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Showing results for "discussions".

261. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
     psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
     February 09, 2011 - Commentary Classic Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. Citation Text: Structural and organizational issues in patient safety: a comparison of health care to other high-hazard indust…

262. Surveys on Patient Safety Culture. | PSNet
     psnet.ahrq.gov/issue/surveys-patient-safety-culture
     December 24, 2008 - Measurement Tool/Indicator Classic Surveys on Patient Safety Culture. Citation Text: Surveys on Patient Safety Culture. Rockville MD: Agency for Healthcare Research and Quality Copy Citation Save Save to your library Print Downl…

263. Interruptions and Distractions in Health Care: Improved Safety With Mindfulness | PSNet
     psnet.ahrq.gov/perspective/interruptions-and-distractions-health-care-improved-safety-mindfulness
     February 01, 2014 - But most conversations are sense-making conversations; they're discussions, they're sharing information … We will always want to have discussions about those things. They're not going to go away.

264. Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. | PSNet
     psnet.ahrq.gov/issue/development-instrument-measure-seniors-patient-safety-health-beliefs-seniors-empowerment-and
     February 15, 2011 - Study Development of an instrument to measure seniors' patient safety health beliefs: the Seniors Empowerment and Advocacy in Patient Safety (SEAPS) survey. Citation Text: Elder NC, Regan SL, Pallerla H, et al. Development of an instrument to measure seniors’ patient safety health beli…

265. Residual Anesthesia: Tepid Burn | PSNet
     psnet.ahrq.gov/web-mm/residual-anesthesia-tepid-burn
     February 10, 2010 - Residual Anesthesia: Tepid Burn Citation Text: Kurrek MM, Twersky RS. Residual Anesthesia: Tepid Burn. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33584/psn-pdf
     March 15, 2025 - Communication Between Clinicians March 15, 2025 Communication Between Clinicians. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/communication-between-clinicians PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in…

267. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867659
     July 10, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Rapid Response Systems Curated Library Primers Rapid Response Systems UC Davis PSNet Editorial Team | September, 15 2024 Rapid response teams represent an intuitively simple concept: when a patient demonstrates signs of imminent clinical de…

268. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33560/psn-pdf
     June 15, 2024 - Disclosure of Errors June 15, 2024 Disclosure of Errors. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/disclosure-errors 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…

269. Problem doctors: is there a system-level solution? | PSNet
     psnet.ahrq.gov/issue/problem-doctors-there-system-level-solution
     October 31, 2014 - Commentary Classic Problem doctors: is there a system-level solution? Citation Text: Leape L, Fromson J. Problem doctors: is there a system-level solution? Ann Intern Med. 2006;144(2):107-15. Copy Citation Format: Google Scholar PubMed BibTeX End…

270. Ambiguity and workarounds as contributors to medical error. | PSNet
     psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
     December 23, 2008 - Commentary Ambiguity and workarounds as contributors to medical error. Citation Text: Spear SJ, Schmidhofer M. Ambiguity and workarounds as contributors to medical error. Ann Intern Med. 2005;142(8):627-630. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XM…

271. Studying patient safety in health care organizations: accentuate the qualitative. | PSNet
     psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
     January 18, 2011 - Commentary Studying patient safety in health care organizations: accentuate the qualitative. Citation Text: Hoff TJ, Sutcliffe K. Studying patient safety in health care organizations: accentuate the qualitative. Jt Comm J Qual Patient Saf. 2006;32(1):5-15. Copy Citation Format: …

272. IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. | PSNet
     psnet.ahrq.gov/issue/ihi-skilled-nursing-facility-trigger-tool-measuring-adverse-events
     February 15, 2017 - Book/Report IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Citation Text: IHI Skilled Nursing Facility Trigger Tool for Measuring Adverse Events. Adler L, Moore J, Federico F. Cambridge, MA: Institute for Healthcare Improvement; November 2015. Copy Citation …

273. Improving patient care. The cognitive psychology of missed diagnoses. | PSNet
     psnet.ahrq.gov/issue/improving-patient-care-cognitive-psychology-missed-diagnoses
     October 03, 2012 - Commentary Improving patient care. The cognitive psychology of missed diagnoses. Citation Text: Redelmeier DA. Improving patient care. The cognitive psychology of missed diagnoses. Ann Intern Med. 2005;142(2):115-120. Copy Citation Format: Google Scholar PubMed BibTeX End…

274. Cognitive errors in diagnosis: instantiation, classification, and consequences. | PSNet
     psnet.ahrq.gov/issue/cognitive-errors-diagnosis-instantiation-classification-and-consequences
     June 21, 2016 - Study Classic Cognitive errors in diagnosis: instantiation, classification, and consequences. Citation Text: Kassirer JP, Kopelman RI. Cognitive errors in diagnosis: instantiation, classification, and consequences. Am J Med. 1989;86(4):433-41. Copy Citation …

275. Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. | PSNet
     psnet.ahrq.gov/issue/reducing-risks-wrong-site-surgery-safety-practices-joint-commission-center-transforming
     October 19, 2016 - Book/Report Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Citation Text: Reducing the Risks of Wrong-Site Surgery: Safety Practices from The Joint Commission Center for Transforming Healthcare Project. Chi…

276. Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. | PSNet
     psnet.ahrq.gov/issue/procuring-interoperability-achieving-high-quality-connected-and-person-centered-care
     September 19, 2018 - Book/Report Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Citation Text: Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care. Pronovost P, Johns MME, Palmer S, et al, eds. Washington, DC: National Academy of M…

277. The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. | PSNet
     psnet.ahrq.gov/issue/challenger-launch-decision-risky-technology-culture-and-deviance-nasa
     November 18, 2015 - Book/Report Classic The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Citation Text: The Challenger Launch Decision: Risky Technology, Culture, and Deviance at NASA. Vaughan D. Chicago, IL: University of Chicago Press; 1996. ISBN…

278. The Unhappy Patient Leaves Against Medical Advice. | PSNet
     psnet.ahrq.gov/web-mm/unhappy-patient-leaves-against-medical-advice
     January 31, 2024 - The Unhappy Patient Leaves Against Medical Advice. Citation Text: Nichols A. The Unhappy Patient Leaves Against Medical Advice.. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Format: Google Scholar …

279. Continuing Education | PSNet
     psnet.ahrq.gov/continuing-education
     February 26, 2025 - Continuing Education What is PSNet Continuing Education? PSNet Continuing Education offerings include WebM&M Spotlight Cases and Commentaries, which are certified for Continuing Medical Education/Continuing Education Units (CME/CEU) and Maintenance of Certification (MOC) credit through the University of Calif…

280. Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. | PSNet
     psnet.ahrq.gov/issue/ethical-considerations-development-flexibility-duty-hour-requirements-surgical-trainees-trial
     June 21, 2017 - Commentary Ethical considerations in the development of the Flexibility in Duty Hour Requirements for Surgical Trainees trial. Citation Text: Minami CA, Odell DD, Bilimoria KY. Ethical Considerations in the Development of the Flexibility in Duty Hour Requirements for Surgical Trainees Tr…