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Showing results for "discussion".

421. Updates in the Role of Health IT in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/updates-role-health-it-patient-safety
     January 31, 2020 - Another area of continued research and policy discussion is how to best foster interoperability.

422. "Recurrent" Appendicitis | PSNet
     psnet.ahrq.gov/web-mm/recurrent-appendicitis
     January 15, 2020 - Surgical privileging and credentialing: a report of a discussion and study group of the American Surgical

423. Inpatient Transitions of Care: Challenges and Safety Practices | PSNet
     psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices
     June 15, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices Citation Text: Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2024. Copy Citation …

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36818/psn-pdf
     August 26, 2011 - Patient safety in women's health care: a framework for progress. August 26, 2011 Gluck PA. Patient safety in women's health care: a framework for progress. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):525-36. https://psnet.ahrq.gov/issue/patient-safety-womens-health-care-framework-progress The author provides …

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48181/psn-pdf
     August 07, 2019 - Managing the risks of direct oral anticoagulants. August 7, 2019 Sentinel Event Alert. July 30, 2019;(61):1-5. https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral anticoagulants (DOACs) require less…

426. 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,

427. 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

428. 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.

429. 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

430. 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,

431. Clinical Decision Support Systems | PSNet
     psnet.ahrq.gov/primer/clinical-decision-support-systems
     December 15, 2024 - New Clinical Decision Support Systems Citation Text: Clinical Decision Support Systems. 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 E…

432. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36984/psn-pdf
     September 14, 2011 - TeamSTEPPS: assuring optimal teamwork in clinical settings. September 14, 2011 Clancy CM, Tornberg DN. TeamSTEPPS: assuring optimal teamwork in clinical settings. Am J Med Qual. 2007;22(3):214-7. https://psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings The authors discuss the TeamSTEPPS…

433. Patient Safety in Primary Care | PSNet
     psnet.ahrq.gov/perspective/patient-safety-primary-care
     January 31, 2020 - Annual Perspective Patient Safety in Primary Care February 21, 2020  View more articles from the same authors. Citation Text: Schiff G, Hall KK, Fitall E. Patient Safety in Primary Care. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Qua…

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838238/psn-pdf
     October 05, 2022 - Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. October 5, 2022 Riblet NB, Varela M, Ashby W, et al. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. Jt Comm …

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47262/psn-pdf
     August 22, 2018 - The Case for Medication Safety Officers (MSO). August 22, 2018 Horsham, PA: Institute for Safe Medication Practices; 2018. https://psnet.ahrq.gov/issue/case-medication-safety-officers-mso Medication safety is a concern in various settings across an organization. This white paper discusses the role of a medication …

436. 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. …

437. 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

438. 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…

439. The surprising way to stay safe in the hospital. | PSNet
     psnet.ahrq.gov/issue/surprising-way-stay-safe-hospital
     January 20, 2021 - Newspaper/Magazine Article The surprising way to stay safe in the hospital. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL January 14, 2015 This news article summarizes the resu…

440. Swiss Cheese Model | PSNet
     psnet.ahrq.gov/taxonomy/term/3460
     April 10, 2025 - Swiss Cheese Model Reason developed the "Swiss cheese model" to illustrate how analyses of major accidents and catastrophic systems failures tend to reveal multiple, smaller failures leading up to the actual hazard. In the model, each slice of cheese represents a safety barrier or precaution relevant to a particular …