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Total Results: 1,077 records

Showing results for "stages".

321. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience
     July 20, 2010 - Although many of these efforts are in their early stages and we still have much to do and to learn, we

322. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49655/psn-pdf
     June 01, 2012 - A Painful Dilemma June 1, 2012 Davison SN. A Painful Dilemma. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/painful-dilemma The Case A 47-year-old woman with end-stage renal disease due to polycystic kidney disease was admitted with fever. She was taking propoxyphene or hydrocodone at home for pain. She h…

323. Delayed Diagnosis of Kidney Transplant Complications | PSNet
     psnet.ahrq.gov/web-mm/delayed-diagnosis-kidney-transplant-complications
     January 29, 2020 - Delayed Diagnosis of Kidney Transplant Complications Citation Text: Kapa N, Morfín JA. Delayed Diagnosis of Kidney Transplant Complications. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Goo…

324. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43865/psn-pdf
     May 01, 2015 - Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems. May 1, 2015 Schiff GD, Amato MG, Eguale T, et al. Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current sy…

325. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39549/psn-pdf
     March 22, 2011 - The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit. March 22, 2011 Trbovich PL, Pinkney S, Cafazzo JA, et al. The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simul…

326. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49552/psn-pdf
     January 01, 2008 - institutional administration may better address the impact of medical errors on caregivers at all stages

327. Debriefing for Clinical Learning | PSNet
     psnet.ahrq.gov/primer/debriefing-clinical-learning
     September 15, 2024 - Debriefing for Clinical Learning Citation Text: Edwards JJ, Wexner S, Nichols A. Debriefing for Clinical Learning. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google Scholar BibTeX EndNote…

328. Saying Sorry. | PSNet
     psnet.ahrq.gov/issue/saying-sorry
     October 20, 2021 - Fact Sheet/FAQs Saying Sorry. Citation Text: Saying Sorry. London, England: NHS Resolution; 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL June 12, 2…

329. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39653/psn-pdf
     November 15, 2011 - The new recommendations on duty hours from the ACGME Task Force. November 15, 2011 Nasca TJ, Day SH, Amis S, et al. The new recommendations on duty hours from the ACGME Task Force. N Engl J Med. 2010;363(2):e3. doi:10.1056/NEJMsb1005800. https://psnet.ahrq.gov/issue/new-recommendations-duty-hours-acgme-task-force …

330. Complaints to the Parliamentary and Health Service Ombudsman. | PSNet
     psnet.ahrq.gov/issue/complaints-about-acute-trusts-2016-2017
     April 17, 2024 - Book/Report Complaints to the Parliamentary and Health Service Ombudsman. Citation Text: Complaints to the Parliamentary and Health Service Ombudsman. Manchester, UK: Parliamentary and Health Service Ombudsman. Copy Citation Save Save to your library Print …

331. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867652/psn-pdf
     February 26, 2025 - requirements and available resources, making RCA2 an accessible model for healthcare organizations at various stages

332. Compare and Contrast | PSNet
     psnet.ahrq.gov/web-mm/compare-and-contrast
     July 16, 2019 - necessary when comparing a patient’s estimated GFR to normal values, or to the levels defining the stages

333. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49810/psn-pdf
     November 01, 2017 - Palliative Care: Comfort vs. Harm November 1, 2017 Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm Case Objectives Recognize errors may be difficult to identify in palliative care. State that medication errors and errors in communica…

334. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33646/psn-pdf
     February 01, 2007 - In Conversation with...Joseph Britto, MD February 1, 2007 In Conversation with..Joseph Britto, MD. PSNet [internet]. 2007. https://psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md Editor's Note: Joseph Britto, MD, is CEO and Co-founder of Isabel Healthcare Inc. Isabel, a clinical decision support syste…

335. Patient Safety Incident Response Framework. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incident-response-framework
     October 20, 2021 - Toolkit Patient Safety Incident Response Framework. Citation Text: Patient Safety Incident Response Framework. London, England: NHS England; August 2022. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …

336. Independent Neurology Inquiry. | PSNet
     psnet.ahrq.gov/issue/independent-neurology-inquiry
     November 16, 2022 - Book/Report Independent Neurology Inquiry. Citation Text: Independent Neurology Inquiry. Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022.  ISBN 9781912313631. Copy Citation Save Save to your library Print Download PDF …

337. There's more to the 60 Minutes story on heparin errors. | PSNet
     psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors
     March 15, 2022 - Newspaper/Magazine Article There's more to the 60 Minutes story on heparin errors. Citation Text: There's more to the 60 Minutes story on heparin errors. ISMP Medication Safety Alert! Acute Care Edition. March 27, 2008;13:1-2. Copy Citation Save Save to your libra…

338. Double key bounce and double keying errors. | PSNet
     psnet.ahrq.gov/issue/double-key-bounce-and-double-keying-errors
     February 01, 2023 - Newspaper/Magazine Article Double key bounce and double keying errors. Citation Text: Double key bounce and double keying errors. ISMP Medication Safety Alert! Acute care edition. January 12, 2006. Copy Citation Save Save to your library Print Downlo…

339. Council recommendation on patient safety, including the prevention and control of healthcare associated infections. | PSNet
     psnet.ahrq.gov/issue/council-recommendation-patient-safety-including-prevention-and-control-healthcare-associated
     August 04, 2021 - Government Resource Council recommendation on patient safety, including the prevention and control of healthcare associated infections. Citation Text: Council recommendation on patient safety, including the prevention and control of healthcare associated infections. Council of the Euro…

340. Improving Patient Safety in Laboratory Medicine. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-laboratory-medicine
     November 16, 2022 - Special or Theme Issue Improving Patient Safety in Laboratory Medicine. Citation Text: Improving Patient Safety in Laboratory Medicine. Randell E, Schneider W, eds. Clin Biochem. 2013;46:1159-1194.   Copy Citation Save Save to your library Print …