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Total Results: 1,391 records

Showing results for "submitted".

1281. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. | PSNet
      psnet.ahrq.gov/web-mm/fecal-contamination-peritoneum-laparoscopic-trocar-injury-routine-operation-goes-wrong
      March 03, 2021 - SPOTLIGHT CASE Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong. Citation Text: Ahmed SM, Ali M. Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.. PSNet [internet]. Rockville (MD): Agency fo…

1282. What Happened on Telemetry? | PSNet
      psnet.ahrq.gov/web-mm/what-happened-telemetry
      January 18, 2012 - SPOTLIGHT CASE What Happened on Telemetry? Citation Text: Sandau KE, Funk M. What Happened on Telemetry?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNo…

1283. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
      psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
      July 22, 2020 - Syringe Swap During Regional Block: A Case of Medication Error and Recovery Citation Text: Beres K, Gutierrez MC. Syringe Swap During Regional Block: A Case of Medication Error and Recovery.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Serv…

1284. The Deadly Duo | PSNet
      psnet.ahrq.gov/web-mm/deadly-duo
      April 28, 2021 - The Deadly Duo Citation Text: Maldonado JR. The Deadly Duo. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

1285. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - In Conversation With… Lucian Leape, MD April 1, 2015  Citation Text: In Conversation With… Lucian Leape, MD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015. Copy Citation Format: …

1286. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-332
      March 31, 2022 - Five patient complaints were submitted during this timeframe and overall patient satisfaction remained … Five patient complaints were submitted during this timeframe and overall patient satisfaction remained

1287. Multiple High-Risk Events Involving Workflow for Wasting of Medications Used by Anesthesia | PSNet
      psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used-anesthesia
      August 29, 2021 - The submitted case highlights how a variety of factors and quality gaps may contribute to errors during … with regulatory requirements while also employing the above-mentioned safety strategies. 15 In our submitted

1288. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45671/psn-pdf
      November 23, 2016 - America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; November 2016. https://psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual- report-2016 This Joint Commission annual …

1289. American Hospital Association–McKesson Quest for Quality Prize. | PSNet
      psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-1
      April 15, 2021 - Award Announcement American Hospital Association–McKesson Quest for Quality Prize. Citation Text: American Hospital Association–McKesson Quest for Quality Prize. American Hospital Association. Copy Citation Save Save to your library Print Download PDF …

1290. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - issued its first Sentinel Event Alert on wrong-site surgery ( 1,2 ), it has amassed over 300 voluntarily submitted

1291. Personal best. | PSNet
      psnet.ahrq.gov/issue/personal-best
      September 28, 2017 - Newspaper/Magazine Article Personal best. Citation Text: Personal best. Gawande A. New Yorker. October 3, 2011. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

1292. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49468/psn-pdf
      December 16, 2004 - issued its first Sentinel Event Alert on wrong-site surgery (1,2), it has amassed over 300 voluntarily submitted

1293. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33714/psn-pdf
      July 01, 2011 - The information that is submitted at a national level into something called the Network of Patient Safety … Databases, by statute and by regulation, must be de-identified very completely before it is submitted

1294. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - SPOTLIGHT CASE Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. Citation Text: Carlile N, Smith CL, Maguire JH, et al. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, …

1295. Anesthesia Patient Safety Foundation (APSF) Grant Program. | PSNet
      psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program
      April 22, 2020 - Award Recipient Anesthesia Patient Safety Foundation (APSF) Grant Program. Citation Text: Anesthesia Patient Safety Foundation (APSF) Grant Program. Anesthesia Patient Safety Foundation. Copy Citation Save Save to your library Print Download PDF …

1296. Canadian Anesthesia Incident Reporting System. | PSNet
      psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system
      December 04, 2019 - Multi-use Website Canadian Anesthesia Incident Reporting System. Citation Text: Canadian Anesthesia Incident Reporting System. Canadian Anaesthesiologists Society. Copy Citation Save Save to your library Print Download PDF Share Facebook …

1297. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836812/psn-pdf
      March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

1298. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks | PSNet
      psnet.ahrq.gov/web-mm/paroxysmal-supraventricular-tachycardia-masquerading-panic-attacks
      September 01, 2017 - Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks Citation Text: Martin DT, O’Leary D. Paroxysmal Supraventricular Tachycardia Masquerading as Panic Attacks. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. …

1299. Medicare proposes new hospital value-based purchasing program. | PSNet
      psnet.ahrq.gov/issue/medicare-proposes-new-hospital-value-based-purchasing-program
      June 29, 2016 - Government Resource Medicare proposes new hospital value-based purchasing program. Citation Text: Baltimore, MD: Centers for Medicare & Medicaid Services (CMS) Office of Public Affairs; January 07, 2011. Copy Citation Save Save to your library Print …

1300. Advancement toward High Reliability in Healthcare Awards. | PSNet
      psnet.ahrq.gov/issue/advancement-toward-high-reliability-healthcare-awards
      June 08, 2011 - Government Resource Advancement toward High Reliability in Healthcare Awards. Citation Text: Advancement toward High Reliability in Healthcare Awards. Department of Defense Patient Safety Program; DoD PSP; DoD Copy Citation Save Save to your library Print …