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Total Results: 1,133 records

Showing results for "stages".

421. Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-03/uterine_artery_injury.pdf
     January 01, 2024 - Microsoft PowerPoint - Spotlight Case_Uterine Artery Injury during Cesarean Delivery - FINAL.pptx Spotlight Uterine Artery Injury during Cesarean Delivery Leads to Cardiac Arrests and Emergency Hysterectomy Source and Credits • This presentation is based on the March 2024 AHRQ WebM&M Spotlight Case o See the ful…

422. Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. | PSNet
     psnet.ahrq.gov/issue/identifying-electronic-health-record-contributions-diagnostic-error-ambulatory-settings
     January 25, 2023 - Study Identifying electronic health record contributions to diagnostic error in ambulatory settings through legal claims analysis. Citation Text: Krevat S, Samuel S, Boxley C, et al. Identifying electronic health record contributions to diagnostic error in ambulatory settings through leg…

423. Palliative Care: Comfort vs. Harm | PSNet
     psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
     December 04, 2016 - SPOTLIGHT CASE Palliative Care: Comfort vs. Harm Citation Text: Jox RJ. Palliative Care: Comfort vs. Harm. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

424. Oversight Hearing on Recent Patient Safety Issues. | PSNet
     psnet.ahrq.gov/issue/oversight-hearing-recent-patient-safety-issues
     November 06, 2019 - Congressional Testimony Oversight Hearing on Recent Patient Safety Issues. Citation Text: Oversight Hearing on Recent Patient Safety Issues. U.S. Department of Veterans Affairs. Hearing before the Committee on Veterans’ Affairs, House of Representatives, Subcommittee on Oversight and…

425. Reforming the Veterans Health Administration—beyond palliation of symptoms. | PSNet
     psnet.ahrq.gov/issue/reforming-veterans-health-administration-beyond-palliation-symptoms
     May 11, 2019 - Commentary Reforming the Veterans Health Administration—beyond palliation of symptoms. Citation Text: Giroir BP, Wilensky GR. Reforming the Veterans Health Administration--Beyond Palliation of Symptoms. N Engl J Med. 2015;373(18):1693-5. doi:10.1056/NEJMp1511438. Copy Citation Form…

426. Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
     November 06, 2019 - Congressional Testimony Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. Citation Text: Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. US House of Representatives Committee on Veterans' Affa…

427. A national survey of safe practice with epidural analgesia in obstetric units. | PSNet
     psnet.ahrq.gov/issue/national-survey-safe-practice-epidural-analgesia-obstetric-units
     July 28, 2021 - Study A national survey of safe practice with epidural analgesia in obstetric units. Citation Text: Jones R, Swales HA, Lyons GR. A national survey of safe practice with epidural analgesia in obstetric units. Anaesthesia. 2008;63(5):516-9. doi:10.1111/j.1365-2044.2007.05398.x. Copy C…

428. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/action-planning-tool-ahrq-surveys-patient-safety-culture
     February 12, 2019 - Toolkit Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Citation Text: Action Planning Tool for the AHRQ Surveys on Patient Safety Culture. Yount N, Edelman S, Sorra J, et al. Rockville, MD: Agency for Healthcare Research and Quality; November 2022. AHRQ Publication …

429. Missed diagnoses by urologists resulting in malpractice payment. | PSNet
     psnet.ahrq.gov/issue/missed-diagnoses-urologists-resulting-malpractice-payment
     November 21, 2021 - Study Missed diagnoses by urologists resulting in malpractice payment. Citation Text: Badger WJ, Moran ME, Abraham C, et al. Missed diagnoses by urologists resulting in malpractice payment. J Urol. 2007;178(6):2537-9. Copy Citation Format: Google Scholar PubMed BibTeX End…

430. Evaluating a handheld decision support device in pediatric intensive care settings. | PSNet
     psnet.ahrq.gov/issue/evaluating-handheld-decision-support-device-pediatric-intensive-care-settings
     January 18, 2023 - Study Evaluating a handheld decision support device in pediatric intensive care settings. Citation Text: Evaluating a handheld decision support device in pediatric intensive care settings. Reynolds TL, DeLucia PR, Esquibel KA, et al. JAMIA Open. 2019;2:49-61. Copy Citation …

