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Showing results for "discussions".

  1. Medicine Patient Safety Conference: 2025 | PSNet

    psnet.ahrq.gov/training-catalog/medicine-patient-safety-conference-2025
    January 01, 2025 - Medicine Patient Safety Conference: 2025 Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization George Washington University School of Medicine and Health Sciences …

  2. Medical error: the second victim. | PSNet

    psnet.ahrq.gov/issue/medical-error-second-victim
    March 23, 2011 - Commentary Classic Medical error: the second victim. Citation Text: Wu AW. Medical error: the second victim. The doctor who makes the mistake needs help too. BMJ. 2000;320(7237):726-727. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  3. Anesthetic mishaps: breaking the chain of accident evolution. | PSNet

    psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution
    April 08, 2011 - Commentary Classic Anesthetic mishaps: breaking the chain of accident evolution. Citation Text: Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. Copy Citation Format: Goo…

  4. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. | PSNet

    psnet.ahrq.gov/issue/case-based-simulation-empowering-pediatric-residents-communicate-about-diagnostic-uncertainty
    November 27, 2017 - Study Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Citation Text: Olson ME, Borman-Shoap E, Mathias K, et al. Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty. Diagnosis (Berl). 2018;5(4)…

  5. Improving patient safety—five years after the IOM report. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-five-years-after-iom-report
    February 18, 2011 - Commentary Classic Improving patient safety—five years after the IOM report. Citation Text: Altman DE, Clancy CM, Blendon RJ. Improving Patient Safety — Five Years after the IOM Report. New Engl J Med. 2004;351(20):2041-2043. doi:10.1056/nejmp048243. Copy Ci…

  6. Perspective: a culture of respect—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/perspective-culture-respect-part-1-and-part-2
    October 04, 2006 - Commentary Perspective: a culture of respect—part 1 and part 2. Citation Text: Perspective: a culture of respect—part 1 and part 2. Leape LL, Shore MF, Dienstag JL, et al. Acad Med. 2012;87(7):845-858. Copy Citation Save Save to your library Print Down…

  7. Improving prescription drug warnings to promote patient comprehension. | PSNet

    psnet.ahrq.gov/issue/improving-prescription-drug-warnings-promote-patient-comprehension
    December 21, 2014 - Study Improving prescription drug warnings to promote patient comprehension. Citation Text: Wolf MS, Davis TC, Bass PF, et al. Improving prescription drug warnings to promote patient comprehension. Arch Intern Med. 2010;170(1):50-6. doi:10.1001/archinternmed.2009.454. Copy Citation …

  8. Capturing essential information to achieve safe interoperability. | PSNet

    psnet.ahrq.gov/issue/capturing-essential-information-achieve-safe-interoperability
    February 23, 2015 - Commentary Capturing essential information to achieve safe interoperability. Citation Text: Weininger S, Jaffe MB, Rausch T, et al. Capturing Essential Information to Achieve Safe Interoperability. Anesth Analg. 2017;124(1):83-94. Copy Citation Format: Google Scholar PubMed…

  9. The Hidden Danger of Unseen Intravenous Catheters | PSNet

    psnet.ahrq.gov/web-mm/hidden-danger-unseen-intravenous-catheters
    October 04, 2023 - The Hidden Danger of Unseen Intravenous Catheters Citation Text: Vadi MG, Malkin MR. The Hidden Danger of Unseen Intravenous Catheters. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2021. Copy Citation Format: Google S…

  10. Communication Failure—Who's in Charge? | PSNet

    psnet.ahrq.gov/web-mm/communication-failure-whos-charge
    April 01, 2018 - Communication Failure—Who's in Charge? Citation Text: Fackler J, Schwartz JM. Communication Failure—Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2011. Copy Citation Format: Google Scholar BibTeX EndN…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33609/psn-pdf
    March 15, 2025 - Clinical Decision Support Systems March 15, 2025 Clinical Decision Support Systems. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/clinical-decision-support-systems PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36579/psn-pdf
    June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. Hosp Pharm. 2006;41(12):1148-1150. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-9 This monthly report discussed medication reconciliation and community pharmacists, look-alike and sound- alike problems, and automated dispensing ca…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851662/psn-pdf
    July 26, 2023 - Mitigating bias in AI at the point of care. July 26, 2023 Decamp M, Lindvall C. Science. 2023;381(6654):150-152. https://psnet.ahrq.gov/issue/mitigating-bias-ai-point-care Computerized clinical support is vulnerable to bias due to widespread health care inequalities that feed into the systems. This article di…

  14. Lost opportunities: how physicians communicate about medical errors. | PSNet

    psnet.ahrq.gov/issue/lost-opportunities-how-physicians-communicate-about-medical-errors
    July 10, 2008 - Study Lost opportunities: how physicians communicate about medical errors. Citation Text: Garbutt J, Waterman AD, Kapp JM, et al. Lost Opportunities: How Physicians Communicate About Medical Errors. Health Aff (Millwood). 2008;27(1):246-255. doi:10.1377/hlthaff.27.1.246. Copy Citati…

  15. Fatal flaws in clinical decision making. | PSNet

    psnet.ahrq.gov/issue/fatal-flaws-clinical-decision-making
    March 03, 2011 - Study Fatal flaws in clinical decision making. Citation Text: Davis SS, Babidge WJ, McCulloch GAJ, et al. Fatal flaws in clinical decision making. ANZ J Surg. 2019;89(6):764-768. doi:10.1111/ans.14955. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  16. The role of theory in research to develop and evaluate the implementation of patient safety practices. | PSNet

    psnet.ahrq.gov/issue/role-theory-research-develop-and-evaluate-implementation-patient-safety-practices
    September 20, 2011 - Commentary The role of theory in research to develop and evaluate the implementation of patient safety practices. Citation Text: Foy R, Ovretveit J, Shekelle PG, et al. The role of theory in research to develop and evaluate the implementation of patient safety practices. BMJ Qual Saf. …

  17. Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. | PSNet

    psnet.ahrq.gov/issue/ergonomic-and-human-factors-affecting-anesthetic-vigilance-and-monitoring-performance
    May 31, 2011 - Review Classic Ergonomic and human factors affecting anesthetic vigilance and monitoring performance in the operating room environment. Citation Text: Biebuyck J F, Weinger M B, Englund C E. Ergonomic and Human Factors Affecting Anesthetic Vigilance and Monitori…

  18. A piece of my mind. From shame to guilt to love. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-shame-guilt-love
    January 02, 2017 - Commentary A piece of my mind. From shame to guilt to love. Citation Text: Pronovost P, Bienvenu J. A piece of my mind. From shame to guilt to love. JAMA. 2015;314(23):2507-2508. doi:10.1001/jama.2015.11521. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 …

  19. Choosing your words carefully: how physicians would disclose harmful medical errors to patients. | PSNet

    psnet.ahrq.gov/issue/choosing-your-words-carefully-how-physicians-would-disclose-harmful-medical-errors-patients
    February 16, 2011 - Study Classic Choosing your words carefully: how physicians would disclose harmful medical errors to patients. Citation Text: Gallagher TH, Garbutt J, Waterman AD, et al. Choosing your words carefully: how physicians would disclose harmful medical errors to pa…

  20. Improving the bar-coded medication administration system at the Department of Veterans Affairs. | PSNet

    psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
    November 18, 2009 - Study Improving the bar-coded medication administration system at the Department of Veterans Affairs. Citation Text: Mills PD, Neily J, Mims E, et al. Improving the bar-coded medication administration system at the Department of Veterans Affairs. Am J Health Syst Pharm. 2006;63(15):144…
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