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Total Results: 6,894 records

Showing results for "addresses".

101. Using external errors to signal a clear and present danger. | PSNet
     psnet.ahrq.gov/issue/using-external-errors-signal-clear-and-present-danger
     May 02, 2018 - This article addresses the biases inherent when hearing reports of errors at other institutions and explains

102. Kenneth W. Kizer, MD, MPH: health care quality evangelist. | PSNet
     psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
     July 28, 2014 - Kizer, then of the National Quality Forum , addresses the inception of now well-known quality improvement

103. Overconfidence as a cause of diagnostic error in medicine. | PSNet
     psnet.ahrq.gov/issue/overconfidence-cause-diagnostic-error-medicine
     July 30, 2014 - This comprehensive review analyzes the frequency of diagnostic errors, addresses research on contributing

104. Life after death: the aftermath of perioperative catastrophes. | PSNet
     psnet.ahrq.gov/issue/life-after-death-aftermath-perioperative-catastrophes
     March 29, 2012 - This review addresses how patient death in the operating room affects anesthesiologists and examines

105. The CMS ruling on venous thromboembolism after total knee or hip arthroplasty: weighing risks and benefits. | PSNet
     psnet.ahrq.gov/issue/cms-ruling-venous-thromboembolism-after-total-knee-or-hip-arthroplasty-weighing-risks-and
     June 21, 2016 - This commentary addresses the Centers for Medicare and Medicaid Services' classification of venous thromboembolism

106. Always having to say you're sorry: an ethical response to making mistakes in professional practice. | PSNet
     psnet.ahrq.gov/issue/always-having-say-youre-sorry-ethical-response-making-mistakes-professional-practice
     September 09, 2011 - This article addresses the nature of human fallibility in health care and examines ethical responses … November 16, 2022 Physician and nurse well-being and preferred interventions to address

107. Enacting the Washington state patient safety act requiring hospital staffing plans for nursing services and establishing recordkeeping and reporting requirements. | PSNet
     psnet.ahrq.gov/issue/enacting-washington-state-patient-safety-act-requiring-hospital-staffing-plans-nursing
     May 04, 2015 - The plan addresses personnel issues for each patient care unit, requires hospitals to maintain records

108. Guilty, afraid, and alone — struggling with medical error. | PSNet
     psnet.ahrq.gov/issue/guilty-afraid-and-alone-struggling-medical-error
     July 01, 2020 - This commentary addresses the humanistic aspect of what patients, families, and clinicians go through

109. Patient safety and error reduction in surgical pathology. | PSNet
     psnet.ahrq.gov/issue/patient-safety-and-error-reduction-surgical-pathology
     January 08, 2016 - This review addresses surgical specimen analysis errors and highlights tactics to improve the reliability … June 7, 2023 Physician and nurse well-being and preferred interventions to address burnout

110. Beyond the corrective action hierarchy: a systems approach to organizational change. | PSNet
     psnet.ahrq.gov/issue/beyond-corrective-action-hierarchy-systems-approach-organizational-change
     March 10, 2021 - definition of ‘systems change’ and a rubric for determining the extent to which a corrective action addresses … Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address

111. Moving from knowledge to action: improving safety and quality of care for patients with limited English proficiency. | PSNet
     psnet.ahrq.gov/issue/moving-knowledge-action-improving-safety-and-quality-care-patients-limited-english
     October 19, 2022 - A prior WebM&M Spotlight Case addresses the increased risk of error when communicating with LEP patients

112. Enhancing patient safety: a national standard for cyber resiliency in healthcare. | PSNet
     psnet.ahrq.gov/issue/enhancing-patient-safety-national-standard-cyber-resiliency-healthcare
     September 23, 2020 - The guidance addresses key areas of concern (e.g., organizational risk management, technology considerations … December 1, 2019 Surgical data recording technology: a solution to address medical errors

113. On the trail of quality and safety in health care. | PSNet
     psnet.ahrq.gov/issue/trail-quality-and-safety-health-care
     December 17, 2009 - This article addresses the gap in health care quality and safety research and offers a list of topics

114. Health care serial murder: a patient safety orphan. | PSNet
     psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
     July 28, 2014 - This article defines health care serial murder, examines its epidemiology, and addresses its emergence

115. Safety in home care: a broadened perspective of patient safety. | PSNet
     psnet.ahrq.gov/issue/safety-home-care-broadened-perspective-patient-safety
     December 04, 2016 - This commentary addresses the trend to provide more complex care in the home and discusses the research

116. Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. | PSNet
     psnet.ahrq.gov/issue/adverse-drug-events-and-medication-errors-psychiatry-methodological-issues-regarding
     September 27, 2017 - This review addresses the challenges inherent in applying standard models of classifying  adverse drug

117. Pediatric safety in the emergency department: identifying risks and preparing to care for child and family. | PSNet
     psnet.ahrq.gov/issue/pediatric-safety-emergency-department-identifying-risks-and-preparing-care-child-and-family
     July 08, 2009 - This commentary addresses safety issues in pediatric emergency care, including the need to augment the

118. Liability reform should make patients safer: "Avoidable classes of events" are a key improvement. | PSNet
     psnet.ahrq.gov/issue/liability-reform-should-make-patients-safer-avoidable-classes-events-are-key-improvement
     July 26, 2023 - They propose an administrative model for compensation that addresses the need to generate accountability

119. Standardizing concentrations of adult drug infusions in Indiana. | PSNet
     psnet.ahrq.gov/issue/standardizing-concentrations-adult-drug-infusions-indiana
     August 01, 2018 - Standardizing drug concentrations addresses a medication safety concern for both adult and pediatric … September 23, 2020 Physician and nurse well-being and preferred interventions to address … National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address

120. Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. | PSNet
     psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition
     November 10, 2017 - Dekker's book addresses the traditional criminalization of mistakes and draws from several high-risk