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Showing results for "discussion".

401. 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…

402. Medication/Drug Errors | PSNet
     psnet.ahrq.gov/curated-library/medicationdrug-errors
     March 12, 2021 - Breadcrumb Home The PSNet Collection Curated Libraries Subscribed Medication/Drug Errors  Download  Share Facebook Twitter Linkedin Copy URL Subscribe Created By: Dr. Yan Xiao, AHRQ TEP Member Date…

403. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
     psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
     January 01, 2016 - MG : That was a topic of very active discussion.

404. Sudden Collapse During Upper Gastrointestinal Endoscopy: Expect the Unexpected | PSNet
     psnet.ahrq.gov/web-mm/sudden-collapse-during-upper-gastrointestinal-endoscopy-expect-unexpected
     September 25, 2024 - Beforehand, the proceduralist and anesthesiologist should proceed only after an honest and clear discussion

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73166/psn-pdf
     April 21, 2021 - Trust and medical AI: the challenges we face and the expertise needed to overcome them. April 21, 2021 Quinn TP, Senadeera M, Jacobs S, et al. Trust and medical AI: the challenges we face and the expertise needed to overcome them. J Amer Med Inform Assoc. 2021;28(4):890-894. doi:10.1093/jamia/ocaa268. https://psne…

406. Communication Between Clinicians | PSNet
     psnet.ahrq.gov/primer/communication-between-clinicians
     September 15, 2024 - Communication Between Clinicians Citation Text: Communication Between Clinicians. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

407. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
     psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
     February 28, 2024 - In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD | February 28, 2024  Also Read the Essay Citation Text: In Conversation With..Stephen Hines, PhD an…

408. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
     psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
     February 28, 2024 - Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training Monika Haugstetter, MHA, MSN, RN, CPHQ; Stephen Hines, PhD; Zoe Sousane, BS; Sarah Mossburg, RN, PhD | February 28, 2024  Also Read the Conversation View more articles from the same authors. …

409. The Media’s Role in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/medias-role-patient-safety
     April 27, 2022 - patient safety efforts are shaped by the media and how the role of media has changed since our original discussion … Media coverage provides a motivation, and often an urgent one, to have a discussion about patient safety

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73163/psn-pdf
     April 21, 2021 - Implicit bias in healthcare: clinical practice, research and decision making. April 21, 2021 Gopal DP, Chetty U, O'Donnell P, et al. Implicit bias in healthcare: clinical practice, research and decision making. Future Healthc J. 2021;8(1):40-48. doi:10.7861/fhj.2020-0233. https://psnet.ahrq.gov/issue/implicit-bias…

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48078/psn-pdf
     August 14, 2019 - Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. August 14, 2019 Cifra CL, Houston M, Otto A, et al. Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit. Jt Comm J Qual Patient Saf. 2019;45(8):543-551. doi:10.…

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47379/psn-pdf
     November 14, 2018 - Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx. November 14, 2018 Yang Y, Ward-Charlerie S, Kashyap N, et al. Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing C…

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61109/psn-pdf
     November 11, 2020 - Making communication and resolution programmes mission critical in healthcare organisations. November 11, 2020 Gallagher TH, Boothman RC, Schweitzer L, et al. Making communication and resolution programmes mission critical in healthcare organisations. BMJ Qual Saf. 2020;29(11):875-878. doi:10.1136/bmjqs-2020- 0108…

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837972/psn-pdf
     September 01, 2022 - Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. September 1, 2022 Stockwell DC, Kayes DC, Thomas EJ. Patient safety: where to aim when zero harm is not the target-a case for learning and resilience. J Patient Saf. 2022;18(5):e877-e882. doi:10.1097/pts.00000000000009…

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837034/psn-pdf
     May 04, 2022 - Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? May 4, 2022 Montgomery A, Lainidi O. Understanding the link between burnout and sub-optimal care: why should healthcare education be interested in employee silence? Front Psychiatry. 2022…

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38268/psn-pdf
     December 03, 2008 - Anticoagulant safety practices call for pharmacist supervision. December 3, 2008 Scott A. https://psnet.ahrq.gov/issue/anticoagulant-safety-practices-call-pharmacist-supervision This article discusses hospital efforts to respond to the Joint Commission sentinel event alert regarding anticoagulants and highlights …

417. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39307/psn-pdf
     February 24, 2010 - Intimidation: a concept analysis. February 24, 2010 Lamontagne C. Intimidation: a concept analysis. Nurs Forum. 2010;45(1):54-65. doi:10.1111/j.1744- 6198.2009.00162.x. https://psnet.ahrq.gov/issue/intimidation-concept-analysis This piece discusses intimidation and its relationship to medical errors and patient sa…

418. The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/evolution-root-cause-analysis
     February 26, 2025 - While I am sure most of our readers will be familiar with it, to level set for this discussion, could … This was an interesting discussion.  References 5 whys: Finding the root cause.

419. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
     psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
     February 26, 2025 - While I am sure most of our readers will be familiar with it, to level set for this discussion, could … This was an interesting discussion.  References 5 whys: Finding the root cause.

420. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees | PSNet
     psnet.ahrq.gov/web-mm/supervision-and-entrustment-clinical-training-protecting-patients-protecting-trainees
     February 22, 2017 - SPOTLIGHT CASE Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees Citation Text: Cate O ten-. Supervision and Entrustment in Clinical Training: Protecting Patients, Protecting Trainees. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qu…