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Total Results: 9,160 records

Showing results for "discussed".

  1. FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. | PSNet

    psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
    February 15, 2024 - Press Release/Announcement FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injectable semaglutide products. Citation Text: FDA alerts health care providers, compounders and patients of dosing errors associated with compounded injecta…

  2. How trainees would disclose medical errors: educational implications for training programmes. | PSNet

    psnet.ahrq.gov/issue/how-trainees-would-disclose-medical-errors-educational-implications-training-programmes
    February 16, 2011 - Study How trainees would disclose medical errors: educational implications for training programmes. Citation Text: White AA, Bell SK, Krauss MJ, et al. How trainees would disclose medical errors: educational implications for training programmes. Med Educ. 2011;45(4):372-80. doi:10.1111…

  3. Reclaiming the systems approach to paediatric safety. | PSNet

    psnet.ahrq.gov/issue/reclaiming-systems-approach-paediatric-safety
    April 03, 2019 - Commentary Reclaiming the systems approach to paediatric safety. Citation Text: Cheung R, Roland D, Lachman P. Reclaiming the systems approach to paediatric safety. Arch Dis Child. 2019;104(12):1130-1133. doi:10.1136/archdischild-2018-316401. Copy Citation Format: DOI Googl…

  4. Assessing patient safety in the United States: challenges and opportunities. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-united-states-challenges-and-opportunities
    July 07, 2021 - Review Assessing patient safety in the United States: challenges and opportunities. Citation Text: Zhan C, Kelley E, Yang HP, et al. Assessing patient safety in the United States: challenges and opportunities. Med Care. 2005;43(3 Suppl):I42-I47. Copy Citation Format: Goog…

  5. Effective perioperative communication to enhance patient care. | PSNet

    psnet.ahrq.gov/issue/effective-perioperative-communication-enhance-patient-care
    March 17, 2015 - Commentary Effective perioperative communication to enhance patient care. Citation Text: Garrett H. Effective Perioperative Communication to Enhance Patient Care. AORN J. 2016;104(2):111-20. doi:10.1016/j.aorn.2016.06.001. Copy Citation Format: DOI Google Scholar PubMed Bib…

  6. New technology, new errors: how to prime an upgrade of an insulin infusion pump. | PSNet

    psnet.ahrq.gov/issue/new-technology-new-errors-how-prime-upgrade-insulin-infusion-pump
    July 14, 2010 - Commentary New technology, new errors: how to prime an upgrade of an insulin infusion pump. Citation Text: Rule AM, Drincic A, Galt K. New technology, new errors: how to prime an upgrade of an insulin infusion pump. Jt Comm J Qual Patient Saf. 2007;33(3):155-62. Copy Citation Forma…

  7. Case report of a medication error: in the eye of the beholder. | PSNet

    psnet.ahrq.gov/issue/case-report-medication-error-eye-beholder
    April 17, 2019 - Commentary Case report of a medication error: in the eye of the beholder. Citation Text: Naunton M, Nor K, Bartholomaeus A, et al. Case report of a medication error. Medicine (Baltimore). 2016;95(28):e4186. doi:10.1097/md.0000000000004186. Copy Citation Format: DOI Google S…

  8. Ending extra payment for "never events"—stronger incentives for patients' safety. | PSNet

    psnet.ahrq.gov/issue/ending-extra-payment-never-events-stronger-incentives-patients-safety
    November 13, 2024 - Commentary Ending extra payment for "never events"—stronger incentives for patients' safety. Citation Text: Milstein A. Ending extra payment for "never events"--stronger incentives for patients' safety. N Engl J Med. 2009;360(23):2388-90. doi:10.1056/NEJMp0809125. Copy Citation F…

  9. Preventing medication errors in the information age. | PSNet

    psnet.ahrq.gov/issue/preventing-medication-errors-information-age
    February 15, 2023 - Commentary Preventing medication errors in the information age. Citation Text: Godshall M, Riehl M. Preventing medication errors in the information age. Nursing (Brux). 2018;48(9):56-58. doi:10.1097/01.NURSE.0000544230.51598.38. Copy Citation Format: DOI Google Scholar PubM…

