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Showing results for "discussion".

441. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-470
     December 31, 2024 - January 15, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

442. 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…

443. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860050/psn-pdf
     January 04, 2024 - Controversial aspects of imaging in child abuse: a second roundtable discussion from the ESPR child

444. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46723/psn-pdf
     April 12, 2019 - Diagnostic assessment of deep learning algorithms for detection of lymph node metastases in women with breast cancer. April 12, 2019 Bejnordi BE, Veta M, van Diest PJ, et al. Diagnostic Assessment of Deep Learning Algorithms for Detection of Lymph Node Metastases in Women With Breast Cancer. JAMA. 2017;318(22):219…

445. Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. | PSNet
     psnet.ahrq.gov/issue/sentinel-event-alert-67-preserving-patient-safety-after-cyberattack
     March 13, 2024 - Sentinel Event Alerts Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Citation Text: Sentinel Event Alert 67: Preserving Patient Safety After a Cyberattack. Jt Comm J Qual Patient Saf. 2023;49(12):724-729. doi:10.1016/j.jcjq.2023.07.006. Copy Citation Format…

446. 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…

447. 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…

448. Procedure Complications – Who is Responsible for Follow up? | PSNet
     psnet.ahrq.gov/web-mm/procedure-complications-who-responsible-follow
     July 31, 2023 - Prompt discussion with the patient and family to update them on the complication and treatment plan should

449. Robotic Surgery: Risks vs. Rewards | PSNet
     psnet.ahrq.gov/web-mm/robotic-surgery-risks-vs-rewards
     October 31, 2023 - SPOTLIGHT CASE Robotic Surgery: Risks vs. Rewards Citation Text: Kirkpatrick T, LaGrange C. Robotic Surgery: Risks vs. Rewards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Googl…

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33606/psn-pdf
     December 15, 2024 - Opioid Safety December 15, 2024 Opioid Safety. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/opioid-safety PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed in 2024. Bac…

451. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
     psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
     December 15, 2024 - Second Victims: Support for Clinicians Involved in Errors and Adverse Events Citation Text: Second Victims: Support for Clinicians Involved in Errors and Adverse Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2019. Copy Cit…

452. Managing Complexity in Diagnosis: Life-threatening Complications after Gastric Bypass Surgery. | PSNet
     psnet.ahrq.gov/web-mm/managing-complexity-diagnosis-life-threatening-complications-after-gastric-bypass-surgery
     September 25, 2019 - thinking about problem representation have utility, we will focus primarily on the first type for this discussion

453. 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…

454. 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…

455. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-8
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

456. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-15
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

457. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-5
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

458. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-16
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

459. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-38
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

460. ISMP medication error report analysis. | PSNet
     psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9
     June 16, 2019 - Commentary ISMP medication error report analysis. Citation Text: ISMP medication error report analysis. Cohen MR. Hosp Pharm. 2006;41(12):1148-1150. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …