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Total Results: 9,163 records

Showing results for "discussion".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34989/psn-pdf
     February 24, 2011 - Discussion includes detailed presentation of the potential error rates and how they differed among specific

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35899/psn-pdf
     January 02, 2017 - The discussion continues with a series of shared lessons learned from the experience and a number of

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34779/psn-pdf
     December 21, 2014 - Arch Surg. 1992;127(6):733-7; discussion 738.

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43210/psn-pdf
     May 28, 2014 - medication-errors-involving-oral-chemotherapy https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35038/psn-pdf
     January 02, 2017 - Discussion includes a process map of 13 identified indicators that contribute to medication errors and

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46132/psn-pdf
     September 24, 2017 - innovation built on the mortality and morbidity conference concept that provides education and supports discussion

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38333/psn-pdf
     January 14, 2009 - The report is focused around discussion of seven critical issues that are explored in detail.

368. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44186/psn-pdf
     November 10, 2015 - safe intra-hospital transport, which involved analysis of local safety incidents during transport, discussion

369. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43048/psn-pdf
     April 02, 2014 - The authors outline recommendations to help organizations establish a safety culture that requires discussion

370. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47756/psn-pdf
     February 06, 2019 - This book provides a multi-industry discussion of factors that contribute to failure.

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34803/psn-pdf
     January 05, 2017 - Discussion includes a description of the RCA system employed, examples of events analyzed, and an informative

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33931/psn-pdf
     June 23, 2015 - Based on the patterns noted, the discussion suggests that human error played a dominant role in the

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34812/psn-pdf
     March 05, 2008 - Further discussion outlines the steps involved in applying the technique and how this systematic process

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35736/psn-pdf
     May 27, 2011 - Discussion includes important technical considerations, processes for handling the captured video, and

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46037/psn-pdf
     April 16, 2018 - Feedback was perceived to be most useful if it was timely, specific, and included group discussion.

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47636/psn-pdf
     December 12, 2018 - This discussion is the first in a series of diagnostic error case presentations to be published in this

377. Strategies to Improve Organizational Health Literacy. | PSNet
     psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
     August 30, 2023 - 2) Providing explicit instructions, (3) Offering only the information patients need by limiting the discussion … A National Academy of Medicine discussion paper 9 identifies and describes essential attributes of a … Discussion Paper.

378. Risky business: James Bagian—NASA astronaut turned patient safety expert—on being wrong. | PSNet
     psnet.ahrq.gov/issue/risky-business-james-bagian-nasa-astronaut-turned-patient-safety-expert-being-wrong
     March 17, 2010 - This discussion with the head of the National Center for Patient Safety reveals insights on reliability

379. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33567/psn-pdf
     June 15, 2024 - distractions, allowing for the clinician receiving the handoff to listen actively and engage in a discussion … that requires “the organization's process for hand-off communication provides for the opportunity for discussion

380. AMIA Annual Symposium Proceedings: 2011. | PSNet
     psnet.ahrq.gov/issue/amia-annual-symposium-proceedings-2011
     March 06, 2024 - May 13, 2015 Health Information Technology and Patient Safety: A Dynamic Discussion.