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Showing results for "define".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37321/psn-pdf
     February 03, 2011 - MRSA Infections. February 3, 2011 Zeller JL, Burke AE, Glass RM. JAMA patient page. MRSA infections. JAMA. 2007;298(15):1826. https://psnet.ahrq.gov/issue/mrsa-infections This fact sheet defines the methicillin-resistant Staphylococcus aureus (MRSA) bacterium, identifies causes of infection and risk factors, and p…

402. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33938/psn-pdf
     December 18, 2008 - Dana-Farber Cancer Institute Principles of a Fair and Just Culture. December 18, 2008 Dana-Farber Cancer Institute. https://psnet.ahrq.gov/issue/dana-farber-cancer-institute-principles-fair-and-just-culture Dana-Farber Cancer Institute defines a "just culture" and illustrates how to implement and sustain it. http…

403. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49727/psn-pdf
     March 01, 2015 - Critical Opportunity Lost March 1, 2015 Genzen JR, Signorelli HN. Critical Opportunity Lost. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/critical-opportunity-lost The Case A 55-year-old woman presented to the emergency department (ED) with new onset chest pain. She reported eating a heavy dinner the pre…

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60350/psn-pdf
     May 20, 2020 - Apparent cause analysis: a safety tool. May 20, 2020 Parikh K, Hochberg E, Cheng JJ, et al. Apparent cause analysis: a safety tool. Pediatrics. 2020;145(5):e20191819. doi:10.1542/peds.2019-1819. https://psnet.ahrq.gov/issue/apparent-cause-analysis-safety-tool This article explores one hospital’s use of facilitated…

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74276/psn-pdf
     January 19, 2022 - Guideline for Prevention of Unintentionally Retained Surgical Items. January 19, 2022 Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. https://psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items Retained su…

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838084/psn-pdf
     September 14, 2022 - Sixty seconds on . . . medical gaslighting. September 14, 2022 Wise J. Sixty seconds on . . . medical gaslighting. BMJ. 2022;378:o1974. doi:10.1136/bmj.o1974. https://psnet.ahrq.gov/issue/sixty-seconds-medical-gaslighting Patients can be vulnerable to having concerns dismissed or being gaslighted as to their legiti…

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60656/psn-pdf
     July 08, 2020 - COVID-19: to be or not to be; that is the diagnostic question. July 8, 2020 Coleman JJ, Manavi K, Marson EJ, et al. COVID-19: to be or not to be; that is the diagnostic question. Postgrad Med J. 2020;96(1137):392-398. doi:10.1136/postgradmedj-2020-137979. https://psnet.ahrq.gov/issue/covid-19-be-or-not-be-diagnost…

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60187/psn-pdf
     April 01, 2020 - What are we doing when we double check? April 1, 2020 Pfeiffer Y, Zimmermann C, Schwappach DLB. What are we doing when we double check? BMJ Qual Saf. 2020;29(7):536-540. doi:10.1136/bmjqs-2019-009680. https://psnet.ahrq.gov/issue/what-are-we-doing-when-we-double-check Double checking is one strategy for detecting …

409. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838327/psn-pdf
     October 12, 2022 - Diagnoses Without Names: Challenges for Medical Care, Research, and Policy. October 12, 2022 Lockshin MD, Crow MK, Barbhaiya M, eds. Springer Nature: Cham, Switzerland; 2022.  ISBN 9783031049347.  https://psnet.ahrq.gov/issue/diagnoses-without-names-challenges-medical-care-research-and-policy Clinicians…

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38482/psn-pdf
     May 08, 2018 - Inattentional blindness: what captures your attention? May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. February 26, 2009;14:1-3. https://psnet.ahrq.gov/issue/inattentional-blindness-what-captures-your-attention This article defines inattentional blindness, explains its role in medical errors, and expl…

411. Empty Handoff | PSNet
     psnet.ahrq.gov/web-mm/empty-handoff
     August 01, 2017 - Handoffs are multifaceted, complex, dynamic, and sometimes challenging to define and measure.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49732/psn-pdf
     May 01, 2015 - https://psnet.ahrq.gov/web-mm/errors-sepsis-management Case Objectives Define sepsis, severe sepsis

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35076/psn-pdf
     November 04, 2015 - Patient Safety Handbook, Second Edition. November 4, 2015 Youngberg B. ed. Sudbury, MA: Jones and Bartlett; 2013. ISBN 9780763774042 https://psnet.ahrq.gov/issue/patient-safety-handbook-second-edition This revised edition of a comprehensive resource on patient safety includes new chapters discussing such topics as…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41773/psn-pdf
     September 30, 2015 - Serious Safety Events: Getting to Zero. Second Edition. September 30, 2015 Hoppes M, Mitchell JL. Chicago, IL: American Society for Healthcare Risk Management; October 2014. https://psnet.ahrq.gov/issue/serious-safety-events-getting-zero-second-edition This white paper defines serious safety events and describes me…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74057/psn-pdf
     November 10, 2021 - Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. November 10, 2021 Meyer AND, Giardina TD, Khawaja L, et al. Patient and clinician experiences of uncertainty in the diagnostic process: current understanding and future directions. Patient Educ …

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73245/psn-pdf
     May 12, 2021 - Just culture: the foundation of staff safety in the perioperative environment. May 12, 2021 Fencl JL, Willoughby C, Jackson K. Just culture: the foundation of staff safety in the perioperative environment. AORN J. 2021;113(4):329-336. doi:10.1002/aorn.13352. https://psnet.ahrq.gov/issue/just-culture-foundation-sta…

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40644/psn-pdf
     October 04, 2020 - High-Performance Work Systems in Health Care Management: Parts 1-5. October 4, 2020 Garman AN, McAlearney AS, Harrison MI, et al. Health Care Manag Rev. 2011-2020. https://psnet.ahrq.gov/issue/high-performance-work-systems-health-care-management-part-1-and-part-2 In this continuing series, high-performance work pr…

418. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851196/psn-pdf
     July 05, 2023 - Patient falls while under supervision: trends from incident reporting. July 5, 2023 Roberts M. Patient falls while under supervision: trends from incident reporting. Br J Nurs. 2023;32(11):508-513. doi:10.12968/bjon.2023.32.11.508. https://psnet.ahrq.gov/issue/patient-falls-while-under-supervision-trends-incident-…

419. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73585/psn-pdf
     August 11, 2021 - Breast cancer screening and overdiagnosis. August 11, 2021 Bulliard J?L, Beau A?B, Njor S, et al. Breast cancer screening and overdiagnosis. Int J Cancer. 2021;149(4):846-853. doi:10.1002/ijc.33602. https://psnet.ahrq.gov/issue/breast-cancer-screening-and-overdiagnosis Overdiagnosis of breast cancer and the result…

420. Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. | PSNet
     psnet.ahrq.gov/issue/association-2011-acgme-resident-duty-hour-reforms-mortality-and-readmissions-among
     November 26, 2014 - Study Classic Association of the 2011 ACGME resident duty hour reforms with mortality and readmissions among hospitalized Medicare patients. Citation Text: Patel MS, Volpp KG, Small DS, et al. Association of the 2011 ACGME resident duty hour reforms with mortali…