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Showing results for "discussion".

  1. Interpreting the Patient Safety Literature | PSNet

    psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
    June 01, 2005 - Rather than attempting to compress this comprehensive series into a brief commentary, the discussion … this relatively poor agreement, how does one assign the final outcome for each case—majority rules or discussion

  2. Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. | PSNet

    psnet.ahrq.gov/issue/enhancing-your-medication-error-reporting-program-improve-global-medication-safety
    June 10, 2018 - Webinar Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Citation Text: Enhancing Your Medication Error Reporting Program to Improve Global Medication Safety. Institute for Safe Medication Practices. September 15, 2020. Copy Citation …

  3. Tacit Handover, Overt Mishap | PSNet

    psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
    August 01, 2006 - so the fact that this was a "scheduled" case should have prompted a more thorough investigation and discussion

  4. Why diagnostic errors don't get any respect--and what can be done about them. | PSNet

    psnet.ahrq.gov/issue/why-diagnostic-errors-dont-get-any-respect-and-what-can-be-done-about-them
    February 10, 2015 - Commentary Why diagnostic errors don't get any respect--and what can be done about them. Citation Text: Wachter RM. Why Diagnostic Errors Don’t Get Any Respect—And What Can Be Done About Them. Health Aff (Millwood). 2010;29(9):1605-1610. doi:10.1377/hlthaff.2009.0513. Copy Citation …

  5. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet

    psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
    November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

  6. Surveys on Patient Safety Culture. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture
    December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…

  7. From mindless to mindful practice—cognitive bias and clinical decision making. | PSNet

    psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
    November 23, 2016 - Commentary From mindless to mindful practice—cognitive bias and clinical decision making. Citation Text: Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712. Copy Citation Form…

  8. Physician Burnout. | PSNet

    psnet.ahrq.gov/issue/physician-burnout
    May 01, 2017 - Book/Report Physician Burnout. Citation Text: Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF. Copy Citation Save Save to your library Print Download PDF Share Faceboo…

  9. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet

    psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
    February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

  10. Improving patient safety by shifting power from health professionals to patients. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-shifting-power-health-professionals-patients
    June 01, 2014 - Special or Theme Issue Improving patient safety by shifting power from health professionals to patients. Citation Text: Improving patient safety by shifting power from health professionals to patients. BMJ. 2023(383):2219, 2278, 2319, 2331. Copy Citation Save Save…

  11. A call to excellence. | PSNet

    psnet.ahrq.gov/issue/call-excellence
    May 20, 2009 - Commentary A call to excellence. Citation Text: Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  12. Medication Safety for Look-alike, Sound-alike Medicines. | PSNet

    psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
    November 19, 2014 - Book/Report Medication Safety for Look-alike, Sound-alike Medicines. Citation Text: Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897. Copy Citation …

  13. Problem doctors: is there a system-level solution? | PSNet

    psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
    October 31, 2014 - Commentary Classic Problem doctors: is there a system-level solution? Citation Text: Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. Copy Citation Format: Google Scholar PubMed BibTeX End…

  14. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet

    psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
    February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

  15. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet

    psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
    October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

  16. Reconciliation failures lead to medication errors. | PSNet

    psnet.ahrq.gov/issue/reconciliation-failures-lead-medication-errors
    November 01, 2012 - Study Reconciliation failures lead to medication errors. Citation Text: Santell JP. Reconciliation failures lead to medication errors. Jt Comm J Qual Patient Saf. 2006;32(4):225-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  17. Creating a fair and just culture: one institution's path toward organizational change. | PSNet

    psnet.ahrq.gov/issue/creating-fair-and-just-culture-one-institutions-path-toward-organizational-change
    July 23, 2014 - Commentary Creating a fair and just culture: one institution's path toward organizational change. Citation Text: Connor M, Duncombe D, Barclay E, et al. Creating a fair and just culture: one institution's pat toward organizational change. Jt Comm J Qual Patient Saf. 2007;33(10):617-24. …

  18. Anesthesia: A Weighty Issue | PSNet

    psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
    September 01, 2006 - As this discussion suggests, managing anesthesia in obese patients requires careful attention and understanding

  19. Outbreak | PSNet

    psnet.ahrq.gov/web-mm/outbreak
    January 29, 2015 - His case prompted extensive discussion of infection control procedures among the ED leadership, given

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49632/psn-pdf
    July 01, 2011 - After discussion, the provider sent off a prostate-specific antigen (PSA) test to screen the patient
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