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Showing results for "examining".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844777/psn-pdf
    September 18, 2019 - Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. September 18, 2019 Russ AL, Militello LG, Glassman PA, et al. Adapting Cognitive Task Analysis to Investigate Clinical Decision Making and Medication Safety Incidents. J Patient Saf. 2019;15(3):191-197. doi:10…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60198/psn-pdf
    April 08, 2020 - Hierarchy and medical error: speaking up when witnessing an error. April 8, 2020 Peadon R (R), Hurley J, Hutchinson M. Hierarchy and medical error: speaking up when witnessing an error. Safety Sci. 2020;125:104648. doi:10.1016/j.ssci.2020.104648. https://psnet.ahrq.gov/issue/hierarchy-and-medical-error-speaking-wh…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33923/psn-pdf
    June 12, 2018 - The collapse of sensemaking in organizations: the Mann Gulch disaster. June 12, 2018 Weick KE. The Collapse of Sensemaking in Organizations: The Mann Gulch Disaster. Admin Sci Q. 2006;38(4):628-652. doi:10.2307/2393339. https://psnet.ahrq.gov/issue/collapse-sensemaking-organizations-mann-gulch-disaster This artic…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47761/psn-pdf
    May 22, 2019 - Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study. May 22, 2019 Heneka N, Bhattarai P, Shaw T, et al. Clinicians' perceptions of opioid error-contributing factors in inpatient palliative care services: A qualitative study. Palliat Med. 2019;33(4…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34639/psn-pdf
    March 02, 2011 - Preventable deaths: who, how often, and why? March 2, 2011 Dubois RW, Brook RH. Preventable deaths: who, how often, and why? Ann Intern Med. 1988;109(7):582-9. https://psnet.ahrq.gov/issue/preventable-deaths-who-how-often-and-why One of the first studies to examine the link between quality of care and hospital deat…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74091/psn-pdf
    November 17, 2021 - Patients went into the hospital for care. After testing positive there for Covid, some never came out. November 17, 2021 Jewett C. Kaiser Health News. November 4, 2021. https://psnet.ahrq.gov/issue/patients-went-hospital-care-after-testing-positive-there-covid-some-never- came-out Nosocomial infection is a primar…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45650/psn-pdf
    December 14, 2016 - Are physicians safely prescribing opioids for chronic noncancer pain? A systematic review of current evidence. December 14, 2016 Tournebize J, Gibaja V, Muszczak A, et al. Are Physicians Safely Prescribing Opioids for Chronic Noncancer Pain? A Systematic Review of Current Evidence. Pain Pract. 2016;16(3):370-83. d…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863746/psn-pdf
    March 06, 2024 - What's going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. March 6, 2024 Liu SK, Bourgeois FC, Dong J, et al. What’s going well: a qualitative analysis of positive patient and family feedback in the context of the diagnostic process. Diagnosis (Berl)…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848378/psn-pdf
    May 04, 2023 - Ensuring competency and safety when onboarding newly hired professional staff. May 3, 2023 ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;23(9):1-3. https://psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional- staff Psychological sa…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38091/psn-pdf
    February 18, 2011 - Questionable hospital chart documentation practices by physicians. February 18, 2011 Sharma R, Kostis WJ, Wilson AC, et al. Questionable hospital chart documentation practices by physicians. J Gen Intern Med. 2008;23(11):1865-70. doi:10.1007/s11606-008-0750-6. https://psnet.ahrq.gov/issue/questionable-hospital-cha…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/844988/psn-pdf
    February 22, 2023 - Assessment of patient retention of inpatient care information post-hospitalization. February 22, 2023 Townshend R, Grondin C, Gupta A, et al. Assessment of patient retention of inpatient care information post-hospitalization. Jt Comm J Qual Patient Saf. 2023;49(2):70-78. doi:10.1016/j.jcjq.2022.11.002. https://psn…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837313/psn-pdf
    June 01, 2022 - Are you well positioned to resolve conflicts with the safety of an order? Learning from a physician’s homicide trial and the firing of multiple healthcare workers. June 1, 2022 ISMP Medication Safety Alert! Acute care edition. May 19, 2022;27(10):1-5. https://psnet.ahrq.gov/issue/are-you-well-positioned-resolve-co…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50448/psn-pdf
    October 09, 2019 - Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. October 9, 2019 Fernholm R, Pukk Härenstam K, Wachtler C, et al. Diagnostic errors reported in primary healthcare and emergency departments…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47833/psn-pdf
    March 20, 2019 - Americans' growing exposure to clinician quality information: insights and implications. March 20, 2019 Schlesinger MJ, Rybowski L, Shaller D, et al. Americans' Growing Exposure To Clinician Quality Information: Insights And Implications. Health Aff (Millwood). 2019;38(3):374-382. doi:10.1377/hlthaff.2018.05006. …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836836/psn-pdf
    March 30, 2022 - Deficiencies after the New Electronic Health Record Go- Live at the Mann-Grandstaff VA Medical Center in Spokane, WA. March 30, 2022 Washington, DC: VA Office of Inspector General; March 17, 2022. https://psnet.ahrq.gov/issue/deficiencies-after-new-electronic-health-record-go-live-mann-grandstaff-va- medical-cent…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34645/psn-pdf
    December 23, 2008 - How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. December 23, 2008 Witman AB, Park DM, Hardin SB. How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting. Arch Intern Med. 1996;156(22):2565-9…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42916/psn-pdf
    February 05, 2014 - Are autopsy findings still relevant to the management of critically ill patients in the modern era? February 5, 2014 Fröhlich S, Ryan O, Murphy N, et al. Are autopsy findings still relevant to the management of critically ill patients in the modern era? Crit Care Med. 2014;42(2):336-43. doi:10.1097/CCM.0b013e3182a2…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45653/psn-pdf
    January 25, 2017 - Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. January 25, 2017 Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. https://psnet.ahrq.gov/issue/opio…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50589/psn-pdf
    October 30, 2019 - Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain. October 30, 2019 Dubosh NM, Edlow JA, Goto T, et al. Missed Serious Neurologic Conditions in Emergency Department Patients Discharged With Nonspecific Diagnoses of Headache or Back …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/860732/psn-pdf
    April 16, 2024 - Retained Swabs Following Invasive Procedures: Themes Identified from a Review of NHS Serious Incident Reports. April 16, 2024 Dorset, UK: Health Services Safety Investigations Body; April 2024. https://psnet.ahrq.gov/issue/retained-swabs-following-invasive-procedures-themes-identified-review-nhs- serious-incident …
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