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psnet.ahrq.gov/perspective/disclosure-medical-error
January 01, 2009 - Ethical and practical aspects of disclosing adverse events in the emergency department. … Apologies and a strong defense at the University of Michigan Health System. … Gallagher, MD, is Associate Professor in the Department of Medicine and the Department of Medical History … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - 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 … Ross Koppel, PhD Professor, Sociology Department and School of MedicineUniversity of Pennsylvania … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49516/psn-pdf
August 01, 2006 - Thompson III, MD Clinical Instructor Department of Internal Medicine, Division of Infectious
Diseases … and Marvin Forland Distinguished Professor Department
of Internal Medicine, Division of Infectious … Washington, DC: US Department of Health and Human Services; 1996.
4. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33677/psn-pdf
November 01, 2008 - request of the
patient or family. … As the use of a catheter and the
duration of catheter use are the most important determinants of cUTI … Fever, by itself, is the most
common presentation of symptomatic cUTI, but the majority of patients … Nicolle, MDProfessor Department of Internal Medicine and Medical Microbiology University of
Manitoba … The direct costs of nosocomial catheter-associated urinary tract
infection in the era of managed care
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psnet.ahrq.gov/sites/default/files/2021-02/final_feb_2021_spotlight_delay_in_appropriate_dx.pdf
January 01, 2021 - Each layer of cheese
represents an independent layer of defense against error as long as
the holes … in the
Emergency Department. … Prospective Study of the Clinical Features and Outcomes of Emergency Department
Patients with Delayed … Use of the d-dimer for Detecting Pulmonary Embolism in the Emergency Department. … The impact of a pulmonary embolism response team on the efficiency of patient care in the emergency department
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psnet.ahrq.gov/web-mm/duty-disclose-someone-elses-error
June 01, 2004 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … The Case A healthy 4-year-old boy presented to an emergency department (ED) with 3 days of vomiting … Due to concerns of legal liability, the hospital administration and the risk management department at … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/transfusion-overload
September 23, 2020 - 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 … and arranged for the patient to be transferred to the emergency department (ED) for evaluation and transfusion … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/delay-appropriate-diagnosis-and-treatment-leading-death-pulmonary-embolism
December 31, 2024 - to the emergency department (ED) by ambulance for shortness of breath. … Each layer of cheese represents an independent layer of defense against error as long as the holes do … Use of the d-dimer for Detecting Pulmonary Embolism in the Emergency Department. … The impact of a pulmonary embolism response team on the efficiency of patient care in the emergency department … Away—Elopement of a Suicidal Patient in the Emergency Department.
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psnet.ahrq.gov/web-mm/back-again
November 18, 2016 - Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services … Case & Commentary: Part 1 A 34-year-old man came to the emergency department for evaluation of back … Instead, the day after that, he went to another emergency department with complaints of back pain. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33841/psn-pdf
September 01, 2017 - Gettinger is the Chief Medical Information Officer and the Executive Director of the
Office of Clinical … in the way of innovation. … Over time, if you look at the results of the FAA's work, the work of their contractor in this space, … A lot of the work published so far is from systems where
most of the care is internal in the system, … whether it's Kaiser, the VA, the Department of Defense, or
https://www.asias.faa.gov/apex/f?
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psnet.ahrq.gov/web-mm/diagnosing-diagnostic-mistakes
April 30, 2014 - 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
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. … Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. … Department of Health and Human Services. … Department of Health and Human Services. … Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025.
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psnet.ahrq.gov/node/49643/psn-pdf
December 01, 2011 - Toward the end of the 3rd week of treatment, she developed a fever of 101 degrees and an elevated white … the long list
illustrating the dangers of that assumption. … Like most diseases,
the aggressiveness of treatment is related to the severity of symptoms. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-withthomas-h-gallagher-md
January 01, 2009 - Gallagher, MD, is Associate Professor in the Department of Medicine and the Department of Medical History … Ethical and practical aspects of disclosing adverse events in the emergency department. … Apologies and a strong defense at the University of Michigan Health System. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
October 24, 2021 - 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 pharmacist is the last line of defense between the patient and that medication, and it's the last … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49552/psn-pdf
January 01, 2008 - less than the full 3 years of categorical residency training at the time of the report. … The heart of darkness: the impact of perceived mistakes on
physicians. … The influence of the causes and
contexts of medical errors on emergency medicine residents' responses … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/conversation-georgia-galanou-luchen-pharm-d
October 24, 2021 - 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 pharmacist is the last line of defense between the patient and that medication, and it's the last … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
November 01, 2008 - 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 … Nicolle, MD Professor Department of Internal Medicine and Medical Microbiology University of Manitoba … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
December 18, 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 … Cerner also integrated it with the adoption by the Veterans Administration and the Department of Defense … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33716/psn-pdf
September 01, 2011 - So if there's one person in the quality department,
like at many hospitals, then even without a big … If the
person who did the incident investigation is gone or no longer the head of the department of … Some kind of triage of
these, probably by the safety and quality department—they do this at some hospitals … That way, the full resources of
your root cause analysis or quality department and the clinicians involved … So sometimes someone on the safety/quality department side can actually do something
with that information