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Showing results for "discussion".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39231/psn-pdf
    January 13, 2010 - The Checklist Manifesto: How to Get Things Right. January 13, 2010 Gawande A. New York, NY: Metropolitan Books; 2009. ISBN: 9780805091748. https://psnet.ahrq.gov/issue/checklist-manifesto-how-get-things-right Harvard surgeon Atul Gawande has emerged as this generation's preeminent physician–author, through his art…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39797/psn-pdf
    September 20, 2011 - Liability claims and costs before and after implementation of a medical error disclosure program. September 20, 2011 Kachalia A, Kaufman SR, Boothman RC, et al. Liability claims and costs before and after implementation of a medical error disclosure program. Ann Intern Med. 2010;153(4):213-21. doi:10.7326/0003-4819…

  3. Information Sheet/Flyer | Digital Healthcare Research

    digital.ahrq.gov/document-type/information-sheetflyer
    January 01, 2023 - Information Sheet/Flyer Ensuring Safer Prescribing for Children: AAP Members Funded to Launch the STEPStools Project Description Information sheet that describes an AHRQ-funded project to develop tools to help pediatricians adopt and use electronic prescribing. …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45976/psn-pdf
    December 21, 2017 - Incidence of clinically relevant medication errors in the era of electronically prepopulated medication reconciliation forms: a retrospective chart review. December 21, 2017 Stockton KR, Wickham ME, Lai S, et al. Incidence of clinically relevant medication errors in the era of electronically prepopulated medicatio…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42748/psn-pdf
    November 20, 2013 - Effectiveness of written hospitalist sign-outs in answering overnight inquiries. November 20, 2013 Fogerty RL, Schoenfeld A, Al-Damluji MS, et al. Effectiveness of written hospitalist sign-outs in answering overnight inquiries. J Hosp Med. 2013;8(11):609-14. doi:10.1002/jhm.2090. https://psnet.ahrq.gov/issue/effec…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39404/psn-pdf
    March 31, 2010 - Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. March 31, 2010 Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. doi:10.1097/ALN.0b013e3181cf892d. h…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48095/psn-pdf
    June 26, 2019 - Exposure to incivility hinders clinical performance in a simulated operative crisis. June 26, 2019 Katz D, Blasius K, Isaak R, et al. Exposure to incivility hinders clinical performance in a simulated operative crisis. BMJ Qual Saf. 2019;28(9):750-757. doi:10.1136/bmjqs-2019-009598. https://psnet.ahrq.gov/issue/ex…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74853/psn-pdf
    February 24, 2022 - The Top Six: standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. February 24, 2022 Hartstein B, Munante M, Toor PA. The Top Six: Standardized safety practices in U.S. Army Medical Department treatment facilities worldwide. NEJM Catal Innov Care Deliv. 2022;3(2):e1-e20. doi…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47226/psn-pdf
    August 01, 2018 - Development of a standardized, citywide process for managing smart-pump drug libraries. August 1, 2018 Walroth TA, Smallwood S, Arthur KJ, et al. Development of a standardized, citywide process for managing smart-pump drug libraries. Am J Health Syst Pharm. 2018;75(12):893-900. doi:10.2146/ajhp170262. https://psne…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37622/psn-pdf
    May 26, 2011 - Effect of computer order entry on prevention of serious medication errors in hospitalized children. May 26, 2011 Walsh KE, Landrigan CP, Adams WG, et al. Effect of computer order entry on prevention of serious medication errors in hospitalized children. Pediatrics. 2008;121(3):e421-e427. doi:10.1542/peds.2007- 022…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45405/psn-pdf
    November 18, 2016 - Relationship between operating room teamwork, contextual factors, and safety checklist performance. November 18, 2016 Singer SJ, Molina G, Li Z, et al. Relationship Between Operating Room Teamwork, Contextual Factors, and Safety Checklist Performance. J Am Coll Surg. 2016;223(4):568-580.e2. doi:10.1016/j.jamcollsu…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46932/psn-pdf
    April 22, 2018 - Hospital Survey on Patient Safety Culture: 2018 User Database Report. April 22, 2018 Famolaro T, Yount N, Hare, R, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2018. AHRQ Publication No. 18-0025-EF. https://psnet.ahrq.gov/issue/hospital-survey-patient-safety-culture-2018-user-database-re…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47150/psn-pdf
    November 21, 2018 - Investigating the association of alerts from a national mortality surveillance system with subsequent hospital mortality in England: an interrupted time series analysis. November 21, 2018 Cecil E, Bottle A, Esmail A, et al. Investigating the association of alerts from a national mortality surveillance system with …

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39266/psn-pdf
    March 05, 2010 - The impact of stress on surgical performance: a systematic review of the literature. March 5, 2010 Arora S, Sevdalis N, Nestel D, et al. The impact of stress on surgical performance: a systematic review of the literature. Surgery. 2010;147(3):318-30, 330.e1-6. doi:10.1016/j.surg.2009.10.007. https://psnet.ahrq.gov…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43074/psn-pdf
    December 18, 2014 - Graded autonomy in medical education—managing things that go bump in the night. December 18, 2014 Halpern S, Detsky AS. Graded autonomy in medical education--managing things that go bump in the night. N Engl J Med. 2014;370(12):1086-1089. doi:10.1056/NEJMp1315408. https://psnet.ahrq.gov/issue/graded-autonomy-medic…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38435/psn-pdf
    February 25, 2009 - Prescribing discrepancies likely to cause adverse drug events after patient transfer. February 25, 2009 Boockvar KS, Liu S, Goldstein N, et al. Prescribing discrepancies likely to cause adverse drug events after patient transfer. Qual Saf Health Care. 2009;18(1):32-6. doi:10.1136/qshc.2007.025957. https://psnet.ah…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40092/psn-pdf
    December 22, 2010 - The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. December 22, 2010 Hess DR, Tokarczyk A, O'Malley M, et al. The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory failure. Chest. 2010;138(6):14…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47136/psn-pdf
    July 02, 2019 - Adherence to recommended electronic health record safety practices across eight health care organizations. July 2, 2019 Sittig DF, Salimi M, Aiyagari R, et al. Adherence to recommended electronic health record safety practices across eight health care organizations. J Am Med Inform Assoc. 2018;25(7):913-918. doi:1…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35854/psn-pdf
    February 09, 2011 - Safe but sound: patient safety meets evidence-based medicine. February 9, 2011 Shojania KG, Duncan BW, McDonald KM, et al. Safe but Sound. JAMA. 2003;288(4):508-513. doi:10.1001/jama.288.4.508. https://psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine This commentary summarizes the work…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45356/psn-pdf
    May 09, 2017 - Screening for medication errors using an outlier detection system. May 9, 2017 Schiff G, Volk LA, Volodarskaya M, et al. Screening for medication errors using an outlier detection system. J Am Med Inform Assoc. 2017;24(2):281-287. doi:10.1093/jamia/ocw171. https://psnet.ahrq.gov/issue/screening-medication-errors-u…
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