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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43979/psn-pdf
    April 29, 2015 - The Report of the Morecambe Bay Investigation. April 29, 2015 Kirkup B. London, UK: The Stationery Office; 2015. ISBN: 9780108561306. https://psnet.ahrq.gov/issue/report-morecambe-bay-investigation Sharing information about large-scale investigations into failures can provide insights on factors that contribute to…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37365/psn-pdf
    March 04, 2011 - Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. March 4, 2011 Slonim A, Marcin JP, Turenne W, et al. Pediatric patient safety events during hospitalization: approaches to accounting for institution-level effects. Health Serv Res. 2007;42(6 Pt 1):2275-9…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45186/psn-pdf
    June 15, 2017 - Patient and family empowerment as agents of ambulatory care safety and quality. June 15, 2017 Roter DL, Wolff JL, Wu AW, et al. Patient and family empowerment as agents of ambulatory care safety and quality. BMJ Qual Saf. 2017;26(6):508-512. doi:10.1136/bmjqs-2016-005489. https://psnet.ahrq.gov/issue/patient-and-f…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837590/psn-pdf
    June 29, 2022 - Diagnostic challenges in primary care: identifying and avoiding cognitive bias. June 29, 2022 Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. https://psnet.ahrq.gov/issue/diagnostic-challenges-p…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44620/psn-pdf
    November 04, 2015 - Laboratory testing in general practice: a patient safety blind spot. November 4, 2015 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. https://psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45717/psn-pdf
    July 21, 2017 - What have we learnt after 15 years of research into the 'weekend effect'? July 21, 2017 Bray BD, Steventon A. What have we learnt after 15 years of research into the 'weekend effect'? BMJ Qual Saf. 2017;26(8):607-610. doi:10.1136/bmjqs-2016-005793. https://psnet.ahrq.gov/issue/what-have-we-learnt-after-15-years-re…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48175/psn-pdf
    August 07, 2019 - Strengthening the medical error "meme pool." August 7, 2019 Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264- 2267. doi:10.1007/s11606-019-05156-7. https://psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool Published estimates on the number preventable med…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38951/psn-pdf
    September 16, 2009 - Attitudinal changes resulting from repetitive training of operating room personnel using high-fidelity simulation at the point of care. September 16, 2009 Paige JT, Kozmenko V, Yang T, et al. Attitudinal changes resulting from repetitive training of operating room personnel using of high-fidelity simulation at the…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44608/psn-pdf
    October 28, 2015 - Navigating risks in breast cancer diagnosis and treatment. October 28, 2015 Greenberg P, Ranum D, Siegal D. Patient Saf Qual Healthc. October 2015;12:18-20,22-24. https://psnet.ahrq.gov/issue/navigating-risks-breast-cancer-diagnosis-and-treatment Patients diagnosed with breast cancer face complex health care proce…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40606/psn-pdf
    October 31, 2011 - The Accreditation Council for Graduate Medical Education resident duty hour new standards: history, changes, and impact on staffing of intensive care units. October 31, 2011 Pastores SM, O'Connor MF, Kleinpell R, et al. The Accreditation Council for Graduate Medical Education resident duty hour new standards: hist…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42164/psn-pdf
    July 03, 2014 - Change in intern calls at night after a work hour restriction process change. July 3, 2014 Spellberg B, Sue D, Chang D, et al. Change in intern calls at night after a work hour restriction process change. JAMA Intern Med. 2013;173(8):707-9; discussion 663. doi:10.1001/jamainternmed.2013.2968. https://psnet.ahrq.go…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37635/psn-pdf
    February 15, 2011 - The Patient Safety and Quality Improvement Act of 2005: developing an error reporting system to improve patient safety. February 15, 2011 Riley W, Liang BA, Rutherford W, et al. The Patient Safety and Quality Improvement Act of 2005. J Patient Saf. 2008;4(1). doi:10.1097/pts.0b013e31816154b5. https://psnet.ahrq.g…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/764409/psn-pdf
    March 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60665/psn-pdf
    July 08, 2020 - Response of practicing chiropractors during the early phase of the COVID-19 pandemic: a descriptive report. July 8, 2020 Johnson CD, Green BN, Konarski-Hart KK, et al. Response of Practicing Chiropractors during the Early Phase of the COVID-19 Pandemic: A Descriptive Report. J Manipulative Physiol Ther. 2020;43(5):…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44749/psn-pdf
    December 27, 2018 - Southern Baptist Hospital of Florida v. Charles. December 27, 2018 Fla Ct App, 1st Dist. October 28, 2015. https://psnet.ahrq.gov/issue/southern-baptist-hospital-florida-v-charles The Patient Safety and Quality Improvement Act (PSQIA) provides federal protection of adverse event reports voluntarily submitted to pa…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846763/psn-pdf
    March 29, 2023 - Why hospitals still make serious medical errors—and how they are trying to reduce them. March 29, 2023 Landro L. Wall Street Journal. March 12, 2023. https://psnet.ahrq.gov/issue/why-hospitals-still-make-serious-medical-errors-and-how-they-are-trying- reduce-them Patient harm from health care is persistent d…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46915/psn-pdf
    April 16, 2018 - Postoperative opioid prescribing: Getting it RIGHTT. April 16, 2018 Yorkgitis BK, Brat GA. Postoperative opioid prescribing: Getting it RIGHTT. Am J Surg. 2018;215(4):707- 711. doi:10.1016/j.amjsurg.2018.02.001. https://psnet.ahrq.gov/issue/postoperative-opioid-prescribing-getting-it-rightt Use of mnemonics to rec…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42605/psn-pdf
    December 16, 2013 - The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. December 16, 2013 Martinez W, Lehmann LS. The "hidden curriculum" and residents' attitudes about medical error disclosure: comparison of surgical and nonsurgical residents. J Am Coll S…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37389/psn-pdf
    January 30, 2008 - Hospital drug errors far from uncommon. January 30, 2008 Lin R-G II; Watanabe T. https://psnet.ahrq.gov/issue/hospital-drug-errors-far-uncommon This article reports on a non-fatal medication error that involved several neonates (including the newborn twins of actor Dennis Quaid) receiving a concentration of hepari…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41718/psn-pdf
    October 03, 2012 - Duty hours, quality of care, and patient safety: general surgery resident perceptions. October 3, 2012 Borman KR, Jones AT, Shea JA. Duty hours, quality of care, and patient safety: general surgery resident perceptions. J Am Coll Surg. 2012;215(1):70-7; discussion 77-9. doi:10.1016/j.jamcollsurg.2012.02.010. https…
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