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Showing results for "discussed".

  1. Accountability for medical error: moving beyond blame to advocacy. | PSNet

    psnet.ahrq.gov/issue/accountability-medical-error-moving-beyond-blame-advocacy
    December 19, 2018 - Review Accountability for medical error: moving beyond blame to advocacy. Citation Text: Bell SK, Delbanco T, Anderson-Shaw L, et al. Accountability for medical error: moving beyond blame to advocacy. Chest. 2011;140(2):519-526. doi:10.1378/chest.10-2533. Copy Citation Format: …

  2. An intervention to decrease patient identification band errors in a children's hospital. | PSNet

    psnet.ahrq.gov/issue/intervention-decrease-patient-identification-band-errors-childrens-hospital
    October 06, 2016 - Study An intervention to decrease patient identification band errors in a children's hospital. Citation Text: Hain PD, Joers B, Rush M, et al. An intervention to decrease patient identification band errors in a children's hospital. Qual Saf Health Care. 2010;19(3):244-7. doi:10.1136/qs…

  3. The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. | PSNet

    psnet.ahrq.gov/issue/swiss-cheese-conference-integrating-and-aligning-quality-improvement-education-hospital
    March 14, 2016 - Commentary The Swiss Cheese Conference: integrating and aligning quality improvement education with hospital patient safety initiatives. Citation Text: Durstenfeld MS, Statman S, Dikman A, et al. The Swiss Cheese Conference: integrating and aligning quality improvement education with hos…

  4. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. | PSNet

    psnet.ahrq.gov/issue/incidence-and-preventability-adverse-events-requiring-intensive-care-admission-systematic
    May 16, 2018 - Review Incidence and preventability of adverse events requiring intensive care admission: a systematic review. Citation Text: Vlayen A, Verelst S, Bekkering GE, et al. Incidence and preventability of adverse events requiring intensive care admission: a systematic review. J Eval Clin Pr…

  5. Improving nursing home safety through adoption of a practical resilient health care approach. | PSNet

    psnet.ahrq.gov/issue/improving-nursing-home-safety-through-adoption-practical-resilient-health-care-approach
    August 26, 2020 - Commentary Improving nursing home safety through adoption of a practical resilient health care approach. Citation Text: Hartmann CW, Clark V, Nash P, et al. Improving nursing home safety through adoption of a practical resilient health care approach. J Am Med Dir Assoc. 2024;25(9):105014…

  6. Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. | PSNet

    psnet.ahrq.gov/issue/should-medical-errors-be-disclosed-pediatric-patients-pediatricians-attitudes-toward-error
    June 15, 2011 - Study Should medical errors be disclosed to pediatric patients? Pediatricians' attitudes toward error disclosure. Citation Text: Kolaitis IN, Schinasi DA, Ross LF. Should Medical Errors Be Disclosed to Pediatric Patients? Pediatricians' Attitudes Toward Error Disclosure. Acad Pediatr. 20…

  7. Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-conferences-narrative-review-strategies-prioritize-quality
    January 11, 2023 - Review Morbidity and mortality conferences: a narrative review of strategies to prioritize quality improvement. Citation Text: Giesbrecht V, Au S. Morbidity and Mortality Conferences: A Narrative Review of Strategies to Prioritize Quality Improvement. Jt Comm J Qual Patient Saf. 2016;42(…

  8. Early cost and safety benefits of an inpatient electronic health record. | PSNet

    psnet.ahrq.gov/issue/early-cost-and-safety-benefits-inpatient-electronic-health-record
    August 04, 2021 - Study Early cost and safety benefits of an inpatient electronic health record. Citation Text: Zlabek JA, Wickus JW, Mathiason MA. Early cost and safety benefits of an inpatient electronic health record. Journal of the American Medical Informatics Association. 2011;18(2). doi:10.1136/ja…

  9. Medication errors in the homes of children with chronic conditions. | PSNet

    psnet.ahrq.gov/issue/medication-errors-homes-children-chronic-conditions
    April 27, 2010 - Study Medication errors in the homes of children with chronic conditions. Citation Text: 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. Copy Citation Format: …

