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Showing results for "discussions".

  1. psnet.ahrq.gov/issue/avoiding-wrong-site-surgery-systematic-review
    October 19, 2022 - Review Avoiding wrong site surgery: a systematic review. Citation Text: Devine J, Chutkan N, Norvell DC, et al. Avoiding wrong site surgery: a systematic review. Spine (Phila Pa 1976). 2010;35(9 Suppl):S28-36. doi:10.1097/BRS.0b013e3181d833ac. Copy Citation Format: DOI Goo…
  2. psnet.ahrq.gov/issue/surgical-accountability-1880s-death-susan-nixon
    November 16, 2022 - Commentary Surgical accountability in the 1880s: the death of Susan Nixon. Citation Text: Watters GR, Walker DR. Surgical accountability in the 1880s: the death of Susan Nixon. ANZ J Surg. 2005;75(8). doi:10.1111/j.1445-2197.2005.03501.x. Copy Citation Format: DOI Google …
  3. psnet.ahrq.gov/issue/disclosing-adverse-events-patients
    September 23, 2020 - Commentary Disclosing adverse events to patients. Citation Text: Cantor MD, Barach P, Derse A, et al. Disclosing adverse events to patients. Jt Comm J Qual Patient Saf. 2005;31(1):5-12. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote …
  4. psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change
    August 03, 2009 - Study Residents' responses to medical error: coping, learning, and change. Citation Text: Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93. Copy Citation Format: Google Scholar PubMed BibTe…
  5. psnet.ahrq.gov/issue/top-penn-state-health-surgeon-warned-leaders-about-transplant-problems-months-shutdown-then
    July 18, 2018 - Newspaper/Magazine Article Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Citation Text: Top Penn State Health surgeon warned leaders about transplant problems months before shutdown. Then he was let go. Massey W, Keith …
  6. psnet.ahrq.gov/issue/high-performance-teams-and-physician-leader-overview
    December 14, 2016 - Commentary High-performance teams and the physician leader: an overview. Citation Text: Majmudar A, Jain AK, Chaudry J, et al. High-performance teams and the physician leader: an overview. J Surg Educ. 2010;67(4):205-9. doi:10.1016/j.jsurg.2010.06.002. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/why-dont-we-know-whether-care-safe
    January 14, 2014 - Commentary Why don't we know whether care is safe? Citation Text: Pham JC, Frick KD, Pronovost P. Why don't we know whether care is safe? Am J Med Qual. 2013;28(6):457-63. doi:10.1177/1062860613479397. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
  8. psnet.ahrq.gov/issue/intrahospital-transport-radiology-department-risk-adverse-events-nursing-surveillance
    September 04, 2013 - Commentary Intrahospital transport to the radiology department: risk for adverse events, nursing surveillance, utilization of a MET and practice implications. Citation Text: Ott LK, Hoffman LA, Hravnak M. Intrahospital Transport to the Radiology Department: Risk for Adverse Events, Nur…
  9. digital.ahrq.gov/track-6-using-reporting-systems-safety-and-quality-improvement
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…
  10. psnet.ahrq.gov/issue/factors-influencing-patient-safety-during-postoperative-handover
    March 03, 2021 - Review Factors influencing patient safety during postoperative handover. Citation Text: Factors influencing patient safety during postoperative handover. Rose M, Newman SD. AANA J. 2016;84:329-338. Copy Citation Save Save to your library Print Download P…
  11. psnet.ahrq.gov/issue/effective-approaches-control-non-actionable-alarms-and-alarm-fatigue
    January 15, 2025 - Commentary Effective approaches to control non-actionable alarms and alarm fatigue. Citation Text: Winters BD. Effective approaches to control non-actionable alarms and alarm fatigue. J Electrocardiol. 2018;51(6S):S49-S51. doi:10.1016/j.jelectrocard.2018.07.007. Copy Citation Forma…
  12. psnet.ahrq.gov/issue/disclosing-unanticipated-outcomes-patients-art-and-practice
    July 14, 2010 - Commentary Disclosing unanticipated outcomes to patients: the art and practice. Citation Text: Disclosing unanticipated outcomes to patients: the art and practice. Gallagher TH; Denham CR; Leape LL; Amori G; Levinson W. Copy Citation Save Save to your library …
  13. psnet.ahrq.gov/issue/how-avoid-paediatric-medication-errors-users-guide-literature
    May 26, 2011 - Review How to avoid paediatric medication errors: a user's guide to the literature. Citation Text: Walsh KE, Kaushal R, Chessare JB. How to avoid paediatric medication errors: a user's guide to the literature. Arch Dis Child. 2005;90(7):698-702. Copy Citation Format: Goog…
  14. www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state2.html
    January 01, 2024 - Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 2. Methods Previous Page Next Page Table of Contents Current State of Diagnostic Safety: Implications for Research, Practice, and Policy 1. Introduction 2. Methods 3. Results 4. Discussion References Appe…
  15. psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
    November 02, 2011 - Commentary Misinformation in the medical literature: what role do error and fraud play? Citation Text: Steen G. Misinformation in the medical literature: what role do error and fraud play? J Med Ethics. 2011;37(8):498-503. doi:10.1136/jme.2010.041830. Copy Citation Format: …
  16. psnet.ahrq.gov/issue/special-section-iea-health-care-2021
    August 02, 2010 - Special or Theme Issue Special Section: IEA Health Care 2021. Citation Text: Special Section: IEA Health Care 2021. Hum Factors. 2024;66(3):633-769. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter …
  17. psnet.ahrq.gov/issue/senators-threaten-consequences-after-va-confirms-4-deaths-tied-computer-system-tested-spokane
    September 21, 2022 - Newspaper/Magazine Article Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Citation Text: Senators threaten consequences after VA confirms 4 deaths tied to computer system tested in Spokane. Donovan-Smith O. Spokesman Review. March 15,…
  18. psnet.ahrq.gov/issue/nearly-all-hospital-pharmacists-say-drug-shortages-are-negatively-impacting-care-third-say
    September 15, 2021 - Newspaper/Magazine Article Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ Citation Text: Nearly all hospital pharmacists say drug shortages are negatively impacting care; a third say impacts are ‘critical.’ McPhillips…
  19. psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
    October 19, 2022 - Study Emergency physicians and disclosure of medical errors. Citation Text: Moskop JC, Geiderman JM, Hobgood CD, et al. Emergency physicians and disclosure of medical errors. Ann Emerg Med. 2006;48(5):523-31. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 X…
  20. psnet.ahrq.gov/issue/physician-autonomy-and-informed-decision-making-finding-balance-patient-safety-and-quality
    July 01, 2017 - Commentary Physician autonomy and informed decision making: finding the balance for patient safety and quality. Citation Text: Mathews SC, Pronovost P. Physician autonomy and informed decision making: finding the balance for patient safety and quality. JAMA. 2008;300(24):2913-5. doi:10…