431. Addressing health care disparities by improving quality and safety. | PSNet
     psnet.ahrq.gov/issue/addressing-health-care-disparities-improving-quality-and-safety
     January 27, 2021 - Sentinel Event Alerts Addressing health care disparities by improving quality and safety. Citation Text: Addressing health care disparities by improving quality and safety. Sentinel Event Alert. Nov 10 2021;(64):1-7. Copy Citation Save Save to your library …

432. 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 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …

433. Evidence Brief: Implementation of High Reliability Organization Principles. | PSNet
     psnet.ahrq.gov/issue/evidence-brief-implementation-high-reliability-organization-principles
     November 11, 2020 - Book/Report Evidence Brief: Implementation of High Reliability Organization Principles. Citation Text: Evidence Brief: Implementation of High Reliability Organization Principles. Veazie S, Peterson K, Bourne D. Washington DC: United States Department of Veterans Affairs; May 2019. …

434. Positive deviance: a new tool for infection prevention and patient safety. | PSNet
     psnet.ahrq.gov/issue/positive-deviance-new-tool-infection-prevention-and-patient-safety
     March 09, 2022 - Commentary Positive deviance: a new tool for infection prevention and patient safety. Citation Text: Marra AR, Santos OFPD, Neto MC, et al. Positive Deviance: A New Tool for Infection Prevention and Patient Safety. Curr Infect Dis Rep. 2013. Copy Citation Format: Google Sch…

435. Lessons from the Covid War: An Investigative Report. | PSNet
     psnet.ahrq.gov/issue/lessons-covid-war-investigative-report
     March 09, 2022 - Book/Report Lessons from the Covid War: An Investigative Report. Citation Text: Lessons from the Covid War: An Investigative Report. Covid Crisis Group. New York: Public Affairs; 2023. ISBN‏: ‎9781541703803. Copy Citation Save Save to your library Print …

436. The top 10 list for a safe and effective sign-out. | PSNet
     psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
     April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…

437. Factors impacting physician use of information charted by others. | PSNet
     psnet.ahrq.gov/issue/factors-impacting-physician-use-information-charted-others
     September 18, 2019 - Study Factors impacting physician use of information charted by others. Citation Text: Factors impacting physician use of information charted by others. Zozus MN, Penning M, Hammond WE. JAMIA Open. 2019;2:107-114. Copy Citation Save Save to your library Prin…

438. An objective study of the impact of the electronic medical record on outcomes in trauma patients. | PSNet
     psnet.ahrq.gov/issue/objective-study-impact-electronic-medical-record-outcomes-trauma-patients
     October 13, 2018 - Study An objective study of the impact of the electronic medical record on outcomes in trauma patients. Citation Text: Schenarts PJ, Goettler CE, White MA, et al. An objective study of the impact of the electronic medical record on outcomes in trauma patients. Am Surg. 2012;78(11):1249…

439. Healthcare staff wellbeing, burnout, and patient safety: a systematic review. | PSNet
     psnet.ahrq.gov/issue/healthcare-staff-wellbeing-burnout-and-patient-safety-systematic-review
     November 13, 2024 - Review Healthcare staff wellbeing, burnout, and patient safety: a systematic review. Citation Text: Hall LH, Johnson J, Watt I, et al. Healthcare Staff Wellbeing, Burnout, and Patient Safety: A Systematic Review. PLoS One. 2016;11(7):e0159015. doi:10.1371/journal.pone.0159015. Copy Cit…

440. Anticoagulation-associated adverse drug events. | PSNet
     psnet.ahrq.gov/issue/anticoagulation-associated-adverse-drug-events
     July 26, 2023 - Study Anticoagulation-associated adverse drug events. Citation Text: Piazza G, Nguyen TN, Cios D, et al. Anticoagulation-associated Adverse Drug Events. Am J Med. 2011;124(12). doi:10.1016/j.amjmed.2011.06.009. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…