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Patient-related factors associated with an increased risk of being a reported case of preventable harm in first-line health care: a case-control study | PSNet

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October 09, 2019 - Study Patient-related factors associated with an increased risk of being a reported case … of preventable harm in first-line health care: a case-control study Citation Text: Fernholm … Patient-related factors associated with an increased risk of being a reported case of preventable harm … in first-line health care: a case-control study. … in first-line health care: a case-control study.

Patient safety systems for case management. | PSNet

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December 22, 2008 - Review Patient safety systems for case management. … Patient safety systems for case management. … Lippincotts Case Manag. 2004;9(5):223-229. doi:10.1097/00129234-200409000-00004. … Lippincotts Case Manag . 2004; 9 (5) :223-229 . … Patient safety systems for case management.

How physicians think: a case-based diagnostic simulation exercise. | PSNet

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August 14, 2019 - Study How physicians think: a case-based diagnostic simulation exercise. … August 14, 2019 Think twice: effects on diagnostic accuracy of returning to the case … Using the NAM diagnostic process framework to teach clinical reasoning in computerized case … A case study from a large metropolitan healthcare trust. … 2020 Patient-related factors associated with an increased risk of being a reported case

Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case studies. | PSNet

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March 30, 2022 - Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case … Determining the skills needed by frontline NHS staff to deliver quality improvement: findings from six case … Using case studies and qualitative interviews, this study outlines six “socio-organisational functional … March 30, 2022 Medication-related medical emergency team activations: a case review study … December 16, 2020 Collaborative case review: a systems-based approach to patient safety

Building a case for medication reconciliation. | PSNet

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June 10, 2018 - Newspaper/Magazine Article Building a case for medication reconciliation. … Citation Text: Building a case for medication reconciliation. ISMP Medication Safety Alert! … Copy URL Cite Citation Citation Text: Building a case … WebM&M Cases Cardiac Arrest in a Woman with UTI: A Case

New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians. | PSNet

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December 15, 2021 - Book/Report New Horizons in Patient Safety: Understanding Communication: Case Studies … Citation Text: New Horizons in Patient Safety: Understanding Communication: Case Studies for Physicians … publication discusses factors that influence communication in the medical care process and uses case … Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. … July 10, 2019 Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical

A Sweet Case of Hidden Hydrogen Ions | PSNet

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November 30, 2023 - A Sweet Case of Hidden Hydrogen Ions Citation Text: Plante D, Falero A. … A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. … A Sweet Case of Hidden Hydrogen Ions. PSNet [internet]. … Step 2: Calculate anion gap (AG = Na-(Cl+HCO3) = 137-(96+18) = 23 in this case). … A Sweet Case of Hidden Hydrogen Ions. PSNet [internet].

Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. | PSNet

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June 19, 2024 - Study Diagnostic errors in uncommon conditions: a systematic review of case reports … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … This article uses 560 case reports to classify contributing factors to diagnostic errors in rare conditions … Diagnostic errors in uncommon conditions: a systematic review of case reports of diagnostic errors. … September 1, 2021 Think twice: effects on diagnostic accuracy of returning to the case

ISMP updates its list of drug names with tall man (mixed case) letters based on survey results. | PSNet

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March 14, 2023 - Newspaper/Magazine Article ISMP updates its list of drug names with tall man (mixed case … Citation Text: ISMP updates its list of drug names with tall man (mixed case) letters based on survey … This article discusses the results of a national survey on the importance of mixed case drug names, which … found that 94% of the 298 respondents reported using mixed case drug names in their organization and … that the majority of participants felt that mixed case lettering prevents drug selection events.

ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. | PSNet

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January 26, 2023 - Press Release/Announcement ISMP survey on tall man (mixed case) lettering to reduce … Citation Text: ISMP survey on tall man (mixed case) lettering to reduce drug name confusion. … Mixed case letters are one suggested strategy to reduce look-alike medication name errors. … update an existing resource of problematic drug name pairs and examine the effectiveness of mixed case … Cite Citation Citation Text: ISMP survey on tall man (mixed case

Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case studies. | PSNet

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July 19, 2023 - Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case … This ethnographic case study explored patient handoffs across different situations, including pre-hospital … Socio-technical issues and challenges in implementing safe patient handovers: insights from ethnographic case … November 19, 2016 Case report of a medication error: in the eye of the beholder.

Performance evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case reports of diagnostic errors. | PSNet

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September 13, 2023 - evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case … evaluation of ChatGPT in detecting diagnostic errors and their contributing factors: an analysis of 545 case … This study sought to evaluate ChatGPT's ability to identify diagnostic errors in case studies. … ChatGPT was able to identify diagnostic errors in 95% of the 545 case reports. … From the Same Author(s) Diagnostic errors in uncommon conditions: a systematic review of case

Patient and Family Engagement in Primary Care: Case Studies. | PSNet

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November 01, 2016 - Book/Report Patient and Family Engagement in Primary Care: Case Studies. … Citation Text: Patient and Family Engagement in Primary Care: Case Studies. … This guide includes case studies that explore how Open Notes , team-based care delivery, and patient … Cite Citation Citation Text: Patient and Family Engagement in Primary Care: Case

The frustrating case of incident-reporting systems. | PSNet

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June 22, 2022 - Commentary The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems. … The frustrating case of incident-reporting systems.

The Case for Medication Safety Officers (MSO). | PSNet

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April 30, 2019 - Book/Report The Case for Medication Safety Officers (MSO). … Citation Text: The Case for Medication Safety Officers (MSO). … Linkedin Copy URL Cite Citation Citation Text: The Case

Building the Case for Health Literacy: Proceedings of a Workshop. | PSNet

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September 12, 2018 - Meeting/Conference Proceedings Building the Case for Health Literacy: Proceedings … Citation Text: Building the Case for Health Literacy: Proceedings of a Workshop. … This workshop report summarizes discussions about health literacy programs and provides case studies … Copy URL Cite Citation Citation Text: Building the Case

Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in Medicine. | PSNet

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September 11, 2019 - Book/Report Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical … Citation Text: Cognitive Errors and Diagnostic Mistakes: A Case-Based Guide to Critical Thinking in … This publication uses case-based illustrations to explore the effect of common cognitive biases (e.g. … Cite Citation Citation Text: Cognitive Errors and Diagnostic Mistakes: A Case-Based … August 28, 2019 Patient Safety: A Case-based Innovative Playbook for Safer Care.

Case 34-2010: a 65-year-old woman with an incorrect operation on the left hand. | PSNet

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March 13, 2013 - Commentary Case 34-2010: a 65-year-old woman with an incorrect operation on the left … Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect … The Case Records of the Massachusetts General Hospital are one of the most hallowed traditions in the … In contrast to the usual clinical focus, this article discusses a never event —a case of a patient who … Case records of The Massachusetts General Hospital: Case 34-2010: a 65-year-old woman with an incorrect

Case Studies in Patient Safety: Foundations for Core Competencies. | PSNet

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July 15, 2009 - Book/Report Case Studies in Patient Safety: Foundations for Core Competencies. … Citation Text: Case Studies in Patient Safety: Foundations for Core Competencies. … medical errors with further information from the editors including context, learning objectives, and a case … Linkedin Copy URL Cite Citation Citation Text: Case

Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet

psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and

May 04, 2022 - Study Collaborative case review: a systems-based approach to patient safety event … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … This study assessed a system-based approach, (i.e., collaborative case reviews (CCR) co-led by radiology … Collaborative case review: a systems-based approach to patient safety event investigation and analysis … warning scores to predict noncritical events overnight in hospitalized medical patients: a prospective case

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