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Total Results: 2,065 records

Showing results for "discussion".

  1. Video to Improve Patient Safety: Clinical and Educational Uses | PSNet

    psnet.ahrq.gov/perspective/video-improve-patient-safety-clinical-and-educational-uses
    March 01, 2004 - These objections can often be addressed by open discussion regarding the purposes of video recording,

  2. Bloody BP Cuff | PSNet

    psnet.ahrq.gov/web-mm/bloody-bp-cuff
    June 21, 2016 - J Trauma. 1995;39:533-7;discussion 537-8.[ go to PubMed ] 5.

  3. The Forgotten Radiographic Read | PSNet

    psnet.ahrq.gov/web-mm/forgotten-radiographic-read
    June 07, 2016 - After discussion between surgery, the primary team, and the family, the decision was made not to pursue

  4. Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet

    psnet.ahrq.gov/web-mm/hip-fractures-older-patients-case-geriatrics-comanagement
    July 01, 2004 - After discussion with his family, the patient was ultimately transitioned to hospice and died several

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41120/psn-pdf
    September 08, 2016 - The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. September 8, 2016 Griffith MM, Gross AE, Sutton SH, et al. The impact of anti-infective drug shortages on hospitals in the United States: trends and causes. Clin Infect Dis. 2012;54(5):684-91. doi:10.1093/cid/cir954. …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40646/psn-pdf
    July 27, 2011 - Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. July 27, 2011 Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of Engineering. Washington, DC: The National Academies Press; 2011. ISBN: 9780309120647. https://psnet.ahrq.gov/issue/engineering…

  7. Medical Mistakes and What Doctors Can Learn From Pilots | PSNet

    psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
    Medical Mistakes and What Doctors Can Learn From Pilots Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization American Academy of Ophthalmology Even…

  8. Renal Failure Due to Benign Prostatic Hyperplasia | PSNet

    psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
    February 01, 2004 - More serious complications of BPH include acute urinary retention and, in the case under discussion,

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34636/psn-pdf
    June 14, 2011 - The wrong patient. June 14, 2011 Chassin MR, Becher EC. The wrong patient. Ann Intern Med. 2002;136(11):826-833. https://psnet.ahrq.gov/issue/wrong-patient This case study describes the events of a patient who underwent an unintended invasive cardiac electrophysiology study. While reviewing the details of the case…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44873/psn-pdf
    March 21, 2016 - Malpractice Risks in Communication Failures: 2015 Annual Benchmarking Report. March 21, 2016 Cambridge, MA: CRICO Strategies; 2016. https://psnet.ahrq.gov/issue/malpractice-risks-communication-failures-2015-annual-benchmarking-report Communication failures are known to contribute to medical errors. Analyzing more …

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40955/psn-pdf
    March 08, 2017 - Kaiser Permanente's performance improvement system, part 4: creating a learning organization. March 8, 2017 Schilling L, Dearing JW, Staley P, et al. Kaiser Permanente's performance improvement system, Part 4: Creating a learning organization. Jt Comm J Qual Patient Saf. 2011;37(12):532-43. https://psnet.ahrq.gov/…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844060/psn-pdf
    June 01, 2016 - Developing a measure of value in health care. June 1, 2016 Ken Lee KH, Matthew Austin J, Pronovost PJ. Developing a measure of value in health care. Value Health. 2015;19(4):323-325. doi:10.1016/j.jval.2014.12.009. https://psnet.ahrq.gov/issue/developing-measure-value-health-care Value-based healthcare is emerging…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46349/psn-pdf
    August 16, 2017 - Health Literacy Tools for Providers of Medication Therapy Management. August 16, 2017 Rockville, MD: Agency for Healthcare Research and Quality; July 2017. https://psnet.ahrq.gov/issue/health-literacy-tools-providers-medication-therapy-management Health literacy is important for effective care communications and s…

  14. Getting to the Root of the Matter | PSNet

    psnet.ahrq.gov/web-mm/getting-root-matter
    September 01, 2005 - A full discussion of issues related to the human factors and teamwork problems in this case is beyond

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34650/psn-pdf
    April 21, 2015 - Human error: models and management. April 21, 2015 Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. https://psnet.ahrq.gov/issue/human-error-models-and-management The author discusses concepts of human error, contrasting the person approach with a system approach in understanding the diff…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46988/psn-pdf
    April 25, 2018 - Opioid Stewardship. April 25, 2018 Ochsner J. 2018;18(1):20-45. https://psnet.ahrq.gov/issue/opioid-stewardship Both organizational and national strategies are required to reduce opioid-related harm. This special issue section explores one health system's efforts to address the opioid epidemic. Articles discuss em…

  17. 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…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35220/psn-pdf
    May 14, 2015 - Patient Safety and Quality Improvement Act of 2005. May 14, 2015 Pub L No. 109-41.  https://psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005 This bill amends the Public Health Service Act to encourage a culture of safety in health care organizations. The bill, signed into law July 29, 2005…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43438/psn-pdf
    February 23, 2018 - Safety-I and Safety-II: The Past and Future of Safety Management. February 23, 2018 Hollnagel E. Aldershot, Hampshire, England: Ashgate; 2014. ISBN: 9781472423085. https://psnet.ahrq.gov/issue/safety-i-and-safety-ii-past-and-future-safety-management Historically, the approach to patient safety has been more reacti…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35647/psn-pdf
    June 25, 2010 - Nurse staffing in hospitals: is there a business case for quality? June 25, 2010 Needleman J, Buerhaus P, Stewart M, et al. Nurse staffing in hospitals: is there a business case for quality? Health Aff (Millwood). 2006;25(1):204-11. https://psnet.ahrq.gov/issue/nurse-staffing-hospitals-there-business-case-quality …
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