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Total Results: 3,035 records

Showing results for "accountable".

  1. Right Regimen, Wrong Cancer: Patient Catches Medical Error | PSNet

    psnet.ahrq.gov/web-mm/right-regimen-wrong-cancer-patient-catches-medical-error
    August 01, 2006 - SPOTLIGHT CASE Right Regimen, Wrong Cancer: Patient Catches Medical Error Citation Text: Weingart SN, Jacobson J. Right Regimen, Wrong Cancer: Patient Catches Medical Error. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60610/psn-pdf
    June 24, 2020 - Endometriosis: A Common and Commonly Missed and Delayed Diagnosis June 24, 2020 Mackenzie M, Royce C. Endometriosis: A Common and Commonly Missed and Delayed Diagnosis. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/endometriosis-common-and-commonly-missed-and-delayed-diagnosis   The Case A 15-year-old g…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49392/psn-pdf
    April 01, 2003 - Another Fall April 1, 2003 Bogardus SG. Another Fall. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/another-fall Case Objectives List risk factors for falls in hospitalized patients Understand appropriate use of restraints Identify system issues contributing to falls in hospitalized patients Case & Comm…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866578/psn-pdf
    August 28, 2024 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy August 28, 2024 Newton B, Seitz R. Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insul…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865413/psn-pdf
    March 27, 2024 - In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity March 27, 2024 Pelletreau B, Riggi J. In Conversation with..Barbara Pelletreau and John Riggi about Cybersecurity. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cyberse…

  6. Cognitive Overload in the ICU | PSNet

    psnet.ahrq.gov/web-mm/cognitive-overload-icu
    June 01, 2005 - SPOTLIGHT CASE Cognitive Overload in the ICU Citation Text: Patel VL, Buchman TG. Cognitive Overload in the ICU. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTe…

  7. Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx (pdf file)

    psnet.ahrq.gov/sites/default/files/2022-02/final_cme_reviewed_spotlight_loss_of_trust_and_a_missed_diagnosis_02.14.20221_-_clean_-_revised.pdf
    January 01, 2022 - Microsoft PowerPoint - FINAL CME Reviewed Spotlight_Loss of Trust and a Missed Diagnosis_02.14.20221 - clean - REVISED.pptx Spotlight A Loss of Trust and a Missed Diagnosis Source and Credits • This presentation is based on the February 2022 AHRQ WebM&M Spotlight Case o See the full article at https://psnet.ahrq.…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/861738/psn-pdf
    January 31, 2024 - A Laceration that Needed a Proper Exam, Not an X-Ray January 31, 2024 Wander J, Barnes DK. A Laceration that Needed a Proper Exam, Not an X-Ray. PSNet [internet]. 2024. https://psnet.ahrq.gov/web-mm/laceration-needed-proper-exam-not-x-ray Disclosure of Relevant Financial Relationships: As a provider accredited by t…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39721/psn-pdf
    September 20, 2011 - Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. September 20, 2011 DesRoches CM, Rao SR, Fromson J, et al. Physicians' perceptions, preparedness for reporting, and experiences related to impaired and incompetent colleagues. JAMA. 2010;304(2):187-…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47150/psn-pdf
    November 21, 2018 - Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. November 21, 2018 Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national mortality surveillance system with …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45319/psn-pdf
    September 01, 2018 - Special Issue: Progress at the Intersection of Patient Safety and Medical Liability. September 1, 2018 Ridgely MS, Greenberg MD, Clancy CM, eds. Health Serv Res. 2016;51(suppl 3):2395-2648. https://psnet.ahrq.gov/issue/special-issue-progress-intersection-patient-safety-and-medical-liability Medical liability refor…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44056/psn-pdf
    May 19, 2018 - Impact of inpatient harms on hospital finances and patient clinical outcomes. May 19, 2018 Adler L, Yi D, Li M, et al. Impact of Inpatient Harms on Hospital Finances and Patient Clinical Outcomes. J Patient Saf. 2018;14(2):67-73. doi:10.1097/PTS.0000000000000171. https://psnet.ahrq.gov/issue/impact-inpatient-harms…

  13. Patient Engagement and Patient Safety | PSNet

    psnet.ahrq.gov/perspective/patient-engagement-and-patient-safety
    February 01, 2013 - BJ : Oh, I absolutely think the strategies to hold hospitals accountable for the patient experience are … I think the policy changes are in the right direction, and we need to hold people accountable for improving

  14. "Never events" and the quest to reduce preventable harm. | PSNet

    psnet.ahrq.gov/issue/never-events-and-quest-reduce-preventable-harm
    June 01, 2016 - Commentary "Never events" and the quest to reduce preventable harm. Citation Text: Austin M, Pronovost P. "Never events" and the quest to reduce preventable harm. Jt Comm J Qual Patient Saf. 2015;41(6):279-288. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…

  15. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. | PSNet

    psnet.ahrq.gov/issue/identification-doctors-risk-recurrent-complaints-national-study-healthcare-complaints
    September 07, 2011 - Study Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Australia. Citation Text: Bismark M, Spittal MJ, Gurrin LC, et al. Identification of doctors at risk of recurrent complaints: a national study of healthcare complaints in Aust…

  16. Feeling safe during an inpatient hospitalization: a concept analysis. | PSNet

    psnet.ahrq.gov/issue/feeling-safe-during-inpatient-hospitalization-concept-analysis
    May 20, 2020 - Commentary Feeling safe during an inpatient hospitalization: a concept analysis. Citation Text: Mollon D. Feeling safe during an inpatient hospitalization: a concept analysis. J Adv Nurs. 2014;70(8):1727-37. doi:10.1111/jan.12348. Copy Citation Format: DOI Google Scholar Pu…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46338/psn-pdf
    December 21, 2017 - Malpractice claims related to diagnostic errors in the hospital. December 21, 2017 Gupta A, Snyder A, Kachalia A, et al. Malpractice claims related to diagnostic errors in the hospital. BMJ Qual Saf. 2017;27(1):53-60. doi:10.1136/bmjqs-2017-006774. https://psnet.ahrq.gov/issue/malpractice-claims-related-diagnostic…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33828/psn-pdf
    March 01, 2017 - In Conversation With… Mary Dixon-Woods, DPhil March 1, 2017 In Conversation With… Mary Dixon-Woods, DPhil. PSNet [internet]. 2017. https://psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil Editor's note: Dr. Dixon-Woods is RAND Professor of Health Services Research at Cambridge University and Deputy …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43801/psn-pdf
    August 02, 2015 - Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination performance. August 2, 2015 Rajaram R, Chung JW, Jones AT, et al. Association of the 2011 ACGME resident duty hour reform with general surgery patient outcomes and with resident examination p…

  20. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet

    psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
    March 01, 2017 - December 6, 2023 Creating highly reliable accountable care organizations.
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