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Showing results for "deaths".

  1. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. | PSNet

    psnet.ahrq.gov/issue/human-cognition-and-dynamics-failure-rescue-lewis-blackman-case
    April 24, 2018 - Commentary Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. Citation Text: Acquaviva K, Haskell H, Johnson J. Human cognition and the dynamics of failure to rescue: the Lewis Blackman case. J Prof Nurs. 2013;29(2):95-101. doi:10.1016/j.profnurs.2012.12.009.…

  2. The limits of clinician vigilance as an AI safety bulwark. | PSNet

    psnet.ahrq.gov/issue/limits-clinician-vigilance-ai-safety-bulwark
    September 07, 2022 - Commentary The limits of clinician vigilance as an AI safety bulwark. Citation Text: Adler-Milstein J, Redelmeier DA, Wachter RM. The limits of clinician vigilance as an AI safety bulwark. JAMA. 2024;331(14):1173-1174. doi:10.1001/jama.2024.3620. Copy Citation Format: DOI G…

  3. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. | PSNet

    psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
    April 08, 2011 - Commentary Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Citation Text: Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …

  4. To err is human, but what happens when surgeons err? | PSNet

    psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err
    August 04, 2021 - Study To err is human, but what happens when surgeons err? Citation Text: Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. Copy Citation Format: DOI Google Scholar Bib…

  5. Predictive combinations of monitor alarms preceding in-hospital code blue events. | PSNet

    psnet.ahrq.gov/issue/predictive-combinations-monitor-alarms-preceding-hospital-code-blue-events
    March 18, 2020 - Study Predictive combinations of monitor alarms preceding in-hospital code blue events. Citation Text: Hu X, Sapo M, Nenov V, et al. Predictive combinations of monitor alarms preceding in-hospital code blue events. J Biomed Inform. 2012;45(5):913-21. doi:10.1016/j.jbi.2012.03.001. Copy…

  6. Changing smart pump vendors: lessons learned. | PSNet

    psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
    August 01, 2018 - Commentary Changing smart pump vendors: lessons learned. Citation Text: Arthur KJ, Catlin AC, Quebe A, et al. Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm. 2016;51(9):782-789. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnot…

  7. Speaking up—when doctors navigate medical hierarchy. | PSNet

    psnet.ahrq.gov/issue/speaking-when-doctors-navigate-medical-hierarchy
    August 19, 2020 - Commentary Speaking up—when doctors navigate medical hierarchy. Citation Text: Srivastava R. Speaking up--when doctors navigate medical hierarchy. New Engl J Med. 2013;368(4):302-305. doi:10.1056/NEJMp1212410. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  8. When less is more: the role of overdiagnosis and overtreatment in patient safety. | PSNet

    psnet.ahrq.gov/issue/when-less-more-role-overdiagnosis-and-overtreatment-patient-safety
    July 22, 2020 - Commentary When less is more: the role of overdiagnosis and overtreatment in patient safety. Citation Text: Kamzan AD, Ng E. When less is more: the role of overdiagnosis and overtreatment in patient safety. Adv Pediatr. 2021;68:21-35. doi:10.1016/j.yapd.2021.05.013. Copy Citation …

  9. Rapid response teams—walk, don't run. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-walk-dont-run
    March 21, 2012 - Commentary Classic Rapid response teams—walk, don't run. Citation Text: Winters BD, Pham JC, Pronovost PJ. Rapid Response Teams—Walk, Don't Run. JAMA. 2006;296(13). doi:10.1001/jama.296.13.1645. Copy Citation Format: DOI Google Scholar BibTeX End…

  10. Important Warnings and Instructions for Heparin Sodium Injection (Baxter). | PSNet

    psnet.ahrq.gov/issue/important-warnings-and-instructions-heparin-sodium-injection-baxter
    May 24, 2015 - Press Release/Announcement Important Warnings and Instructions for Heparin Sodium Injection (Baxter). Citation Text: Important Warnings and Instructions for Heparin Sodium Injection (Baxter). MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 28, 2008. …

  11. No shortcuts to safer opioid prescribing. | PSNet

    psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing
    March 30, 2016 - Commentary Classic No shortcuts to safer opioid prescribing. Citation Text: Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. Copy Citation Format: DOI Google Sc…

  12. Improving patient safety through the systematic evaluation of patient outcomes. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-through-systematic-evaluation-patient-outcomes
    August 25, 2011 - Review Improving patient safety through the systematic evaluation of patient outcomes. Citation Text: Forster AJ, Dervin G, Martin C, et al. Improving patient safety through the systematic evaluation of patient outcomes. Can J Surg. 2012;55(6):418-25. doi:10.1503/cjs.007811. Copy Cita…

  13. Why the nation needs a policy push on patient-centered health care. | PSNet

    psnet.ahrq.gov/issue/why-nation-needs-policy-push-patient-centered-health-care
    November 11, 2020 - Commentary Why the nation needs a policy push on patient-centered health care. Citation Text: Epstein RM, Fiscella K, Lesser CS, et al. Why the nation needs a policy push on patient-centered health care. Health Aff (Millwood). 2010;29(8):1489-1495. doi:10.1377/hlthaff.2009.0888. Copy C…

  14. Cognitive biases and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/cognitive-biases-and-artificial-intelligence
    March 27, 2024 - Study Cognitive biases and artificial intelligence. Citation Text: Wang J, Redelmeier DA. Cognitive biases and artificial intelligence. NEJM AI. 2024;1(12):AIcs2400639. doi:10.1056/aics2400639. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML End…

  15. Electronic health records and National Patient-Safety Goals. | PSNet

    psnet.ahrq.gov/issue/electronic-health-records-and-national-patient-safety-goals
    December 06, 2023 - Commentary Electronic health records and National Patient-Safety Goals. Citation Text: Sittig DF, Singh H. Electronic Health Records and National Patient-Safety Goals. New England Journal of Medicine. 2012;367(19). doi:10.1056/nejmsb1205420. Copy Citation Format: DOI Goog…

  16. Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. | PSNet

    psnet.ahrq.gov/issue/medical-errors-disclosure-styles-interpersonal-forgiveness-and-outcomes
    June 14, 2017 - Study Medical errors: disclosure styles, interpersonal forgiveness, and outcomes. Citation Text: Hannawa AF, Shigemoto Y, Little TD. Medical errors: Disclosure styles, interpersonal forgiveness, and outcomes. Social Sci Med. 2016;156:29-38. doi:10.1016/j.socscimed.2016.03.026. Copy Cit…

  17. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. | PSNet

    psnet.ahrq.gov/issue/getting-message-quality-improvement-initiative-reduce-pages-sent-wrong-physician
    April 30, 2014 - Study Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. Citation Text: Wong BM, Cheung M, Dharamshi H, et al. Getting the message: a quality improvement initiative to reduce pages sent to the wrong physician. BMJ Qual Saf. 2012;21(10):85…

  18. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…

  19. Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. | PSNet

    psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic-vigilance
    April 06, 2022 - Newspaper/Magazine Article Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Citation Text: Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. Webb J. Drug Topics. March 10, 2015. Copy Citation Save …

  20. Perspectives in quality: designing the WHO Surgical Safety Checklist. | PSNet

    psnet.ahrq.gov/issue/perspectives-quality-designing-who-surgical-safety-checklist
    September 20, 2011 - Commentary Perspectives in quality: designing the WHO Surgical Safety Checklist. Citation Text: Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. Copy Cita…
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