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Showing results for "descriptions".

441. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43636/psn-pdf
     November 26, 2014 - Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. November 26, 2014 Braham DL, Richardson AL, Malik IS. Application of the WHO surgical safety checklist outside the operating theatre: medicine can learn from surgery. Clin Med. 2014;14(5):468-474. doi:1…

442. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38333/psn-pdf
     January 14, 2009 - Adverse Events in Hospitals: Overview of Key Issues. January 14, 2009 Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00470. https://psnet.ahrq.gov/issue/adverse-events-hospitals-overview-key-issues The Tax Relief and Hea…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43625/psn-pdf
     October 29, 2014 - Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. October 29, 2014 Seelandt JC, Tschan F, Keller S, et al. Assessing distractors and teamwork during surgery: developing an event-based method for direct observation. BMJ Qual Saf. 2014;23(11):918-29. doi:10.11…

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44368/psn-pdf
     September 29, 2017 - A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical training. September 29, 2017 Mentis HM, Chellali A, Manser K, et al. A systematic review of the effect of distraction on surgeon performance: directions for operating room policy and surgical …

445. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42800/psn-pdf
     July 03, 2016 - Why do doctors make mistakes? A study of the role of salient distracting clinical features. July 3, 2016 Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.1097/ACM.0000000000000077. https://ps…

446. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34787/psn-pdf
     March 28, 2005 - Medication misadventures resulting in emergency department visits at an HMO medical center. March 28, 2005 Schneitman-McIntire O, Farnen TA, Gordon N, et al. Am J Health Syst Pharm. 1996;53(12):1416-1422. https://psnet.ahrq.gov/issue/medication-misadventures-resulting-emergency-department-visits-hmo- medical-cente…

447. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35645/psn-pdf
     February 24, 2011 - Voluntary electronic reporting of medical errors and adverse events. February 24, 2011 Milch CE, Salem D, Pauker SG, et al. Voluntary electronic reporting of medical errors and adverse events. An analysis of 92,547 reports from 26 acute care hospitals. J Gen Intern Med. 2006;21(2):165-70. https://psnet.ahrq.gov/is…

448. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34803/psn-pdf
     January 05, 2017 - Systematic root cause analysis of adverse drug events in a tertiary referral hospital. January 5, 2017 Rex JH, Turnbull JE, Allen SJ, et al. Systematic Root Cause Analysis of Adverse Drug Events in a Tertiary Referral Hospital. Jt Comm J Qual Improv. 2016;26(10). doi:10.1016/s1070-3241(00)26048-3. https://psnet.ah…

449. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40381/psn-pdf
     May 25, 2011 - Medication errors in the homes of children with chronic conditions. May 25, 2011 Walsh KE, Mazor KM, Stille CJ, et al. Medication errors in the homes of children with chronic conditions. Arch Dis Child. 2011;96(6):581-6. doi:10.1136/adc.2010.204479. https://psnet.ahrq.gov/issue/medication-errors-homes-children-chr…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35511/psn-pdf
     May 31, 2011 - An objective methodology for task analysis and workload assessment in anesthesia providers. May 31, 2011 Weinger M B, Herndon O W, Zornow M H, et al. An Objective Methodology for Task Analysis and Workload Assessment in Anesthesia Providers. Anesthesiology. 2006;80(1):77-92. doi:10.1097/00000542- 199401000-00015. …

451. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35028/psn-pdf
     May 27, 2011 - Medication errors and adverse drug events in pediatric inpatients. May 27, 2011 Kaushal R, Bates DW, Landrigan C, et al. Medication errors and adverse drug events in pediatric inpatients. JAMA. 2001;285(16):2114-20. https://psnet.ahrq.gov/issue/medication-errors-and-adverse-drug-events-pediatric-inpatients This p…

452. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43828/psn-pdf
     January 14, 2015 - Tragic error with neuromuscular blocker should prompt risk assessment by all hospitals. January 14, 2015 ISMP Medication Safety Alert! Acute Care Edition. December 18, 2014;19:1,4. https://psnet.ahrq.gov/issue/tragic-error-neuromuscular-blocker-should-prompt-risk-assessment-all- hospitals This newsletter article …

453. "The Ultrasound Looked Fine": Point-of-Care Ultrasound and Patient Safety | PSNet
     psnet.ahrq.gov/web-mm/ultrasound-looked-fine-point-care-ultrasound-and-patient-safety
     December 01, 2012 - trauma, patients are taken to the operating room faster.( 16 ) The literature offers relatively few descriptions

454. Slippery Slide Into Life | PSNet
     psnet.ahrq.gov/web-mm/slippery-slide-life
     January 21, 2017 - Accreditation of Healthcare Organizations (JCAHO) issued a sentinel event alert in 2004 after receiving descriptions

455. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/836842/psn-pdf
     April 07, 2022 - Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. April 7, 2022 Gadallah A, McGinnis B, Nguyen B, et al. Assessing the impact of virtual medication history technicians on medication reconciliation discrepancies. Int J Clin Pharm. 2021;43(5):1404-1411. doi:10.…

456. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38033/psn-pdf
     September 24, 2010 - Implementing online medication reconciliation at a large academic medical center. September 24, 2010 Bails D, Clayton K, Roy K, et al. Implementing online medication reconciliation at a large academic medical center. Jt Comm J Qual Patient Saf. 2008;34(9):499-508. https://psnet.ahrq.gov/issue/implementing-online-m…

457. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45152/psn-pdf
     November 18, 2016 - Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: a model to spread change. November 18, 2016 Watts B, Paull DE, Williams LC, et al. Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread Change. Am J Med Qual. 2016;31(6):598-600. h…

458. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45919/psn-pdf
     July 05, 2017 - Managing the patient identification crisis in healthcare and laboratory medicine. July 5, 2017 Lippi G, Mattiuzzi C, Bovo C, et al. Managing the patient identification crisis in healthcare and laboratory medicine. Clin Biochem. 2017;50(10-11):562-567. doi:10.1016/j.clinbiochem.2017.02.004. https://psnet.ahrq.gov/i…

459. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34893/psn-pdf
     February 26, 2009 - The incidence of adverse drug events in two large academic long-term care facilities. February 26, 2009 Gurwitz JH, Field TS, Judge J, et al. The incidence of adverse drug events in two large academic long-term care facilities. Am J Med. 2005;118(3). doi:10.1016/j.amjmed.2004.09.018. https://psnet.ahrq.gov/issue/i…

460. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33737/psn-pdf
     September 01, 2012 - Preparing for Health Reform: The Federal Government and the Nursing Workforce September 1, 2012 Buerhaus P. Preparing for Health Reform: The Federal Government and the Nursing Workforce. PSNet [internet]. 2012. https://psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce Per…