Results

Total Results: 775 records

Showing results for "venous".

281. A Thematic Analysis of HSIB's First 22 Investigations.  | PSNet
     psnet.ahrq.gov/issue/thematic-analysis-hsibs-first-22-investigations
     October 28, 2020 - April 1, 2019 Investigation into Management of Venous Thromboembolism Risk in Patients

282. Surgical 'never events': how common are adverse occurrences? | PSNet
     psnet.ahrq.gov/issue/surgical-never-events-how-common-are-adverse-occurrences
     November 16, 2022 - March 13, 2013 Venous thromboembolism after trauma: a never event?

283. NHS hospitals to employ safety experts to tackle thousands of avoidable mistakes. | PSNet
     psnet.ahrq.gov/issue/nhs-hospitals-employ-safety-experts-tackle-thousands-avoidable-mistakes
     June 07, 2023 - October 13, 2010 Elimination of central-venous-catheter-related bloodstream infections

284. An unsuspected MR projectile: a "wooden" chair with metal bracing. | PSNet
     psnet.ahrq.gov/issue/unsuspected-mr-projectile-wooden-chair-metal-bracing
     August 03, 2022 - catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous

285. Adverse drug events in hospitalized cardiac patients. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
     July 26, 2023 - June 25, 2010 Electronic alerts to prevent venous thromboembolism among hospitalized

286. Implementation of a rapid response team: a success story. | PSNet
     psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story
     August 21, 2024 - preventable harm with the use of a mandatory computerized clinical decision support tool for prophylaxis for venous

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865429/psn-pdf
     April 24, 2024 - During removal of the venous cannula, the patient went into atrial fibrillation with hypotension. … Precipitating factors include direct irritation of atrial tissue by the venous cannula (as appears to … Dexmedetomidine has also been shown to reduce the incidence of AF after cardiac surgery.14-16 However, when the venous … Care must also be taken when manipulating central venous lines because micro-shocks from static electricity

288. Patient Safety in Dialysis Access. | PSNet
     psnet.ahrq.gov/issue/patient-safety-dialysis-access
     September 29, 2017 - November 6, 2015 Do clinicians know which of their patients have central venous catheters

289. National Patient Safety Syllabus 1.0 Training for all NHS Staff. | PSNet
     psnet.ahrq.gov/issue/national-patient-safety-syllabus-10-training-all-nhs-staff
     September 26, 2018 - Quality April 26, 2023 Safety Risk of Air Embolus Associated with Central Venous

290. Patient Safety Culture: Theory, Methods and Application. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
     August 24, 2016 - Safety February 26, 2025 Safety Risk of Air Embolus Associated with Central Venous

291. As industry automates, adverse events continue to haunt caregivers. | PSNet
     psnet.ahrq.gov/issue/industry-automates-adverse-events-continue-haunt-caregivers
     February 08, 2023 - March 10, 2011 Electronic alerts to prevent venous thromboembolism among hospitalized

292. Building a Culture of Patient Safety Through Simulation: An Interprofessional Learning Model. | PSNet
     psnet.ahrq.gov/issue/building-culture-patient-safety-through-simulation-interprofessional-learning-model
     August 21, 2019 - errors in simulation-based training: the effect of error training on retention and transfer of central venous

293. A piece of my mind. Mentorship malpractice. | PSNet
     psnet.ahrq.gov/issue/piece-my-mind-mentorship-malpractice
     September 16, 2020 - August 14, 2019 Do clinicians know which of their patients have central venous catheters

294. Pediatric medication administration errors and workflow following implementation of a bar code medication administration system. | PSNet
     psnet.ahrq.gov/issue/pediatric-medication-administration-errors-and-workflow-following-implementation-bar-code
     July 02, 2019 - March 15, 2023 Modes of failure in venous thromboembolism prophylaxis.

295. A call to action for anticoagulation stewardship. | PSNet
     psnet.ahrq.gov/issue/call-action-anticoagulation-stewardship
     March 04, 2020 - June 16, 2019 ASH Clinical Practice Guidelines on Venous Thromboembolism.

296. Racial, Ethnic, and Payer Disparities in Adverse Safety Events: Are there Differences across Leapfrog Hospital Safety Grades? | PSNet
     psnet.ahrq.gov/issue/racial-ethnic-and-payer-disparities-adverse-safety-events-are-there-differences-across
     December 01, 2019 - The Topic Hospitals Health Care Executives and Administrators Medicine Nurse Care Venous

297. Wrong Site Surgery - Wrong Patient: Invasive Procedures in Outpatient Settings. | PSNet
     psnet.ahrq.gov/issue/wrong-site-surgery-wrong-patient-invasive-procedures-outpatient-settings
     June 09, 2021 - April 1, 2019 Investigation into Management of Venous Thromboembolism Risk in Patients

298. Spotlight (pdf file)
     psnet.ahrq.gov/sites/default/files/2024-04/spotlight_case_missed_connection-a_case_of_inadequate_ecg_oversight_in_cardiac_surgery_slides_-_final.pdf
     January 01, 2024 - cardiopulmonary bypass on a low-dose norepinephrine drip. 5 Case Details (2) • During removal of the venous … cardiopulmonary bypass. – Precipitating factors include direct irritation of atrial tissue by the venous … has also been shown to reduce the incidence of AF after cardiac surgery.14-16 – However, when the venous … • Care must also be taken when manipulating central venous lines because micro- shocks from static

299. Crisis resource management in emergency medicine. | PSNet
     psnet.ahrq.gov/issue/crisis-resource-management-emergency-medicine
     October 23, 2024 - October 23, 2019 Clinical validation of the AHRQ postoperative venous thromboembolism

300. Prevalence and nature of adverse medical device events in hospitalized children. | PSNet
     psnet.ahrq.gov/issue/prevalence-and-nature-adverse-medical-device-events-hospitalized-children
     October 05, 2011 - An AHRQ WebM&M commentary discusses the consequences of a central venous catheter–associated complication