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Total Results: 9,163 records

Showing results for "discussion".

  1. Despite Clues, Failed to Rescue | PSNet

    psnet.ahrq.gov/web-mm/despite-clues-failed-rescue
    August 02, 2015 - SPOTLIGHT CASE Despite Clues, Failed to Rescue Citation Text: Ghaferi AA. Despite Clues, Failed to Rescue. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy Citation Format: Google Scholar BibTeX EndN…

  2. Culture of resistance. | PSNet

    psnet.ahrq.gov/issue/culture-resistance
    September 19, 2016 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion

  3. Reducing Diagnostic Errors. | PSNet

    psnet.ahrq.gov/issue/reducing-diagnostic-errors
    August 17, 2011 - Resources From the Same Author(s) Health Information Technology and Patient Safety: A Dynamic Discussion

  4. MGH faces suit over drug error that killed woman. | PSNet

    psnet.ahrq.gov/issue/mgh-faces-suit-over-drug-error-killed-woman
    September 18, 2013 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion

  5. Too Many Cooks in the Kitchen | PSNet

    psnet.ahrq.gov/web-mm/too-many-cooks-kitchen
    March 07, 2018 - Lingering uncertainty leaves an important gap, which must be filled with robust discussion amongst the … Failure to have this discussion would be inexcusable.   … A further enhancement would have been detailed discussion of potential intraoperative events, with ‘stopping … procedure if transfusion was needed. 10     It appears the team recognized the need for multidisciplinary discussion …  different teams of physicians should have followed through on their preoperative multidisciplinary discussion

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866216/psn-pdf
    July 10, 2024 - Health Plan Patient Safety Initiatives July 10, 2024 Helwig A, Sousane Z, Mossburg S. Health Plan Patient Safety Initiatives. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives When we think of improving patient safety, we often think of strategies that can be implemen…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50930/psn-pdf
    February 21, 2020 - Pharmacist Role in Patient Safety February 21, 2020 Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety Background: The Evolving Role of the Pharmacist Medication errors are highly pervasive across all settings of care,[1] w…

  8. In Conversation With… Kathleen Sutcliffe, MN, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-kathleen-sutcliffe-mn-phd
    April 26, 2023 - In Conversation With… Kathleen Sutcliffe, MN, PhD April 1, 2017  Citation Text: In Conversation With… Kathleen Sutcliffe, MN, PhD. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2017. Copy C…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33691/psn-pdf
    December 01, 2009 - How to Identify and Manage Problem Behaviors December 1, 2009 Rosenstein AH, O'Daniel M. How to Identify and Manage Problem Behaviors. PSNet [internet]. 2009. https://psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors Perspective The 1999 Institute of Medicine report highlighted the need for heal…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49512/psn-pdf
    May 01, 2006 - Right? Left? Neither! May 1, 2006 Chassin MR, Howell EA. Right? Left? Neither!. PSNet [internet]. 2006. https://psnet.ahrq.gov/web-mm/right-left-neither Case Objectives Appreciate the role of Reason's Swiss Cheese Model in medical errors Understand the process of analyzing a single error Provide suggestions for …

  11. Surgical robot examined in injuries. | PSNet

    psnet.ahrq.gov/issue/surgical-robot-examined-injuries
    April 27, 2016 - 2024 Perinatal patient safety from the perspective of nurse executives: a round table discussion

  12. 'Wrong site' surgeries on the rise. | PSNet

    psnet.ahrq.gov/issue/wrong-site-surgeries-rise
    November 08, 2006 - November 8, 2006 Rethinking Patient Safety: A Discussion Guide for Patients, Healthcare

  13. Missed it. | PSNet

    psnet.ahrq.gov/issue/missed-it
    September 18, 2013 - The ethics and practical importance of defining, distinguishing and disclosing nursing errors: a discussion

  14. Quality and Safety Education for Nurses. | PSNet

    psnet.ahrq.gov/issue/quality-and-safety-education-nurses
    November 26, 2014 - September 6, 2017 Transformational leadership in nursing and medication safety education: a discussion

  15. Health Literacy and Patient Safety: Help Patients Understand. Manual for Clinicians. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/health-literacy-and-patient-safety-help-patients-understand-manual-clinicians-2nd-ed
    November 26, 2008 - 2020 View More Related Resources Rethinking Patient Safety: A Discussion

  16. Submit Your Toolkit | PSNet

    psnet.ahrq.gov/submit-your-toolkit-landing
    Examples of types of resources in our current toolkits section include Fact Sheets, Measurement Tools, Discussion

  17. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - Ann Intern Med. 1998;129:441-449 Common Features of Code Status Discussions Domination of discussion … She had thought the discussion was about whether she would want to be kept alive if she was “a vegetable

  18. Patient's Toolkit for Diagnosis. | PSNet

    psnet.ahrq.gov/issue/patients-toolkit-diagnosis
    November 08, 2017 - 2022 View More Related Resources Rethinking Patient Safety: A Discussion

  19. Canadian Disclosure Guidelines: Being Open and Honest with Patients and Families. | PSNet

    psnet.ahrq.gov/issue/canadian-disclosure-guidelines-being-open-and-honest-patients-and-families
    September 08, 2010 - January 3, 2018 ACOG Committee Opinion #681: disclosure and discussion of adverse events

  20. Patients as Partners: Toolkit for Implementing National Patient Safety Goal 13. | PSNet

    psnet.ahrq.gov/issue/patients-partners-toolkit-implementing-national-patient-safety-goal-13
    April 24, 2007 - 2016 View More Related Resources Rethinking Patient Safety: A Discussion
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