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Showing results for "educational".

  1. Medical device alarm safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/medical-device-alarm-safety-hospitals
    December 23, 2016 - Sentinel Event Alerts Medical device alarm safety in hospitals. Citation Text: Medical device alarm safety in hospitals. Sentinel event alert. 2013;(50):1-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  2. Errors and adverse events in otolaryngology. | PSNet

    psnet.ahrq.gov/issue/errors-and-adverse-events-otolaryngology
    October 27, 2010 - Review Errors and adverse events in otolaryngology. Citation Text: Shah RK, Roberson DW, Healy GB. Errors and adverse events in otolaryngology. Curr Opin Otolaryngol Head Neck Surg. 2006;14(3):164-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

  3. Patient safety and collaboration of the intensive care unit team. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-collaboration-intensive-care-unit-team
    February 17, 2010 - Commentary Patient safety and collaboration of the intensive care unit team. Citation Text: Despins LA. Patient safety and collaboration of the intensive care unit team. Crit Care Nurse. 2009;29(2):85-91. doi:10.4037/ccn2009281. Copy Citation Format: DOI Google Scholar Pu…

  4. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. | PSNet

    psnet.ahrq.gov/issue/comprehensive-perinatal-patient-safety-program-reduce-preventable-adverse-outcomes-and-costs
    September 29, 2010 - Study A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims. Citation Text: Simpson KR, Kortz CC, Knox E. A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.…

  5. A new structure of attention? Open disclosure of adverse events to patients and their families. | PSNet

    psnet.ahrq.gov/issue/new-structure-attention-open-disclosure-adverse-events-patients-and-their-families
    March 04, 2009 - Study A new structure of attention? Open disclosure of adverse events to patients and their families. Citation Text: Iedema R, Jorm C, Wakefield JG, et al. A New Structure of Attention? J Lang Soc Psychol. 2009;28(2). doi:10.1177/0261927x08330614. Copy Citation Format: DOI …

  6. Wake Up Safe in the USA & international patient safety. | PSNet

    psnet.ahrq.gov/issue/wake-safe-usa-international-patient-safety
    August 23, 2023 - Study Wake Up Safe in the USA & international patient safety. Citation Text: Iyer RS, Dave N, Du T, et al. Wake Up Safe in the USA & international patient safety. Paediatr Anaesth. 2024;34(9):958-969. doi:10.1111/pan.14920. Copy Citation Format: DOI Google Scholar BibTeX En…

  7. Resident Safety Practices in Nursing Home Settings. | PSNet

    psnet.ahrq.gov/issue/resident-safety-practices-nursing-home-settings
    July 27, 2018 - Book/Report Resident Safety Practices in Nursing Home Settings. Citation Text: Resident Safety Practices in Nursing Home Settings. Simmons S, Schnelle J, Slagle J, et al. Technical Brief No. 24. Rockville, MD: Agency for Healthcare Research and Quality; May 2016. AHRQ Publication No. 16-…

  8. How communication "failed" or "saved the day": counterfactual accounts of medical errors. | PSNet

    psnet.ahrq.gov/issue/how-communication-failed-or-saved-day-counterfactual-accounts-medical-errors
    September 21, 2022 - Study How communication "failed" or "saved the day": counterfactual accounts of medical errors. Citation Text: Street RL, Petrocelli JV, Amroze A, et al. How Communication “Failed” or “Saved the Day”: Counterfactual Accounts of Medical Errors. J Patient Exp. 2020;7(6):1247-1254. doi:10.1…

  9. CMS changes in reimbursement for HAIs: setting a research agenda. | PSNet

    psnet.ahrq.gov/issue/cms-changes-reimbursement-hais-setting-research-agenda
    May 03, 2018 - Commentary CMS changes in reimbursement for HAIs: setting a research agenda. Citation Text: Stone PW, Glied SA, McNair PD, et al. CMS changes in reimbursement for HAIs: setting a research agenda. Med Care. 2010;48(5):433-9. doi:10.1097/MLR.0b013e3181d5fb3f. Copy Citation Format: …

  10. Application of human error theory in case analysis of wrong procedures. | PSNet

    psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
    November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

  11. Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
    July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

  12. The development of the National Reporting and Learning System in England and Wales, 2001-2005. | PSNet

    psnet.ahrq.gov/issue/development-national-reporting-and-learning-system-england-and-wales-2001-2005
    September 14, 2022 - Commentary The development of the National Reporting and Learning System in England and Wales, 2001-2005. Citation Text: Williams SK, Osborn SS. The development of the National Reporting and Learning System in England and Wales, 2001–2005. Med J Aust. 2019;184(S10) (S10):s65-s68. doi:1…

  13. Preventing home medication administration errors. | PSNet

    psnet.ahrq.gov/issue/preventing-home-medication-administration-errors
    March 03, 2019 - Organizational Policy/Guidelines Preventing home medication administration errors. Citation Text: Yin HS, Neuspiel DR, Paul IM, et al. Preventing home medication administration errors. Pediatrics. 2021;148(6):e2021054666. doi:10.1542/peds.2021-054666. Copy Citation Format: …

  14. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet

    psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
    September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…

  15. The limits of checklists: handoff and narrative thinking. | PSNet

    psnet.ahrq.gov/issue/limits-checklists-handoff-and-narrative-thinking
    July 01, 2017 - Commentary The limits of checklists: handoff and narrative thinking. Citation Text: Hilligoss B, Moffatt-Bruce SD. The limits of checklists: handoff and narrative thinking. BMJ Qual Saf. 2014;23(7):528-33. doi:10.1136/bmjqs-2013-002705. Copy Citation Format: DOI Google Scho…

  16. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  17. Safety considerations in learning new procedures: a survey of surgeons. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-learning-new-procedures-survey-surgeons
    January 23, 2017 - Study Safety considerations in learning new procedures: a survey of surgeons. Citation Text: Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. Copy Citation Format…

  18. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  19. Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-medical-office-survey-2022-user-database-report
    June 01, 2022 - Book/Report Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Medical Office Survey: 2022 User Database Report. Famolaro T, Hare R, Tapia A, et al. Rockville, MD: Agency for Healthcare R…

  20. Improving diagnosis: adding context to cognition. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
    July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…
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