  10. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. | PSNet

    psnet.ahrq.gov/issue/normal-neurologic-and-developmental-outcome-after-accidental-intravenous-infusion-expressed
    June 15, 2022 - Study Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate. Citation Text: Ryan A, Mohammad I, Murphy B. Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk i…

  11. A surgical procedure grid for safety and operating room communication in multisite surgery. | PSNet

    psnet.ahrq.gov/issue/surgical-procedure-grid-safety-and-operating-room-communication-multisite-surgery
    June 17, 2014 - Commentary A surgical procedure grid for safety and operating room communication in multisite surgery. Citation Text: Insalaco LF, Spiegel JH. A Surgical Procedure Grid for Safety and Operating Room Communication in Multisite Surgery. JAMA Facial Plast Surg. 2018;20(3):185-186. doi:10.10…

  12. The unmeasured quality metric: burn out and the second victim syndrome in healthcare. | PSNet

    psnet.ahrq.gov/issue/unmeasured-quality-metric-burn-out-and-second-victim-syndrome-healthcare
    September 25, 2024 - Commentary The unmeasured quality metric: burn out and the second victim syndrome in healthcare. Citation Text: Heiss K, Clifton M. The unmeasured quality metric: Burn out and the second victim syndrome in healthcare. Semin Pediatr Surg. 2019;28(3):189-194. doi:10.1053/j.sempedsurg.2019.…

  13. Kaiser Permanente's performance improvement system, part 4: creating a learning organization. | PSNet

    psnet.ahrq.gov/issue/kaiser-permanentes-performance-improvement-system-part-4-creating-learning-organization
    July 19, 2023 - Commentary Kaiser Permanente's performance improvement system, part 4: creating a learning organization. Citation Text: Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011…

  14. Patient-reported missed nursing care correlated with adverse events. | PSNet

    psnet.ahrq.gov/issue/patient-reported-missed-nursing-care-correlated-adverse-events
    September 27, 2017 - Study Patient-reported missed nursing care correlated with adverse events. Citation Text: Kalisch BJ, Xie B, Dabney BW. Patient-reported missed nursing care correlated with adverse events. Am J Med Qual. 2014;29(5):415-22. doi:10.1177/1062860613501715. Copy Citation Format: …

  15. Nil per os orders for imaging: a teachable moment. | PSNet

    psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment
    November 13, 2024 - Commentary Nil per os orders for imaging: a teachable moment. Citation Text: Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. Copy Citation Format: DOI Googl…

  16. Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. | PSNet

    psnet.ahrq.gov/issue/crowdsourcing-diagnosis-patients-undiagnosed-illnesses-evaluation-crowdmed
    November 13, 2024 - Study Crowdsourcing diagnosis for patients with undiagnosed illnesses: an evaluation of CrowdMed. Citation Text: Meyer AND, Longhurst CA, Singh H. Crowdsourcing Diagnosis for Patients With Undiagnosed Illnesses: An Evaluation of CrowdMed. J Med Internet Res. 2016;18(1):e12. doi:10.2196/j…

  17. Diseases of medical progress. | PSNet

    psnet.ahrq.gov/issue/diseases-medical-progress
    June 27, 2018 - Review Classic Diseases of medical progress. Citation Text: MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  18. Error in medicine. | PSNet

    psnet.ahrq.gov/issue/error-medicine
    November 02, 2014 - Commentary Classic Error in medicine. Citation Text: Leape L. Error in medicine. JAMA. 1994;272(23):1851-1857. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  19. Surgical data recording technology: a solution to address medical errors? | PSNet

    psnet.ahrq.gov/issue/surgical-data-recording-technology-solution-address-medical-errors
    June 22, 2022 - Commentary Surgical data recording technology: a solution to address medical errors? Citation Text: Shah NA, Jue J, Mackey T. Surgical Data Recording Technology. Ann Surg. 2020;271(3):431-433. doi:10.1097/sla.0000000000003510. Copy Citation Format: DOI Google Scholar BibTeX…

  20. Clinical decision support in the era of artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/clinical-decision-support-era-artificial-intelligence
    November 06, 2015 - Commentary Classic Clinical decision support in the era of artificial intelligence. Citation Text: Shortliffe EH, Sepúlveda MJ. Clinical Decision Support in the Era of Artificial Intelligence. JAMA. 2018;320(21):2199-2200. doi:10.1001/jama.2018.17163. Copy Cit…
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