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Showing results for "discussions".

161. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36889/psn-pdf
     May 28, 2024 - Surveys on Patient Safety Culture. May 28, 2024 Rockville MD: Agency for Healthcare Research and Quality https://psnet.ahrq.gov/issue/surveys-patient-safety-culture Safety culture has been described as a key to establishing high reliability organizations. The National Quality Forum's Safe Practices for Healthcare …

162. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867980/psn-pdf
     March 25, 2025 - Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls March 25, 2025 Olson APJ. Not All Headaches are Due to Migraine: Red Flags, Don’t Miss Diagnoses, and Diagnostic Pitfalls. PSNet [internet]. 2025. https://psnet.ahrq.gov/web-mm/not-all-headaches-are-due-migraine-red-fla…

163. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk | PSNet
     psnet.ahrq.gov/web-mm/importance-following-safe-practices-infant-feeding-and-handling-expressed-breast-milk
     January 31, 2024 - Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk Citation Text: Shauer M, Perez DG, Chagolla B. Importance of Following Safe Practices for Infant Feeding and Handling Expressed Breast Milk. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quali…

164. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60156/psn-pdf
     March 25, 2020 - The cognitive health system. March 25, 2020 Coiera E. The cognitive health system. Lancet. 2020;395(10222):463-466. doi:10.1016/s0140- 6736(19)32987-3. https://psnet.ahrq.gov/issue/cognitive-health-system This article discusses the influence of artificial intelligence tools and cyber-social systems on human decis…

165. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60634/psn-pdf
     January 01, 2021 - Quality & safety in the time of coronavirus--design better, learn faster. July 1, 2020 Fitzsimons J. Quality and safety in the time of Coronavirus: design better, learn faster. Int J Qual Health Care. 2021;33(1):mzaa051. doi:10.1093/intqhc/mzaa051. https://psnet.ahrq.gov/issue/quality-safety-time-coronavirus-desig…

166. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. | PSNet
     psnet.ahrq.gov/issue/decreased-bile-duct-injury-rate-during-laparoscopic-cholecystectomy-era-80-hour-resident
     March 17, 2021 - Study Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident workweek. Citation Text: Yaghoubian A, Saltmarsh G, Rosing DK, et al. Decreased bile duct injury rate during laparoscopic cholecystectomy in the era of the 80-hour resident work…

167. Pitfalls in Diagnosing Necrotizing Fasciitis | PSNet
     psnet.ahrq.gov/web-mm/pitfalls-diagnosing-necrotizing-fasciitis
     March 24, 2021 - He developed multi-organ dysfunction and ultimately, after discussions with his family, care was withdrawn

168. Annual Perspective: Topics in Medication Safety | PSNet
     psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
     April 27, 2022 - providers perceived the process of deprescribing as potentially contentious , even when considering discussions

169. Syringe Swap During Regional Block: A Case of Medication Error and Recovery | PSNet
     psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
     July 22, 2020 - assessment and error investigation should consider a “just culture” approach that includes non-punitive discussions

170. Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. | PSNet
     psnet.ahrq.gov/issue/development-online-morbidity-mortality-and-near-miss-reporting-system-identify-patterns
     August 20, 2018 - Study Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients. Citation Text: Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Development of an online morbidity, mortality, and near-miss reporting system to ide…

171. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
     psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
     February 26, 2025 - Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL A…

172. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. | PSNet
     psnet.ahrq.gov/issue/disclosure-apology-and-offer-programs-stakeholders-views-barriers-and-strategies-broad
     December 19, 2018 - Study Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implementation. Citation Text: Bell SK, Smulowitz PB, Woodward AC, et al. Disclosure, apology, and offer programs: stakeholders' views of barriers to and strategies for broad implem…

173. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. | PSNet
     psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
     November 16, 2022 - Study Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Citation Text: McAbee GN, Donn SM, Mendelson RA, et al. Medical diagnoses commonly associated with pediatric malpractice lawsuits in the United States. Pediatrics. 2008;122(6):e1282-e1…

174. Unintended Consequences of CPOE | PSNet
     psnet.ahrq.gov/web-mm/unintended-consequences-cpoe
     September 01, 2004 - The discussions of the unintended consequences of health IT ( 4,24-27 ) illustrate this problem.

175. Cognitive Overload in the ICU | PSNet
     psnet.ahrq.gov/web-mm/cognitive-overload-icu
     June 01, 2005 - Ultimately, after discussions with the family, care was withdrawn and the patient died peacefully.

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49714/psn-pdf
     August 21, 2014 - He developed multi-organ dysfunction and ultimately, after discussions with his family, care was withdrawn

177. 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 - After discussions with his family, care was withdrawn and he died peacefully.

178. Delayed Breast Cancer Diagnosis: A False Sense of Security. | PSNet
     psnet.ahrq.gov/web-mm/delayed-breast-cancer-diagnosis-false-sense-security
     May 01, 2005 - Massachusetts Betsy Lehman Center for Patient Safety, contributes cases and commentaries from their monthly discussions

179. CE/MOC Quizzes | PSNet
     psnet.ahrq.gov/cme
     February 26, 2025 - Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations A man with a history of prior umbilical hernia repair presented to the emergency department (ED) with abdominal pain and was initially diagnosed with cholelithiasis before being discharged home. However, the next day he returned to …

180. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60763/psn-pdf
     August 05, 2020 - Supporting the emotional well-being of health care workers during the COVID-19 pandemic. August 5, 2020 Wu AW, Buckle P, Haut ER, et al. Supporting the emotional well-being of health care workers during the COVID-19 pandemic. J Patient Saf Risk Manag. 2020;25(3):93-96. doi:10.1177/2516043520931971. https://psnet.a…