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Showing results for "describes".

4481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37590/psn-pdf
      April 13, 2018 - Just Culture: Restoring Trust and Accountability in Your Organization, Third Edition. April 13, 2018 Dekker S. Boca Raton, FL: CRC Press; 2017. ISBN: 9781472475756. https://psnet.ahrq.gov/issue/just-culture-restoring-trust-and-accountability-your-organization-third-edition Although early efforts in the patient saf…

4482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40254/psn-pdf
      September 19, 2016 - Medical error: the second victim. September 19, 2016 Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. https://psnet.ahrq.gov/issue/medical-error-second-victim This editorial coined the term "second victim" to describe clinicians who commit error…

4483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72544/psn-pdf
      December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…

4484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46488/psn-pdf
      November 15, 2017 - A World Health Organization field trial assessing a proposed ICD-11 framework for classifying patient safety events. November 15, 2017 Forster AJ, Bernard B, Drösler SE, et al. A World Health Organization field trial assessing a proposed ICD- 11 framework for classifying patient safety events. Int J Qual Health Ca…

4485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33596/psn-pdf
      June 01, 2025 - Failure to Rescue January 29, 2025 Tokareva I, Romano P. Failure to Rescue. PSNet [internet]. 2025. https://psnet.ahrq.gov/primer/failure-rescue Updated in January 2025 by Irina Tokareva RN, BSN, MAS, CPHQ and Patrick Romano, MD, MPH. PSNet primers are regularly reviewed and updated to ensure that they reflect cur…

4486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33717/psn-pdf
      September 01, 2011 - Incident Reporting: More Attention to the Safety Action Feedback Loop, Please September 1, 2011 Nuckols TK. Incident Reporting: More Attention to the Safety Action Feedback Loop, Please. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/incident-reporting-more-attention-safety-action-feedback-loop-please …

4487. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-470
      December 31, 2024 - This article describes an educational activity for nursing students to help them understand the legal

4488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49591/psn-pdf
      October 01, 2009 - Difficult Encounters: A CMO and CNO Respond October 1, 2009 Ring EJ, Hirsch JE. Difficult Encounters: A CMO and CNO Respond. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond Case Objectives Appreciate the risk of disruptive behavior and understand institutional respons…

4489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49717/psn-pdf
      September 01, 2014 - A Lot of Pain (Medications) September 1, 2014 Herzig SJ. A Lot of Pain (Medications). PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/lot-pain-medications Case Objectives Appreciate the challenges of managing acute pain in hospitalized patients on chronic opioids. Describe the importance of understanding th…

4490. Dropping to New Lows | PSNet
      psnet.ahrq.gov/web-mm/dropping-new-lows
      December 18, 2024 - SPOTLIGHT CASE Dropping to New Lows Citation Text: Juang PC, Kulasa K. Dropping to New Lows. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML End…

4491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50914/psn-pdf
      February 19, 2020 - Uncovering, creating or constructing problems? Enacting a new role to support staff who raise concerns about quality and safety in the English National Health Service February 19, 2020 Martin GP, Chew S, Dixon-Woods M. Uncovering, creating or constructing problems? Enacting a new role to support staff who raise co…

4492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34669/psn-pdf
      June 26, 2015 - Learning from mistakes is easier said than done: group and organizational influences on the detection and correction of human error. June 26, 2015 Edmondson AC. Learning from Mistakes is Easier Said Than Done: Group and Organizational Influences on the Detection and Correction of Human Error. J Appl Behav Sci. 200…

4493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36006/psn-pdf
      November 15, 2011 - Disclosure of medical errors: what factors influence how patients respond? November 15, 2011 Mazor KM, Reed G, Yood RA, et al. Disclosure of medical errors: what factors influence how patients respond? J Gen Intern Med. 2006;21(7):704-10. https://psnet.ahrq.gov/issue/disclosure-medical-errors-what-factors-influenc…

4494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73214/psn-pdf
      May 05, 2021 - Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with a history of falls: a qualitative study. May 5, 2021 Hahn EE, Munoz-Plaza CE, Lee EA, et al. Patient and physician perspectives of deprescribing potentially inappropriate medications in older adults with …

4495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48123/psn-pdf
      August 28, 2019 - Hidden health IT hazards: a qualitative analysis of clinically meaningful documentation discrepancies at transfer out of the pediatric intensive care unit. August 28, 2019 Orenstein EW, Ferro DF, Bonafide CP, et al. JAMIA Open. 2019;2(3):392-398. https://psnet.ahrq.gov/issue/hidden-health-it-hazards-qualitative-an…

4496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46782/psn-pdf
      January 24, 2019 - Patient perspectives on how physicians communicate diagnostic uncertainty: an experimental vignette study. January 24, 2019 Bhise V, Meyer AND, Menon S, et al. Patient perspectives on how physicians communicate diagnostic uncertainty: An experimental vignette study. Int J Qual Health Care. 2018;30(1):2-8. doi:10.1…

4497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38343/psn-pdf
      December 09, 2014 - Liability associated with obstetric anesthesia: a closed claims analysis. December 9, 2014 Davies JM, Posner KL, Lee LA, et al. Liability associated with obstetric anesthesia: a closed claims analysis. Anesthesiology. 2009;110(1):131-139. doi:10.1097/ALN.0b013e318190e16a. https://psnet.ahrq.gov/issue/liability-ass…

4498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48057/psn-pdf
      June 26, 2019 - Multicenter study to evaluate the benefits of technology- assisted workflow on i.v. room efficiency, costs, and safety. June 26, 2019 Eckel SF, Higgins JP, Hess E, et al. Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety. Am J Health-Syst Pharm. 2…

4499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45277/psn-pdf
      July 01, 2017 - Cultural transformation after implementation of crew resource management: is it really possible? July 1, 2017 Hefner JL, Hilligoss B, Knupp A, et al. Cultural Transformation After Implementation of Crew Resource Management: Is It Really Possible? Am J Med Qual. 2017;32(4):384-390. doi:10.1177/1062860616655424. htt…

4500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851190/psn-pdf
      July 05, 2023 - Patient safety and sense of security when telemonitoring chronic conditions at home: the views of patients and healthcare professionals - a qualitative study. July 5, 2023 Ekstedt M, Nordheim ES, Hellström A, et al. Patient safety and sense of security when telemonitoring chronic conditions at home: the views of p…