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psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
February 01, 2006 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … She discusses how well the disclosure discussions were handled by the chairman of the pediatrics department … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … clinician’s defense of reaction formation ( 7 ) to frustration with this uncooperative patient played … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49863/psn-pdf
May 01, 2019 - The second challenge was
her use of a CUS word to focus the surgeon on the persistent hypotension of … Center
School of Medicine
Department of Surgery
New Orleans, LA
References
1. … Washington, DC:
Department of Defense. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49565/psn-pdf
July 01, 2008 - of the education and
the role of the various care providers, in this case the RN and the LPN. … Considering the roles of the RN and the LPN in the management of parenteral nutrients, in this
case … the right level of care to the resident. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49425/psn-pdf
November 01, 2003 - Prompted by the proximity of the deterioration to the administration of the naloxone the physician checked … the packaging of the drug. … The effects of a patients’ own drugs scheme on the incidence and severity of
medication administration … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
November 10, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville, MD: Agency for Healthcare Research and Quality and Department of Defense; 2005. … Albany, NY: New York State Department of Health; 2001.
Table
Back to Top
Table. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - Case
A 2-year-old girl was evaluated in the Emergency Department (ED) for joint swelling and rash, … The Swiss Cheese
Model depicts a series of defense layers within a system, where each layer represents … Nidhi Patel Jain, PharmD, MBA Candidate
Pharmacy Resident
Department of Pharmacy
UC Davis Health … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/innovation/algorithm-based-decision-support-system-guides-trauma-staff-during-initial-treatment
May 31, 2023 - emergency department (ED), especially during the critical first 30 minutes of treatment. … Decision Support in Civilian and Defense Sectors.’ … Department of Health and Human Services, the Agency for Healthcare Research and Quality, or of the submitter … March 8, 2023
Emergency department adverse events detected using the emergency department … in the Emergency Department
April 7, 2022
Impact of teamwork and communication
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psnet.ahrq.gov/periodic-issue/periodic-issue-405
August 30, 2023 - Study
Clinicians' insights on emergency department boarding: an explanatory mixed … Quantitative studies have demonstrated that emergency department (ED) overcrowding and patient boarding … Community pharmacists are perhaps the last line of defense in preventing medication errors in the outpatient … Barnes, MD, FACEP | July 31, 2023
A 56-year-old woman presented to the emergency department (ED) … The commentary summarizes the diagnosis and management of stercoral colitis and the importance of prompt
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psnet.ahrq.gov/node/49401/psn-pdf
May 01, 2003 - of the gun?” … clinician’s defense of reaction formation (7) to frustration with this
uncooperative patient played … The presence and accessibility
of firearms in the homes of adolescent suicides. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/getting-diagnosis-both-right-and-wrong
May 29, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The Case
A 27-year-old woman with a history of acute myeloid leukemia was sent to the emergency department … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
November 25, 2020 - endovascular repair of a thoracic aortic dissection, presented to the emergency department (ED) triage … Team STEPPS, developed by the Department of Defense Patient Safety Program and supported by the Agency … Department of Health and Human Services. … Department of Health and Human Services. … Away—Elopement of a Suicidal Patient in the Emergency Department.
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psnet.ahrq.gov/web-mm/medical-devices-wild
March 27, 2024 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The hospital's patient safety department immediately informed the company that manufactured the beds … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49497/psn-pdf
December 01, 2005 - , including aerospace,
nuclear power, and national defense, where the risk to human life is high. … department and the hospital. … Halamek, MD Associate Professor, Division of Neonatal and Developmental Medicine,
Department of Pediatrics … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49642/psn-pdf
December 01, 2011 - BIDMC emergency department, caregivers are taught to wipe their mobile devices with alcohol at
the … For example, in Defense Department settings, all cameras
on employer-provided mobile devices are disabled … Impact of personal wireless communication devices in the
emergency department. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/potent-medication-administered-not-so-viable-route
July 20, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Osama Loubani, MD Assistant Professor of Medicine Department of Critical Care, Department of Emergency … department. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/slippery-slide-life
January 21, 2017 - , including aerospace, nuclear power, and national defense, where the risk to human life is high. … department and the hospital. … Halamek, MD Associate Professor, Division of Neonatal and Developmental Medicine, Department of Pediatrics … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/order-interrupted-text-multitasking-mishap
August 21, 2015 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … For example, in Defense Department settings, all cameras on employer-provided mobile devices are disabled … Impact of personal wireless communication devices in the emergency department. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
March 09, 2022 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Take-Home Points The best offense is a good defense and avoidance of a durotomy, if not in the plan of … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Department of Health and Human Services. … Department of Health and Human Services. … Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services