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Showing results for "developing".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43315/psn-pdf
    May 10, 2016 - Chief resident for quality improvement and patient safety: a description. May 10, 2016 Cox LAM, Fanucchi LC, Sinex NC, et al. Chief resident for quality improvement and patient safety: a description. Am J Med. 2014;127(6):565-8. doi:10.1016/j.amjmed.2014.02.034. https://psnet.ahrq.gov/issue/chief-resident-quality-…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42591/psn-pdf
    July 16, 2015 - Underreporting of robotic surgery complications. July 16, 2015 Cooper M, Ibrahim AM, Lyu H, et al. Underreporting of robotic surgery complications. J Healthc Qual. 2015;37(2):133-8. doi:10.1111/jhq.12036. https://psnet.ahrq.gov/issue/underreporting-robotic-surgery-complications By cross-referencing court records a…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846165/psn-pdf
    March 15, 2023 - Do no unconscious harm. March 15, 2023 Ortega RP. Do no unconscious harm. Science. 2023;379(6635):870-873. doi:10.1126/science.adh3698. https://psnet.ahrq.gov/issue/do-no-unconscious-harm Implicit biases can degrade decision making as they impact heuristics, test result interpretation, and patient/physician commun…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43495/psn-pdf
    December 15, 2014 - Disruptive behaviors among physicians. December 15, 2014 Sanchez LT. Disruptive behaviors among physicians. JAMA. 2014;312(21):2209-2210. doi:10.1001/jama.2014.10218. https://psnet.ahrq.gov/issue/disruptive-behaviors-among-physicians This commentary spotlights concerns about physicians with disruptive behaviors an…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853976/psn-pdf
    September 27, 2023 - Disclosure of Medical Errors. September 27, 2023 Irving, TX: American College of Emergency Physicians; 2023. https://psnet.ahrq.gov/issue/disclosure-medical-errors Error disclosure is difficult yet important for patient and clinician psychological healing. This statement provides guidance to address barriers to em…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37767/psn-pdf
    June 01, 2022 - Hospital Survey on Patient Safety Culture 2.0. June 1, 2022 Rockville, MD: Agency for Healthcare Research and Quality; 2019. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-20 The AHRQ Surveys on Patient Safety Culture™ (SOPS®) Hospital Survey and accompanying toolkit were developed to collect …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46018/psn-pdf
    January 16, 2019 - Rethinking Patient Safety. January 16, 2019 Woodward S. Boca Raton, FL: Productivity Press; 2017. ISBN: 9781498778541. https://psnet.ahrq.gov/issue/rethinking-patient-safety The National Health Service (NHS) has been a leader in patient safety work for close to two decades. This book draws from a large-scale impro…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41321/psn-pdf
    April 25, 2012 - Cognitive balanced model: a conceptual scheme of diagnostic decision making. April 25, 2012 Lucchiari C, Pravettoni G. Cognitive balanced model: a conceptual scheme of diagnostic decision making. J Eval Clin Pract. 2012;18(1):82-8. doi:10.1111/j.1365-2753.2011.01771.x. https://psnet.ahrq.gov/issue/cognitive-balanc…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35894/psn-pdf
    June 18, 2013 - Mitigating hazards through continuing design: the birth and evolution of a pediatric intensive care unit. June 18, 2013 Madsen P, Desai V, Roberts K, et al. Mitigating Hazards Through Continuing Design: The Birth and Evolution of a Pediatric Intensive Care Unit. Organization Science. 2006;17(2). doi:10.1287/orsc.1…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60928/psn-pdf
    September 16, 2020 - The risks of the prescribing cascade. September 16, 2020 Brody JE. The risks of the prescribing cascade. New York Times. 2020. https://psnet.ahrq.gov/issue/risks-prescribing-cascade Inappropriate care activities can cascade to significantly impact patient safety. This article shares how medication side effects can…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45926/psn-pdf
    May 17, 2017 - Toolkit To Improve Safety in Ambulatory Surgery Centers. May 17, 2017 Rockville, MD: Agency for Healthcare Research and Quality; December 2014. https://psnet.ahrq.gov/issue/toolkit-improve-safety-ambulatory-surgery-centers Ambulatory surgery centers provide care to growing numbers of patients. This toolkit draws fr…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45241/psn-pdf
    October 31, 2023 - Hospital Harm Project. October 31, 2023 Canadian Institute for Health Information, Health Excellence Canada. https://psnet.ahrq.gov/issue/hospital-harm-project Reducing preventable harm associated with health care is a worldwide goal. This Canadian initiative developed a measure to track unintended harm in acute c…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43597/psn-pdf
    November 04, 2014 - The lost art of the history and physical. November 4, 2014 Natt B, Szerlip HM. The lost art of the history and physical. Am J Med Sci. 2014;348(5):423-5. doi:10.1097/MAJ.0000000000000326. https://psnet.ahrq.gov/issue/lost-art-history-and-physical Highlighting concerns about over-reliance on laboratory tests to for…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38532/psn-pdf
    January 13, 2017 - Triggers and Targeted Injury Detection Systems (TIDS) Expert Panel Meeting: Conference Summary Report. January 13, 2017 Rockville, MD: Agency for Healthcare Research and Quality; February 2009. AHRQ Publication No. 090003. https://psnet.ahrq.gov/issue/triggers-and-targeted-injury-detection-systems-tids-expert-pane…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36234/psn-pdf
    October 21, 2010 - Conceptual Framework for the International Classification for Patient Safety Version 1.1. Final Technical Report January 2009. October 21, 2010 World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2009. https://psnet.ahrq.gov/issue/conceptual-framework-international-classification-pat…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43185/psn-pdf
    May 14, 2014 - Preventing health care–associated harm in children. May 14, 2014 Walsh KE, Bundy DG, Landrigan CP. Preventing health care-associated harm in children. JAMA. 2014;311(17):1731-2. doi:10.1001/jama.2014.2038. https://psnet.ahrq.gov/issue/preventing-health-care-associated-harm-children This commentary describes why de…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863000/psn-pdf
    February 21, 2024 - Why engineers are working to build better pulse oximeters. February 21, 2024 Willyard C. MIT Technology Review. February 9, 2024. https://psnet.ahrq.gov/issue/why-engineers-are-working-build-better-pulse-oximeters Engineers play an important role in the development and manufacturing of medical devices with an eye …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44526/psn-pdf
    October 07, 2015 - The evolution of a safety culture. October 7, 2015 Patton BS, Donovan KJ. The Evolution of a Safety Culture. Air Med J. 2015;34(5):264-8. doi:10.1016/j.amj.2015.05.012. https://psnet.ahrq.gov/issue/evolution-safety-culture This commentary describes how an air transport unit at one hospital developed a safety cultu…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35632/psn-pdf
    February 03, 2025 - Anesthesia Patient Safety Foundation (APSF) Grant Program. February 3, 2025 Anesthesia Patient Safety Foundation. https://psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-apsf-grant-program This grant program supports research that seeks to improve anesthesia safety and the development of researchers in …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42328/psn-pdf
    June 28, 2013 - Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. June 28, 2013 Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaesth. 2013;23(7):647-54. doi:10.1111/pa…
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