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Showing results for "cultural".
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9901. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS December 14, 2022 In Conversation with.. Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS. PSNet [internet]. 2022. https://psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps Editor’s Note: Ellen Deutsch, MD, MS, FACS, F…

9902. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. | PSNet
      psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
      March 19, 2019 - Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions. Citation Text: Li C, Marquez K. Medication Errors in Retail Pharmacies: Wrong Patient, Wrong Instructions.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 202…

9903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - The Perils of Cross Coverage May 1, 2012 Farnan JM, Arora V. The Perils of Cross Coverage. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/perils-cross-coverage Case Objectives Explain the recently instituted ACGME duty hour regulations for 2011 as they pertain to handoffs and care transitions. Describe ed…

9904. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - A Double “Never Event”: Wrong Patient and Wrong Side. Citation Text: Bellini A, Salcedo ES. A Double “Never Event”: Wrong Patient and Wrong Side.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

9905. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - Delay in Malignancy Diagnosis Reflects Systemic Failures Citation Text: Mieu H, Olson KA. Delay in Malignancy Diagnosis Reflects Systemic Failures. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2023. Copy Citation Format: …

9906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33616/psn-pdf
      August 01, 2005 - The Unfinished Patient Safety Agenda August 1, 2005 Aiken LH. The Unfinished Patient Safety Agenda. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/unfinished-patient-safety-agenda Perspective The goal set by the Institute of Medicine (IOM) in 1999 to reduce medical errors by half within 5 years has no…

9907. Handoffs | PSNet
      psnet.ahrq.gov/primer/handoffs
      October 18, 2023 - Handoffs Citation Text: Handoffs and Signouts. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

9908. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024  Also Read the Essay View more arti…

9909. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - Application of Safety-II Principles Chalapathy Venkatesan, MD, MS, CPPS, Kathy Helak, MSN, BSN, RN, FACHE, CPPS, Zoe Sousane, BS, Cindy Manaoat Van, MHSA, CPPS | August 28, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: …

9910. Management of CSF Leaks After Elective Spine Surgery: Routine Laminectomy Leads to Fatal Discitis and Sepsis | PSNet
      psnet.ahrq.gov/web-mm/management-csf-leaks-after-elective-spine-surgery-routine-laminectomy-leads-fatal-discitis
      March 09, 2022 - Failure to do so in this case suggests implicit bias, perhaps due to the patient's age, cultural or communication

9911. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - It's almost a cultural taboo.

9912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49764/psn-pdf
      June 01, 2016 - Communication With Consultants June 1, 2016 Cohn SL. Communication With Consultants. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/communication-consultants The Case A 30-year-old pregnant woman presented to the emergency department (ED) with nausea, headaches, and fevers. Her laboratory studies were nota…

9913. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.233_slideshow.ppt
      February 01, 2011 - Spotlight Case July 2008 Spotlight Case One Toxic Drug Is Not Like Another * * Source and Credits This presentation is based on the February 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Eric S. Holmboe, MD, American Board of Internal…

9914. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.239_slideshow.ppt
      May 01, 2011 - Spotlight Case July 2008 Spotlight Case Duty to Disclose Someone Else’s Error * * Source and Credits This presentation is based on the May 2011 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Thomas H. Gallagher, MD University of Washington …

9915. CE/MOC Quizzes | PSNet
      psnet.ahrq.gov/cme
      February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …

9916. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
      psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
      February 01, 2014 - EC : That's a very important cultural issue.

9917. One Toxic Drug Is Not Like Another | PSNet
      psnet.ahrq.gov/web-mm/one-toxic-drug-not-another
      October 02, 2019 - SPOTLIGHT CASE One Toxic Drug Is Not Like Another Citation Text: Holmboe ES. One Toxic Drug Is Not Like Another. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTe…

9918. The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? | PSNet
      psnet.ahrq.gov/perspective/weekend-effect-cardiology-it-real-if-so-can-it-be-fixed
      June 01, 2017 - The Weekend Effect in Cardiology: Is It Real? If So, Can It Be Fixed? Vanessa K. Martin, DO, MS; Nasim Mirnateghi, PhD; and Mahdi Khoshchehreh, MD, MS | June 1, 2017  Also Read a Conversation View more articles from the same authors. Citation Text: Martin …

9919. Multifactorial Medication Mishap | PSNet
      psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
      September 01, 2016 - SPOTLIGHT CASE Multifactorial Medication Mishap Citation Text: Yang A. Multifactorial Medication Mishap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNot…

9920. Delayed Diagnosis of Endocrinologic Emergencies | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-endocrinologic-emergencies
      November 13, 2024 - Delayed Diagnosis of Endocrinologic Emergencies Citation Text: Gomes-Lima C, Burman KD. Delayed Diagnosis of Endocrinologic Emergencies. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google …