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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48157/psn-pdf
    August 21, 2019 - Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. August 21, 2019 Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis (Berl). 2019;6(4):315-323. doi:10.151…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47861/psn-pdf
    April 24, 2019 - Laney's story: the problem of delayed diagnosis of pediatric stroke. April 24, 2019 Fitzsimons BT, Fitzsimons LL, Sun LR. Laney's Story: The Problem of Delayed Diagnosis of Pediatric Stroke. Pediatrics. 2019;143(4):e20183458. doi:10.1542/peds.2018-3458. https://psnet.ahrq.gov/issue/laneys-story-problem-delayed-dia…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43342/psn-pdf
    July 16, 2014 - Prevalence and severity of patient harm in a sample of UK-hospitalised children detected by the Paediatric Trigger Tool. July 16, 2014 Chapman SM, Fitzsimons J, Davey N, et al. Prevalence and severity of patient harm in a sample of UK- hospitalised children detected by the Paediatric Trigger Tool. BMJ Open. 2014;4…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45939/psn-pdf
    March 01, 2017 - Examining the Copy and Paste Function in the Use of Electronic Health Records. March 1, 2017 Lowry SZ, Ramaiah M, Prettyman SS, et al. Gaithersburg, MD: National Institute of Standards and Technology, United States Department of Commerce; January 19, 2017. NIST Interagency/Internal Report (NISTIR)-8166. https://p…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844057/psn-pdf
    February 08, 2023 - Impact of medical education on patient safety: finding the signal through the noise. February 8, 2023 Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. https://psnet.ahrq.gov/issue/impact-medical-edu…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837003/psn-pdf
    April 27, 2022 - Woman works to end Black maternal health crisis after daughter dies after giving birth. April 27, 2022 Kindelan K. ABC News. April 14, 2022. https://psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after- giving-birth Maternal injury is a persistent challenge in the Black…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48180/psn-pdf
    August 21, 2019 - Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology. August 21, 2019 Main EK, Fowler JM, Gabbe SG, eds. Clin Obstet Gynecol. 2019;62:vii-xii,403-626. https://psnet.ahrq.gov/issue/burnout-and-resilience-and-quality-and-safety-programs-obstetrics-and- gynecology Obstetrics is a high-…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35207/psn-pdf
    December 19, 2009 - Patient safety concerns arising from test results that return after hospital discharge. December 19, 2009 Roy CL, Poon EG, Karson A, et al. Patient safety concerns arising from test results that return after hospital discharge. Ann Intern Med. 2005;143(2):121-128. https://psnet.ahrq.gov/issue/patient-safety-concer…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44587/psn-pdf
    December 09, 2015 - Morbidity and mortality conference in emergency medicine residencies and the culture of safety. December 9, 2015 Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7. doi:10.5811/westjem.2015.8.26…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848365/psn-pdf
    May 03, 2023 - Value of improving patient safety: health economic considerations for rapid response systems-a rapid review of the literature and expert round table. May 3, 2023 Subbe CP, Hughes DA, Lewis S, et al. Value of improving patient safety: health economic considerations for rapid response systems–a rapid review of the l…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43779/psn-pdf
    May 28, 2015 - Debriefing in the emergency department after clinical events: a practical guide. May 28, 2015 Kessler DO, Cheng A, Mullan PC. Debriefing in the Emergency Department After Clinical Events: A Practical Guide. Ann Emerg Med. 2015;65(6):690-698. doi:10.1016/j.annemergmed.2014.10.019. https://psnet.ahrq.gov/issue/debri…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44957/psn-pdf
    March 09, 2016 - Government and industry fail to protect the public when they suggest "carefully following instructions" is enough to prevent vaccine errors. March 9, 2016 ISMP Medication Safety Alert! Acute care edition. February 25, 2016;21(4):1-5. https://psnet.ahrq.gov/issue/government-and-industry-fail-protect-public-when-the…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43200/psn-pdf
    May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853244/psn-pdf
    September 06, 2023 - Error traps in pediatric patient blood management in the perioperative period. September 6, 2023 Tan GM, Murto K, Downey LA, et al. Error traps in pediatric patient blood management in the perioperative period. Paediatr Anaesth. 2023;33(8):609-619. doi:10.1111/pan.14683. https://psnet.ahrq.gov/issue/error-traps-pe…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43860/psn-pdf
    March 25, 2015 - Pharmacy dispensing errors: claims study emphasizes need for systematic vigilance. March 25, 2015 Webb J. Drug Topics. March 10, 2015. https://psnet.ahrq.gov/issue/pharmacy-dispensing-errors-claims-study-emphasizes-need-systematic- vigilance Pharmacies can serve as gatekeepers to ensure patients receive the corre…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34784/psn-pdf
    June 24, 2015 - The potential for improved teamwork to reduce medical errors in the emergency department. June 24, 2015 Risser DT, Rice MM, Salisbury ML, et al. The potential for improved teamwork to reduce medical errors in the emergency department. Ann Emerg Med. 2005;34(3):373-383. doi:10.1016/s0196-0644(99)70134-4. https://ps…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60525/psn-pdf
    May 27, 2020 - Public sector organizational failure: a study of collective denial in the UK national health service. May 27, 2020 Hendy J, Tucker DA. Public sector organizational failure: a study of collective denial in the UK national health service. J Bus Ethics. 2020;2021;172:691–706. doi:10.1007/s10551-020-04517-1. https://p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47461/psn-pdf
    December 27, 2018 - IV push medications survey results—part 1 and part 2. December 27, 2018 ISMP Medication Safety Alert! Acute Care Edition. November 1, 2018;23:1-5. November 15, 2018;23:1-5. https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2 Errors in the administration of intravenous medications can r…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837433/psn-pdf
    June 15, 2022 - Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. June 15, 2022 Bamberger E, Bamberger P. Unacceptable behaviours between healthcare workers: just the tip of the patient safety iceberg. BMJ Qual Saf. 2022;31(9):638-641. doi:10.1136/bmjqs-2021-014157. https://psnet.ahrq…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35977/psn-pdf
    February 17, 2011 - Making patient safety the centerpiece of medical liability reform. February 17, 2011 Clinton HR, Obama B. Making Patient Safety the Centerpiece of Medical Liability Reform. New England Journal of Medicine. 2006;354(21). doi:10.1056/nejmp068100. https://psnet.ahrq.gov/issue/making-patient-safety-centerpiece-medical…
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