra The Case A 64-year-old man presented to the outpatient clinic with a chief complaint of left foot pain and numbness. His past medical history included lumbar disc diseas…

4840. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49539/psn-pdf
      June 01, 2007 - Informed or Misled? June 1, 2007 White SM. Informed or Misled? . PSNet [internet]. 2007. https://psnet.ahrq.gov/web-mm/informed-or-misled The Case A 50-year-old man arrived at the hospital for an elective total knee replacement. Based on preoperative discussions, the patient expected to receive spinal anesthesia.…