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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60845/psn-pdf
    August 26, 2020 - Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. August 26, 2020 Leuridan G. Bridging the gap between culture and safety in a critical care context: the role of work debate spaces. Safety Sci. 2020;129:104839. doi:10.1016/j.ssci.2020.104839. https://psnet.ahrq…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44891/psn-pdf
    July 03, 2016 - Characteristics of morbidity and mortality conferences associated with the implementation of patient safety improvement initiatives, an observational study. July 3, 2016 François P, Prate F, Vidal-Trecan G, et al. Characteristics of morbidity and mortality conferences associated with the implementation of patient …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43592/psn-pdf
    November 23, 2016 - Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit. November 23, 2016 Stickney CA, Ziniel SI, Brett MS, et al. Family participation during intensive care unit rounds: goals and expectations of parents and h…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34693/psn-pdf
    February 10, 2011 - Effect of outcome on physician judgments of appropriateness of care. February 10, 2011 Caplan RA, Posner KL, Cheney FW. Effect of outcome on physician judgments of appropriateness of care. JAMA. 1991;265(15):1957-60. https://psnet.ahrq.gov/issue/effect-outcome-physician-judgments-appropriateness-care The authors …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866254/psn-pdf
    July 10, 2024 - Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. July 10, 2024 Massey W, Keith C. Spotlight PA: June 20, 2024. https://psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems- months-shutdown-then Whistleblowers…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45377/psn-pdf
    October 27, 2016 - Inpatient notes: reducing diagnostic error—a new horizon of opportunities for hospital medicine. October 27, 2016 Singh H, Zwaan L. Web Exclusives. Annals for Hospitalists Inpatient Notes - Reducing Diagnostic Error-A New Horizon of Opportunities for Hospital Medicine. Ann Intern Med. 2016;165(8):HO2-HO4. doi:10.7…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838146/psn-pdf
    September 21, 2022 - HSIB Maternity Investigation Programme Year in Review 2021/22. Summary of Highlights, Themes and Future Work. September 21, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; 2022. https://psnet.ahrq.gov/issue/hsib-maternity-investigation-programme-year-review-202122-summary- highlights-themes-and Thi…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866203/psn-pdf
    June 26, 2024 - How a major public hospital is protecting doctors by silencing the patients who accuse them. June 26, 2024 Kamb L. NBC News. June 14, 2024, https://psnet.ahrq.gov/issue/how-major-public-hospital-protecting-doctors-silencing-patients-who-accuse- them Transparency is a primary element of an organizational safety cu…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847049/psn-pdf
    April 05, 2023 - Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. April 5, 2023 Gray KD, Subramaniam HL, Huang ES. Effects of racial bias in pulse oximetry on children and how to address algorithmic bias in clinical medicine. JAMA Pediatr. 2023;177(5):459-460. doi:10.10…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866346/psn-pdf
    July 24, 2024 - A human right-based approach to dealing with adverse events in residential care facilities. July 24, 2024 McGrane N, Behan L, Keyes LM. A human right-based approach to dealing with adverse events in residential care facilities. Health Hum Rights. 2024;26(1):115-128. https://psnet.ahrq.gov/issue/human-right-based-a…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60292/psn-pdf
    May 06, 2020 - Overcoming COVID-19: what can human factors and ergonomics offer? May 6, 2020 Gurses AP, Tschudy MM, McGrath-Morrow S, et al. Overcoming COVID-19: what can human factors and ergonomics offer? J Patient Saf Risk Manag. 2020;25(2):49-54. doi:10.1177/2516043520917764. https://psnet.ahrq.gov/issue/overcoming-covid-19-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37295/psn-pdf
    February 24, 2011 - Limited health literacy is a barrier to medication reconciliation in ambulatory care. February 24, 2011 Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in ambulatory care. J Gen Intern Med. 2007;22(11):1523-6. https://psnet.ahrq.gov/issue/limited-health-li…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74169/psn-pdf
    December 08, 2021 - Pointing fingers: verbosity of patient safety narratives is associated with attribution of blame. December 8, 2021 Ackerman RS, Patel SY, Costache M, et al. Anesthesiology News. November 21, 2021. https://psnet.ahrq.gov/issue/pointing-fingers-verbosity-patient-safety-narratives-associated-attribution- bl…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47161/psn-pdf
    July 25, 2018 - Quality and the health system: becoming a high reliability organization. July 25, 2018 Gaw M, Rosinia F, Diller T. Quality and the health system: becoming a high reliability organization. Anesthesiol Clin. 2018;36(2):217-226. doi:10.1016/j.anclin.2018.01.010. https://psnet.ahrq.gov/issue/quality-and-health-system-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34806/psn-pdf
    December 23, 2008 - Identification of in-hospital complications from claims data. Is it valid? December 23, 2008 Lawthers AG, McCarthy EP, Davis RB, et al. Identification of in-hospital complications from claims data. Is it valid? Med Care. 2000;38(8):785-95. https://psnet.ahrq.gov/issue/identification-hospital-complications-claims-d…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37859/psn-pdf
    June 25, 2008 - What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated risk management? June 25, 2008 Hogan H, Olsen S, Scobie S, et al. What can we learn about patient safety from information sources within an acute hospital: a step on the ladder of integrated…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47636/psn-pdf
    December 12, 2018 - Learning from tragedy: the Julia Berg story. December 12, 2018 Graber ML, Berg D, Jerde W, et al. Learning from tragedy: the Julia Berg story. Diagnosis (Berl). 2018;5(4):257-266. doi:10.1515/dx-2018-0067. https://psnet.ahrq.gov/issue/learning-tragedy-julia-berg-story This commentary provides a clinical review of …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47329/psn-pdf
    August 29, 2018 - With scarce access to interpreters, immigrants struggle to understand doctors' orders. August 29, 2018 Eldred SM. Health Shots. National Public Radio. August 15, 2018. https://psnet.ahrq.gov/issue/scarce-access-interpreters-immigrants-struggle-understand-doctors-orders Using professional interpreters can avert ris…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846764/psn-pdf
    March 29, 2023 - Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. March 29, 2023 Donovan-Smith O. Spokesman Review. March 15, 2023. https://psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer- system-tested-spokane Implementations of elec…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41389/psn-pdf
    June 27, 2012 - Can we make postoperative patient handovers safer? A systematic review of the literature. June 27, 2012 Segall N, Bonifacio AS, Schroeder RA, et al. Can we make postoperative patient handovers safer? A systematic review of the literature. Anesth Analg. 2012;115(1):102-15. doi:10.1213/ANE.0b013e318253af4b. https:/…
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