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Showing results for "described".

21. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38157/psn-pdf
    October 22, 2008 - determine at least one underlying factor in most reports, but found that incidents often were not described … A prior study described an intervention to improve the number and quality of voluntarily filed incident

22. The Second Victim Phenomenon: A Harsh Reality of Health Care Professions | PSNet
    psnet.ahrq.gov/perspective/second-victim-phenomenon-harsh-reality-health-care-professions
    November 13, 2024 - Perspective The Institute of Medicine's report on medical mistakes, To Err is Human, described … One of the most striking findings was that every second victim participating in the project described … One clinician described his second victim experience as an "emotional tsunami," unlike anything he had … During iterative analyses, we identified six stages that described the second victim recovery process … In addition, many second victims described a stigma they felt after they sought assistance; they often

23. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37047/psn-pdf
    September 30, 2011 - training among fighter pilots and discusses the relevance of these techniques for surgeons, who are described … pilot CRM, such as identifying and reviewing mission objectives and post- mission debriefing, are described

24. "You just want to feel safe when you go to a healthcare professional:" intimate partner violence and patient safety. | PSNet
    psnet.ahrq.gov/issue/you-just-want-feel-safe-when-you-go-healthcare-professional-intimate-partner-violence-and
    January 27, 2019 - They described it as care that contained: 1) compassionate and/or trauma-informed care; 2) physically … Survivors described ways healthcare providers could improve IPV safety.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41940/psn-pdf
    April 21, 2015 - apology, and offer strategy for medical errors, with the University of Michigan program being the best described … However, none of the barriers described were felt to be insurmountable. Dr.

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/41647/psn-pdf
    July 02, 2014 - seen-through-their-eyes-residents-reflections-cognitive-and-contextual- components-diagnostic Diagnostic errors have been described … Most residents also described a strategy to prevent similar errors in the future.

27. Getting doctors to report medical errors: project DISCLOSE. | PSNet
    psnet.ahrq.gov/issue/getting-doctors-report-medical-errors-project-disclose
    January 07, 2011 - While barriers to physician reporting have been described previously , the authors advocate for use … A recent study described the use of a similar tool to improve physician reporting in the surgical intensive

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46302/psn-pdf
    December 22, 2017 - non-health-care-facility-medication-errors-resulting-serious-medical-outcomes Medication errors that occur in health care settings have been well described … A previous WebM&M commentary described a near miss in which a patient almost administered the wrong

29. Seen through their eyes: residents' reflections on the cognitive and contextual components of diagnostic errors in medicine. | PSNet
    psnet.ahrq.gov/issue/seen-through-their-eyes-residents-reflections-cognitive-and-contextual-components-diagnostic
    November 18, 2013 - Diagnostic errors have been described as the next frontier in patient safety. … Most residents also described a strategy to prevent similar errors in the future.

30. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46956/psn-pdf
    January 23, 2019 - The phenomenon is especially well-described in the Veterans Affairs (VA) system, where providers receive … A PSNet perspective described a way forward in improving EHR safety.

31. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/33711/psn-pdf
    May 01, 2011 - One of the most striking findings was that every second victim participating in the project described … One clinician described his second victim experience as an "emotional tsunami," unlike anything he had … Although research participants developed individualized coping skills, they described a fairly predictable … During iterative analyses, we identified six stages that described the second victim recovery process … In addition, many second victims described a stigma they felt after they sought assistance; they often

32. Non–health care facility medication errors resulting in serious medical outcomes. | PSNet
    psnet.ahrq.gov/issue/non-health-care-facility-medication-errors-resulting-serious-medical-outcomes
    June 14, 2017 - Medication errors that occur in health care settings have been well described, but less is known about … A previous WebM&M commentary described a near miss in which a patient almost administered the wrong

33. Contributing factors identified by hospital incident report narratives. | PSNet
    psnet.ahrq.gov/issue/contributing-factors-identified-hospital-incident-report-narratives
    January 02, 2017 - to determine at least one underlying factor in most reports, but found that incidents often were not described … A prior study described an intervention to improve the number and quality of voluntarily filed incident

34. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. | PSNet
    psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
    December 19, 2018 - apology, and offer strategy for medical errors, with the University of Michigan program being the best described … However, none of the barriers described were felt to be insurmountable. Dr.

35. Learn About PSNet’s CME Without a Fee | PSNet
    psnet.ahrq.gov/cme-video
    August 11, 2025 - Audio-Described Version  (1 minute 24 seconds)

36. Learn About the Submit an Innovation Process | PSNet
    psnet.ahrq.gov/innovations-video
    August 09, 2025 - Audio-Described Version  (1 minute, 8 seconds)

37. Introducing PSNet's New Shared Libraries Feature | PSNet
    psnet.ahrq.gov/shared-libraries
    September 01, 2025 - Login or Register to Get Started Audio-Described Version (2 minutes, 35 seconds)

38. The Submit a Case Process | PSNet
    psnet.ahrq.gov/submit-case
    August 10, 2025 - Submit Your Case   Audio-Described Version  (1 minute, 39 seconds)

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/867849/psn-pdf
    February 26, 2025 - , the seminal Institute of Medicine report that drew attention to patient safety, medical error is described … principles refer to mindful organizing focused on safety and promoted through organizational culture, as described … HRO principles have been described as having five characteristics: Preoccupation with failure: Awareness … an academic medical center and safety net hospital, the University of Mississippi Medical Center, described

40. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866437/psn-pdf
    August 07, 2024 - Barriers, enablers, and potential collaborations between nations are described.