-
psnet.ahrq.gov/issue/effects-aviation-style-non-technical-skills-training-technical-performance-and-outcome
March 03, 2011 - October 19, 2022
View More
Related Resources
It’s time to consider
-
psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians
August 14, 2014 - to Reduce Missed and Delayed Diagnoses of Cancer
July 31, 2023
It’s time to consider
-
psnet.ahrq.gov/node/844551/psn-pdf
February 15, 2023 - Emotional safety is patient safety.
February 15, 2023
Lyndon A, Davis D-A, Sharma AE, et al. Emotional safety is patient safety. BMJ Qual Saf. 2023;32(7):369-
372. doi:10.1136/bmjqs-2022-015573.
https://psnet.ahrq.gov/issue/emotional-safety-patient-safety
Patient perspectives can provide unique insights into care …
-
psnet.ahrq.gov/web-mm/managing-ascites-hazards-fluid-removal
June 01, 2018 - the importance of alcohol use in patients being considered for transplantation, providers should also consider … First, let's consider the hemodynamic consequences of paracentesis.
-
psnet.ahrq.gov/node/49399/psn-pdf
May 01, 2003 - Most authorities would consider the absence of an IUP at this level to be
highly suggestive of an ectopic … indicate the amount of blood in the pelvis above which it is
unsafe to treat medically, we empirically consider
-
psnet.ahrq.gov/node/49658/psn-pdf
July 01, 2012 - Plenty to Consider
Systems to improve diagnosis are in their infancy.(8) As they improve and become … enter the correct issue) and downstream to analyze and apply the results or prompts (e.g.,
stop to consider
-
psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - SPOTLIGHT CASE
To Transfer or Not to Transfer
Citation Text:
Pines JM. To Transfer or Not to Transfer. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009.
Copy Citation
Format:
Google Scholar BibTeX EndNote …
-
psnet.ahrq.gov/node/49736/psn-pdf
June 01, 2015 - this case suggests a typical presentation of Crohn disease, it also reinforces the need to carefully
consider
-
psnet.ahrq.gov/node/49673/psn-pdf
December 01, 2012 - bias, where one has a tendency to focus on evidence that supports a working diagnosis rather
than consider
-
psnet.ahrq.gov/node/44743/psn-pdf
December 22, 2017 - Patients' and providers' perceptions of the preventability
of hospital readmission: a prospective, observational
study in four European countries.
December 22, 2017
van Galen LS, Brabrand M, Cooksley T, et al. Patients' and providers' perceptions of the preventability of
hospital readmission: a prospective, observ…
-
psnet.ahrq.gov/node/41876/psn-pdf
December 04, 2016 - Errors in palliative care: kinds, causes, and
consequences: a pilot survey of experiences and
attitudes of palliative care professionals.
December 4, 2016
Dietz I, Borasio GD, Molnar C, et al. Errors in palliative care: kinds, causes, and consequences: a pilot
survey of experiences and attitudes of palliative care…
-
psnet.ahrq.gov/node/46423/psn-pdf
December 16, 2017 - Ethical considerations on disclosure when medical error
is discovered during medicolegal death investigation.
December 16, 2017
Wolf DA, Drake SA, Snow FK. Ethical Considerations on Disclosure When Medical Error Is Discovered
During Medicolegal Death Investigation. Am J Forensic Med Pathol. 2017;38(4):294-297.
doi…
-
psnet.ahrq.gov/node/43239/psn-pdf
June 11, 2014 - A cycle of redemption in a medical error disclosure and
apology program.
June 11, 2014
Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res.
2014;24(6):860-869.
https://psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program
Clinicians who…
-
psnet.ahrq.gov/web-mm/clostridium-difficile-relapse-secondary-medication-access-issue
October 01, 2015 - If vancomycin is unaffordable or intolerable, consider alternative agents such as metronidazole or fidaxomicin … If vancomycin is unaffordable or intolerable, consider alternative agents such as metronidazole or fidaxomicin … Consider post-discharge telephone follow-up to identify and resolve potential medication issues early
-
psnet.ahrq.gov/node/36907/psn-pdf
September 14, 2012 - Serious Reportable Events in Healthcare—2011 Update.
September 14, 2012
Washington DC: National Quality Forum; December 2011.
https://psnet.ahrq.gov/issue/serious-reportable-events-healthcare-2011-update
The National Quality Forum originally defined 27 health care "never events"—patient safety events that
pose ser…
-
psnet.ahrq.gov/node/40692/psn-pdf
October 04, 2011 - Patient safety incidents associated with obesity: a review
of reports to the National Patient Safety Agency and
recommendations for hospital practice.
October 4, 2011
Booth CMA, Moore CE, Eddleston J, et al. Patient safety incidents associated with obesity: a review of
reports to the National Patient Safety Agency…
-
psnet.ahrq.gov/node/39404/psn-pdf
March 31, 2010 - Incidence and root cause analysis of wrong-site pain
management procedures: a multicenter study.
March 31, 2010
Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management
procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. doi:10.1097/ALN.0b013e3181cf892d.
h…
-
psnet.ahrq.gov/node/37417/psn-pdf
March 28, 2012 - Medication use leading to emergency department visits
for adverse drug events in older adults.
March 28, 2012
Budnitz DS, Shehab N, Kegler SR, et al. Medication use leading to emergency department visits for
adverse drug events in older adults. Ann Intern Med. 2007;147(11):755-765.
https://psnet.ahrq.gov/issue/med…
-
psnet.ahrq.gov/node/41568/psn-pdf
April 05, 2013 - Preventable deaths due to problems in care in English
acute hospitals: a retrospective case record review study.
April 5, 2013
Hogan H, Healey F, Neale G, et al. Preventable deaths due to problems in care in English acute hospitals:
a retrospective case record review study. BMJ Qual Saf. 2012;21(9):737-745. doi:10.…
-
psnet.ahrq.gov/node/42067/psn-pdf
March 18, 2013 - Methodological variations and their effects on reported
medication administration error rates.
March 18, 2013
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication
administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.1136/bmjqs-2012-001330.
https://psne…