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Showing results for "discussed".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47757/psn-pdf
    February 06, 2019 - Doctors make mistakes. A new documentary explores what happens when they do—and how to fix it. February 6, 2019 Park A. Time Magazine. January 24, 2019. https://psnet.ahrq.gov/issue/doctors-make-mistakes-new-documentary-explores-what-happens-when-they- do-and-how-fix-it This news article reports on the documentar…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838024/psn-pdf
    September 07, 2022 - Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. September 7, 2022 Villa Zapata L, Subbian V, Boyce RD, et al. Overriding drug-drug interaction alerts in clinical decision support systems: a scoping review. Stud Health Technol Inform. 2022;290:380-384. doi:10.3233/sht…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34767/psn-pdf
    November 28, 2018 - Why Things Bite Back: Technology and the Revenge of Unintended Consequences. November 28, 2018 Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences Tenner’s discussions of medical and nonmedical examples provide an e…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34886/psn-pdf
    February 03, 2011 - Potentially inappropriate medication use among elderly home care patients in Europe. February 3, 2011 Fialová D, Topinková E, Gambassi G, et al. Potentially inappropriate medication use among elderly home care patients in Europe. JAMA. 2005;293(11):1348-58. https://psnet.ahrq.gov/issue/potentially-inappropriate-me…

  5. Generating Health Care Quality Scores That Show Differences | Agency for Healthcare Research and Quality

    www.ahrq.gov/talkingquality/translate/scores/index.html
    March 01, 2016 - Generating Health Care Quality Scores That Show Differences The critical link between collecting performance information and sharing that information with others is the process of generating scores. The nature of the score is often inherent in the measure (e.g., an overall rating on a 1-10 scale). But even in…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47483/psn-pdf
    March 04, 2019 - Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. March 4, 2019 Ost S. Drs Bramhall and Bawa-Garba and the rightful domain of the criminal law. J Med Ethics. 2019;45(3):151-155. doi:10.1136/medethics-2018-105135. https://psnet.ahrq.gov/issue/drs-bramhall-and-bawa-garba-and-rightful-domain-cr…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36890/psn-pdf
    February 24, 2011 - Disclosing medical errors to patients: attitudes and practices of physicians and trainees. February 24, 2011 Kaldjian LC, Jones EW, Wu BJ, et al. Disclosing medical errors to patients: attitudes and practices of physicians and trainees. J Gen Intern Med. 2007;22(7):988-96. https://psnet.ahrq.gov/issue/disclosing-m…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36784/psn-pdf
    February 24, 2011 - The many faces of error disclosure: a common set of elements and a definition. February 24, 2011 Fein SP, Hilborne LH, Spiritus EM, et al. The many faces of error disclosure: a common set of elements and a definition. J Gen Intern Med. 2007;22(6):755-761. https://psnet.ahrq.gov/issue/many-faces-error-disclosure-co…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867180/psn-pdf
    November 20, 2024 - Medical error: using storytelling and reflection to impact error response factors in family medicine residents. November 20, 2024 Adkins S, Alta’any R, Brar K, et al. Medical error: using storytelling and reflection to impact error response factors in family medicine residents. J Med Educ Curric Dev. 2024;11:238212…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45696/psn-pdf
    January 23, 2017 - Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. January 23, 2017 McNab D, Bowie P, Morrison J, et al. Understanding patient safety performance and educational needs using the 'Safety-II' approach for complex systems. Educ Prim Care. 2016;27(6):443-…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73464/psn-pdf
    July 07, 2021 - Errors in breast imaging: how to reduce errors and promote a safety environment. July 7, 2021 Sivarajah R, Dinh ML, Chetlen A. Errors in breast imaging: how to reduce errors and promote a safety environment. J Breast Imaging. 2021;3(2):221-230. doi:10.1093/jbi/wbaa118. https://psnet.ahrq.gov/issue/errors-breast-im…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43666/psn-pdf
    March 14, 2016 - Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. March 14, 2016 Gerstein WH, Ledford J, Cooper J, et al. Interdisciplinary Quality Improvement Conference: using a revised morbidit…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72717/psn-pdf
    February 10, 2021 - Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? February 10, 2021 Barranco R, Vallega Bernucci Du Tremoul L, Ventura F. Hospital-acquired SARS-Cov-2 infections in patients: inevitable conditions or medical malpractice? Int J Environ Res Public Health. 2021;18(2):48…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45100/psn-pdf
    June 15, 2016 - Impact of errors in paper-based and computerized diabetes management with decision support for hospitalized patients with type 2 diabetes. A post-hoc analysis of a before and after study. June 15, 2016 Donsa K, Beck P, Höll B, et al. Impact of errors in paper-based and computerized diabetes management with decisi…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35577/psn-pdf
    April 06, 2011 - Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester Patient Safety Assessment Framework. April 6, 2011 Ashcroft DM, Morecroft C, Parker D, et al. Safety culture assessment in community pharmacy: development, face validity, and feasibility of the Manchester…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867343/psn-pdf
    December 11, 2024 - Communication about harm reduction with patients who have opioid use disorder. December 11, 2024 Hawk M, Jawa R, Kay ES. Communication about harm reduction with patients who have opioid use disorder. JAMA. 2025;333(2):163-164. doi:10.1001/jama.2024.21307. https://psnet.ahrq.gov/issue/communication-about-harm-reduc…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837743/psn-pdf
    July 27, 2022 - The New Electronic Health Record’s Unknown Queue Caused Multiple Events of Patient Harm. July 27, 2022 Washington, DC: VA Office of the Inspector General; July 14 2022. Report No. 22-01137-204. https://psnet.ahrq.gov/issue/new-electronic-health-records-unknown-queue-caused-multiple-events-patient- harm Problems w…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74008/psn-pdf
    October 27, 2021 - Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. October 27, 2021 Klimmeck S, Sexton B, Schwendimann R. Changes in safety and teamwork climate after adding structured observations to patient safety WalkRounds. Jt Comm J Qual Patient Saf. 2021;47(12):783-792. …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40355/psn-pdf
    July 09, 2012 - The Silent Treatment: Why Safety Tools and Checklists Aren't Enough to Save Lives. July 9, 2012 Maxfield D, Grenny J, Lavandero R, et al. Provo, UT: VitalSmarts; 2011. https://psnet.ahrq.gov/issue/silent-treatment-why-safety-tools-and-checklists-arent-enough-save-lives Silence Kills was a 2005 report that highligh…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74144/psn-pdf
    December 01, 2021 - Her husband died by suicide. She sued his pain doctors—a rare challenge over an opioid dose reduction. December 1, 2021 Joseph A. STAT. November 22, 2021 https://psnet.ahrq.gov/issue/her-husband-died-suicide-she-sued-his-pain-doctors-rare-challenge-over- opioid-dose-reduction The opioid epidemic has put regulator…
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