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Showing results for "examining".

  1. National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. | PSNet

    psnet.ahrq.gov/issue/national-incidence-medication-error-surgical-patients-and-after-accreditation-council
    September 23, 2020 - Study National incidence of medication error in surgical patients before and after Accreditation Council for Graduate Medical Education duty-hour reform. Citation Text: Vadera S, Griffith SD, Rosenbaum BP, et al. National Incidence of Medication Error in Surgical Patients Before and Afte…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73201/psn-pdf
    March 04, 2024 - Diagnostic Safety Supplemental Item Set for Medical Office SOPS. March 4, 2024 Agency for Healthcare Research and Quality.  https://psnet.ahrq.gov/issue/diagnostic-safety-supplemental-item-set-medical-office-sops Safe diagnosis in medical offices is challenged by staff workload, communication, and poor inform…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854632/psn-pdf
    October 18, 2023 - Radiologist age and diagnostic errors. October 18, 2023 Lamoureux C, Hanna TN, Callaway E, et al. Radiologist age and diagnostic errors. Emerg Radiol. 2023;30(5):577-587. doi:10.1007/s10140-023-02158-1. https://psnet.ahrq.gov/issue/radiologist-age-and-diagnostic-errors Clinician skills can decrease with age. This …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845655/psn-pdf
    March 08, 2023 - Crisis in the Lakeshore Hospital ER. March 8, 2023 Derfel A. Montreal Gazette. February 24- March 1, 2023 https://psnet.ahrq.gov/issue/crisis-lakeshore-hospital-er Emergency room failures are often rooted in system weaknesses. This series examines six patient deaths associated with emergency care that, w…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - The incidence of diagnostic error in medicine. September 18, 2013 Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. https://psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine This review examines eight research methods used to es…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44467/psn-pdf
    February 20, 2016 - The underappreciated role of habit in highly reliable healthcare. February 20, 2016 Vogus TJ, Hilligoss B. The underappreciated role of habit in highly reliable healthcare. BMJ Qual Saf. 2016;25(3):141-6. doi:10.1136/bmjqs-2015-004512. https://psnet.ahrq.gov/issue/underappreciated-role-habit-highly-reliable-health…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867531/psn-pdf
    January 15, 2025 - Psychological Safety in Healthcare Settings. January 15, 2025 Psychological Safety in Healthcare Settings. Int J Public Health. 2024;69. https://psnet.ahrq.gov/issue/psychological-safety-healthcare-settings The importance of creating healthcare environments that enable concerns to be voiced and support individuals…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42687/psn-pdf
    September 29, 2017 - Safety checklist compliance and a false sense of safety: new directions for research. September 29, 2017 Rydenfält C, Ek Å, Larsson PA. Safety checklist compliance and a false sense of safety: new directions for research. BMJ Qual Saf. 2014;23(3):183-6. doi:10.1136/bmjqs-2013-002168. https://psnet.ahrq.gov/issue/s…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50877/psn-pdf
    February 05, 2020 - Artificial intelligence makes bad medicine even worse. February 5, 2020 Aschwanden C. Wired Magazine. January 10, 2020. https://psnet.ahrq.gov/issue/artificial-intelligence-makes-bad-medicine-even-worse The unintended consequences of artificial intelligence (AI) in healthcare continue to generate clinician concern…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45411/psn-pdf
    August 31, 2016 - Burnout in the nursing home health care aide: a systematic review. August 31, 2016 Cooper SL, Carleton HL, Chamberlain SA, et al. Burnout in the nursing home health care aide: A systematic review. Burn Res. 2016;3(3):76-87. doi:10.1016/j.burn.2016.06.003. https://psnet.ahrq.gov/issue/burnout-nursing-home-health-ca…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45254/psn-pdf
    February 01, 2012 - Sleep, sleepiness, fatigue, and performance of 12- hour–shift nurses. February 1, 2012 Geiger-Brown J, Rogers VE, Trinkoff AM, et al. Sleep, Sleepiness, Fatigue, and Performance of 12-Hour- Shift Nurses. Chronobiol Int. 2012;29(2). doi:10.3109/07420528.2011.645752. https://psnet.ahrq.gov/issue/sleep-sleepiness-fat…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73926/psn-pdf
    October 06, 2021 - Good for You, Good for Us, Good for Everybody. October 6, 2021 Ridge K. London, England: Crown Copyright; 2021. September 22, 2021. https://psnet.ahrq.gov/issue/good-you-good-us-good-everybody Overprescribing has attained prominence as a safety issue due to the current opioid epidemic, but it has long reduced medi…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34912/psn-pdf
    February 03, 2010 - Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. February 3, 2010 Rosenstein AH, O'Daniel M. Disruptive behavior and clinical outcomes: perceptions of nurses and physicians. Am J Nurs. 2005;105(1):54-64; quiz 64-5. https://psnet.ahrq.gov/issue/disruptive-behavior-and-clinical-outcom…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/845654/psn-pdf
    March 08, 2023 - NHS staff cried in safety interviews, says watchdog. March 8, 2023 Reed J. BBC. February 27, 2023. https://psnet.ahrq.gov/issue/nhs-staff-cried-safety-interviews-says-watchdog Stressful and caustic work environments are known to compromise health care safety and teamwork. This news story discusses an ongoing inves…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39595/psn-pdf
    June 15, 2011 - Application of human error theory in case analysis of wrong procedures. June 15, 2011 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. https://psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wron…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40407/psn-pdf
    October 04, 2011 - Insights into the climate of safety towards the prevention of falls among hospital staff. October 4, 2011 Black AA, Brauer SG, Bell RAR, et al. Insights into the climate of safety towards the prevention of falls among hospital staff. J Clin Nurs. 2011;20(19-20):2924-30. doi:10.1111/j.1365-2702.2010.03535.x. https:…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50623/psn-pdf
    November 06, 2019 - Adverse Events in Anesthesia: An Integrative Review. November 6, 2019 Lemos C de S, Poveda V de B. Adverse Events in Anesthesia: An Integrative Review. J Perianesth Nurs. 2019;34(5):978-998. doi:10.1016/j.jopan.2019.02.005. https://psnet.ahrq.gov/issue/adverse-events-anesthesia-integrative-review This integrative …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46558/psn-pdf
    November 01, 2017 - Using fault trees to advance understanding of diagnostic errors. November 1, 2017 Rogith D, Iyengar S, Singh H. Using Fault Trees to Advance Understanding of Diagnostic Errors. Jt Comm J Qual Patient Saf. 2017;43(11):598-605. doi:10.1016/j.jcjq.2017.06.007. https://psnet.ahrq.gov/issue/using-fault-trees-advance-un…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48148/psn-pdf
    August 14, 2019 - Global Patient Safety: Law, Policy and Practice. August 14, 2019 Tingle J, O'Neill C, Shimwell M. New York, NY: Routledge; 2019. ISBN: 9781138052789. https://psnet.ahrq.gov/issue/global-patient-safety-law-policy-and-practice Improving patient safety is a global goal. This book covers error reduction methods used in…

  20. Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. | PSNet

    psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
    September 09, 2015 - March 18, 2020 Examining causes and prevention strategies of adverse events in deceased
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