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Showing results for "educational".

7061. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34909/psn-pdf
      February 27, 2009 - Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. February 27, 2009 Chern C-H, How C-K, Wang L-M, et al. Decreasing clinically significant adverse events using feedback to emergency physicians of telephone follow-up outcomes. Ann Emerg Med. 200…

7062. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44273/psn-pdf
      July 01, 2015 - Current issues in patient safety in surgery: a review. July 1, 2015 Kim FJ, da Silva RD, Gustafson D, et al. Current issues in patient safety in surgery: a review. Patient Saf Surg. 2015;9:26. doi:10.1186/s13037-015-0067-4. https://psnet.ahrq.gov/issue/current-issues-patient-safety-surgery-review Universal strateg…

7063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36917/psn-pdf
      September 01, 2011 - Analysis of deaths related to anesthesia in the period 1996-2004 from closed claims registered by the Danish Patient Insurance Association. September 1, 2011 Hove LD, Steinmetz J, Christoffersen JK, et al. Analysis of deaths related to anesthesia in the period 1996- 2004 from closed claims registered by the Danish…

7064. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47597/psn-pdf
      August 07, 2019 - Intentional rounding—an integrative literature review. August 7, 2019 Ryan L, Jackson D, Woods C, et al. Intentional rounding - An integrative literature review. J Adv Nurs. 2019;75(6):1151-1161. doi:10.1111/jan.13897. https://psnet.ahrq.gov/issue/intentional-rounding-integrative-literature-review This review exam…

7065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43882/psn-pdf
      February 18, 2015 - Case Studies in Patient Safety: Foundations for Core Competencies. February 18, 2015 Johnson JK, Haskell HW, Barach PR. Burlington, MA: Jones and Bartlett Learning; 2015. ISBN: 9781449681548. https://psnet.ahrq.gov/issue/case-studies-patient-safety-foundations-core-competencies Patient stories can help illustrate…

7066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47871/psn-pdf
      March 27, 2019 - Closing the disclosure gap: medical errors in pediatrics. March 27, 2019 Lin M, Famiglietti H. Closing the Disclosure Gap: Medical Errors in Pediatrics. Pediatrics. 2019;143(4). doi:10.1542/peds.2019-0221. https://psnet.ahrq.gov/issue/closing-disclosure-gap-medical-errors-pediatrics Disclosure of errors and advers…

7067. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/840492/psn-pdf
      November 30, 2022 - Her child was stillborn at 39 weeks. She blames a system that doesn’t always listen to mothers. November 30, 2022 Eldeib D. ProPublica. November 13, 2022. https://psnet.ahrq.gov/issue/her-child-was-stillborn-39-weeks-she-blames-system-doesnt-always-listen- mothers Pregnancy is recognized as a high-risk condition …

7068. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46945/psn-pdf
      August 29, 2018 - Patient safety initiatives in obstetrics: a rapid review. August 29, 2018 Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. https://psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review Variou…

7069. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48093/psn-pdf
      July 24, 2019 - Failure to report poor care as a breach of moral and professional expectation. July 24, 2019 Ion R, Olivier S, Darbyshire P. Failure to report poor care as a breach of moral and professional expectation. Nurs Inq. 2019;26(3):e12299. doi:10.1111/nin.12299. https://psnet.ahrq.gov/issue/failure-report-poor-care-breac…

7070. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47766/psn-pdf
      March 27, 2019 - Advancing the Safety of Acute Pain Management. March 27, 2019 Boston, MA: Institute for Healthcare Improvement; 2019. https://psnet.ahrq.gov/issue/advancing-safety-acute-pain-management Pain management has emerged as a complex safety concern. This report discusses four organizational prerequisites to improve pain …

7071. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60851/psn-pdf
      August 26, 2020 - Situativity: A Family of Social Cognitive Theories for Clinical Reasoning and Error. August 26, 2020 Durning S, Holmboe E, Graber ML, eds. Diagnosis(Berl). 2020;7(3):151-344. https://psnet.ahrq.gov/issue/situativity-family-social-cognitive-theories-clinical-reasoning-and-error Challenges to effective clinical reas…

7072. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47632/psn-pdf
      April 10, 2019 - Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. April 10, 2019 Chew KS, van Merrienboer JJG, Durning SJ. Perception of the usability and implementation of a metacognitive mnemonic to check cognitive errors in clinical setting. BMC Med Educ. …

7073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

7074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43339/psn-pdf
      April 08, 2018 - Use of a novel, modified fishbone diagram to analyze diagnostic errors. April 8, 2018 Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. https://psnet.ahrq.gov/issue/use-novel-modified-fishbo…

7075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41022/psn-pdf
      December 21, 2011 - Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communications skills. December 21, 2011 Fassett WE. Key performance outcomes of patient safety curricula: root cause analysis, failure mode and effects analysis, and structured communicatio…

7076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35598/psn-pdf
      July 10, 2008 - Residents report on adverse events and their causes. July 10, 2008 Jagsi R, Kitch BT, Weinstein DF, et al. Residents report on adverse events and their causes. Arch Intern Med. 2005;165(22):2607-13. https://psnet.ahrq.gov/issue/residents-report-adverse-events-and-their-causes This survey demonstrated that more tha…

7077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39051/psn-pdf
      November 04, 2009 - On the prospects for a blame-free medical culture. November 4, 2009 Collins ME, Block SD, Arnold RM, et al. On the prospects for a blame-free medical culture. Soc Sci Med. 2009;69(9):1287-90. doi:10.1016/j.socscimed.2009.08.033. https://psnet.ahrq.gov/issue/prospects-blame-free-medical-culture This study found tha…

7078. Step 3: Build the Stakeholder Group Structure | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1step3.html
      March 01, 2019 - State Experiences: Planning for Sustainability Georgia CHIPRA quality demonstration staff host educational

7079. The Consequences of Miscommunication Regarding a Possible Artifact | PSNet
      psnet.ahrq.gov/web-mm/consequences-miscommunication-regarding-possible-artifact
      May 11, 2019 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational

7080. Discharged with IV antibiotics: When issues arise, who manages the complications? | PSNet
      psnet.ahrq.gov/web-mm/discharged-iv-antibiotics-when-issues-arise-who-manages-complications
      October 10, 2017 - disclose relevant financial relationships with commercial interests related to the subject matter of this educational