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Total Results: 1,143 records

Showing results for "stage".

241. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39724/psn-pdf
     July 28, 2010 - Prone to error: earliest steps to find cancer. July 28, 2010 Saul S. New York Times. July 19, 2010;A1. https://psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer This newspaper article investigates diagnostic errors in breast cancer through the story of a patient who was misdiagnosed. Concern about the ac…

242. Eight-year experience with a neurosurgical checklist. | PSNet
     psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
     September 27, 2023 - April 18, 2018 Guidance for health care leaders during the recovery stage of the COVID

243. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46243/psn-pdf
     June 05, 2019 - AHRQ Safety Program for Improving Surgical Care and Recovery. June 5, 2019 Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-safety-program-improving-surgical-care-and-recovery Patients are vulnerable to harm after surgery. This program used methods from the Comprehensive Unit- based S…

244. Don't Pick the PICC | PSNet
     psnet.ahrq.gov/web-mm/dont-pick-picc
     December 01, 2011 - year-old man with diabetes mellitus complicated by retinopathy, neuropathy, and nephropathy; glaucoma; and stage … with nephrology approval required before any long-term venous access can be placed in patients with stage … achieving any fistula or graft.( 11 ) The patient in this illustrative case had complicated diabetes with stage

245. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33594/psn-pdf
     November 18, 2021 - All forms of debriefing have a shared structure that involves setting the stage followed by three phases … including description or reactions, analysis, and application.2 Setting the stage: To be effective … To build psychological safety, the expectations for participation should be discussed during this stage … During the debrief, JA sets the stage and provides the participants a chance to share their reactions

246. Making surgery as safe as it should be: a qualitative study. | PSNet
     psnet.ahrq.gov/issue/making-surgery-safe-it-should-be-qualitative-study
     July 02, 2014 - Participants highlight the role of NTS during the pre-, intra-, and post-operative stage, such as developing

247. Measuring harm and informing quality improvement in the Welsh NHS: the longitudinal Welsh national adverse events study. | PSNet
     psnet.ahrq.gov/issue/measuring-harm-and-informing-quality-improvement-welsh-nhs-longitudinal-welsh-national
     October 12, 2016 - This publication compared the use of the Global Trigger Tool with a two-stage retrospective review process

248. Medication errors reported by US family physicians and their office staff. | PSNet
     psnet.ahrq.gov/issue/medication-errors-reported-us-family-physicians-and-their-office-staff
     June 11, 2008 - Most reported errors occurred at the prescribing stage (e.g., prescribing an incorrect dose), and nearly

249. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49655/psn-pdf
     June 01, 2012 - https://psnet.ahrq.gov/web-mm/painful-dilemma The Case A 47-year-old woman with end-stage renal disease … Chronic pain in end-stage renal disease. Adv Chronic Kidney Dis. 2005;12:326-334. … Opioid and benzodiazepine use in end-stage renal disease: a systematic review.

250. A demonstration project on the impact of safety culture on infection control practices in hemodialysis | PSNet
     psnet.ahrq.gov/issue/demonstration-project-impact-safety-culture-infection-control-practices-hemodialysis
     May 01, 2024 - January 2, 2017 AHRQ Safety Program for End-Stage Renal Disease Facilities—Toolkit.

251. Association of face-to-face handoffs and outcomes of hospitalized internal medicine patients. | PSNet
     psnet.ahrq.gov/issue/association-face-face-handoffs-and-outcomes-hospitalized-internal-medicine-patients
     March 12, 2025 - August 17, 2018 Guidance for health care leaders during the recovery stage of the COVID

252. Oversight Hearing on Recent Patient Safety Issues. | PSNet
     psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
     November 06, 2019 - November 6, 2019 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

253. National Patient Safety Agency: combining stories with statistics to minimise harm. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
     November 18, 2020 - July 29, 2015 High Quality Care for All: NHS Next Stage Review Final Report.

254. Patient Options for Safe and Effective Disposal of Unused Opioids. | PSNet
     psnet.ahrq.gov/issue/patient-options-safe-and-effective-disposal-unused-opioids
     March 06, 2019 - September 29, 2017 High Quality Care for All: NHS Next Stage Review Final Report.

255. Examining the Status of VA’s Electronic Health Record Modernization Program. | PSNet
     psnet.ahrq.gov/issue/examining-status-vas-electronic-health-record-modernization-program
     November 10, 2021 - July 22, 2020 Hearing on Patient Safety and Quality Issues in End Stage Renal Disease

256. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet
     psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
     November 11, 2020 - January 29, 2015 High Quality Care for All: NHS Next Stage Review Final Report.

257. Digital Clinical Safety Strategy | PSNet
     psnet.ahrq.gov/issue/digital-clinical-safety-strategy
     March 01, 2023 - April 14, 2021 High Quality Care for All: NHS Next Stage Review Final Report.

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44912/psn-pdf
     November 18, 2016 - Patient safety in genomic medicine: an exploratory study. November 18, 2016 Korngiebel DM, Fullerton SM, Burke W. Patient safety in genomic medicine: an exploratory study. Genet Med. 2016;18(11):1136-1142. doi:10.1038/gim.2016.16. https://psnet.ahrq.gov/issue/patient-safety-genomic-medicine-exploratory-study This …

259. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34783/psn-pdf
     March 28, 2005 - The organizational and intraorganizational development of disasters. March 28, 2005 Turner BA. The Organizational and Interorganizational Development of Disasters. Adm Sci Q. 1976;21(3):378. doi:10.2307/2391850. https://psnet.ahrq.gov/issue/organizational-and-intraorganizational-development-disasters This article…

260. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/846164/psn-pdf
     March 15, 2023 - Crowding in the Emergency Department: Challenges for the Care of Children. March 15, 2023 Gross TK, Lane NE, Timm NL, et al. Crowding in the Emergency Department: Challenges for the Care of Children. Pediatrics. 2023;151(3):e2022060971-e2022060972. doi:10.1542/peds.2022-060971. https://psnet.ahrq.gov/issue/crowdin…