  10. Direct reporting of laboratory test results to patients by mail to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/direct-reporting-laboratory-test-results-patients-mail-enhance-patient-safety
    February 15, 2011 - Study Direct reporting of laboratory test results to patients by mail to enhance patient safety. Citation Text: Sung S, Forman-Hoffman VL, Wilson MC, et al. Direct reporting of laboratory test results to patients by mail to enhance patient safety. J Gen Intern Med. 2006;21(10):1075-8. …

  11. In search of common ground in handoff documentation in an intensive care unit. | PSNet

    psnet.ahrq.gov/issue/search-common-ground-handoff-documentation-intensive-care-unit
    March 23, 2011 - Study In search of common ground in handoff documentation in an intensive care unit. Citation Text: Collins S, Mamykina L, Jordan D, et al. In search of common ground in handoff documentation in an Intensive Care Unit. J Biomed Inform. 2012;45(2):307-15. doi:10.1016/j.jbi.2011.11.007. …

  12. Laboratory testing in general practice: a patient safety blind spot. | PSNet

    psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot
    July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…

  13. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. | PSNet

    psnet.ahrq.gov/issue/parent-engagement-perinatal-mortality-reviews-online-survey-clinicians-six-high-income
    April 13, 2022 - Study Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high-income countries. Citation Text: Boyle FM, Horey D, Siassakos D, et al. Parent engagement in perinatal mortality reviews: an online survey of clinicians from six high‐income countries. BJ…

  14. Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. | PSNet

    psnet.ahrq.gov/issue/effect-us-drug-enforcement-administrations-rescheduling-hydrocodone-combination-analgesic
    August 04, 2021 - Study Effect of US Drug Enforcement Administration's rescheduling of hydrocodone combination analgesic products on opioid analgesic prescribing. Citation Text: Jones CM, Lurie PG, Throckmorton DC. Effect of US Drug Enforcement Administration's Rescheduling of Hydrocodone Combination Anal…

  15. Organizational response to known medical errors: does peer review protection impede improvement? | PSNet

    psnet.ahrq.gov/issue/organizational-response-known-medical-errors-does-peer-review-protection-impede-improvement
    April 24, 2018 - Commentary Organizational response to known medical errors: does peer review protection impede improvement? Citation Text: Wenner WJ, Choi SW. Organizational Response to Known Medical Errors: Does Peer Review Protection Impede Improvement? Am J Med Qual. 2018;33(5):552-553. doi:10.1177/1…

  16. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet

    psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
    June 21, 2017 - Study Suicide attempts and completions on medical-surgical and intensive care units. Citation Text: Mills PD, Watts V, Hemphill RR. Suicide attempts and completions on medical-surgical and intensive care units. J Hosp Med. 2014;9(3):182-5. doi:10.1002/jhm.2141. Copy Citation Format…

  17. Process of care failures in breast cancer diagnosis. | PSNet

    psnet.ahrq.gov/issue/process-care-failures-breast-cancer-diagnosis
    January 06, 2017 - Study Process of care failures in breast cancer diagnosis. Citation Text: Weingart SN, Saadeh MG, Simchowitz B, et al. Process of care failures in breast cancer diagnosis. J Gen Intern Med. 2009;24(6):702-709. doi:10.1007/s11606-009-0982-0. Copy Citation Format: DOI Googl…

  18. Physician characteristics, attitudes, and use of computerized order entry. | PSNet

    psnet.ahrq.gov/issue/physician-characteristics-attitudes-and-use-computerized-order-entry
    February 17, 2011 - Study Physician characteristics, attitudes, and use of computerized order entry. Citation Text: Lindenauer PK, Ling D, Pekow PS, et al. Physician characteristics, attitudes, and use of computerized order entry. J Hosp Med. 2006;1(4):221-30. Copy Citation Format: Google Sc…

  19. The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. | PSNet

    psnet.ahrq.gov/issue/accreditation-council-graduate-medical-education-resident-duty-hour-new-standards-history
    November 21, 2021 - Commentary The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. Citation Text: Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education …

  20. Changes in hospital mortality associated with residency work-hour regulations. | PSNet

    psnet.ahrq.gov/issue/changes-hospital-mortality-associated-residency-work-hour-regulations
    May 27, 2011 - Study Classic Changes in hospital mortality associated with residency work-hour regulations. Citation Text: Shetty KD, Bhattacharya J. Changes in hospital mortality associated with residency work-hour regulations. Ann Intern Med. 2007;147(2):73-80. Copy Cit…
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