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Total Results: 9,445 records

Showing results for "experiences".

4161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33875/psn-pdf
      March 01, 2019 - Susan Haas: It was from several experiences that I had.

4162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42035/psn-pdf
      February 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor …

4163. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36010/psn-pdf
      January 02, 2017 - Operating room briefings: working on the same page. January 2, 2017 Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. https://psnet.ahrq.gov/issue/operating-room-briefings-working-same-page The authors describe a tool fo…

4164. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37012/psn-pdf
      February 17, 2011 - Needlestick injuries among surgeons in training. February 17, 2011 Makary MA, Al-Attar A, Holzmueller CG, et al. Needlestick injuries among surgeons in training. N Engl J Med. 2007;356(26):2693-9. https://psnet.ahrq.gov/issue/needlestick-injuries-among-surgeons-training This survey revealed that nearly all surgica…

4165. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36354/psn-pdf
      February 16, 2011 - The human face of simulation: patient-focused simulation training. February 16, 2011 Kneebone R, Nestel D, Wetzel C, et al. The human face of simulation: patient-focused simulation training. Acad Med. 2006;81(10):919-24. https://psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training The au…

4166. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38719/psn-pdf
      June 17, 2009 - Implementation of a rapid response team: a success story. June 17, 2009 Scott SS, Elliott S. Implementation of a rapid response team: a success story. Crit Care Nurse. 2009;29(3):66-75; quiz 76. doi:10.4037/ccn2009802. https://psnet.ahrq.gov/issue/implementation-rapid-response-team-success-story This article desc…

4167. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36510/psn-pdf
      June 13, 2011 - Using clinical decision support to improve medication reconciliation. June 13, 2011 Moore G. Patient Saf Qual Healthc. November / December 2006. https://psnet.ahrq.gov/issue/using-clinical-decision-support-improve-medication-reconciliation The author provides strategies to enhance the value of medication reconcili…

4168. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41121/psn-pdf
      February 08, 2012 - Patient safety answers require outreach, in-reach, and partnerships. February 8, 2012 Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. https://psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partne…

4169. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35532/psn-pdf
      March 02, 2010 - Quantification of surgical resident stress "on call". March 2, 2010 Tendulkar AP, Victorino GP, Chong TJ, et al. Quantification of surgical resident stress "on call". J Am Coll Surg. 2005;201(4):560-4. https://psnet.ahrq.gov/issue/quantification-surgical-resident-stress-call The investigators monitored the heart r…

4170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35624/psn-pdf
      August 05, 2009 - Residents' responses to medical error: coping, learning, and change. August 5, 2009 Engel KG, Rosenthal M, Sutcliffe K. Residents' responses to medical error: coping, learning, and change. Acad Med. 2006;81(1):86-93. https://psnet.ahrq.gov/issue/residents-responses-medical-error-coping-learning-and-change The aut…

4171. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36531/psn-pdf
      March 28, 2011 - Developing a national patient safety education framework for Australia. March 28, 2011 Walton MM, Shaw T, Barnet S, et al. Developing a national patient safety education framework for Australia. Qual Saf Health Care. 2006;15(6):437-42. https://psnet.ahrq.gov/issue/developing-national-patient-safety-education-frame…

4172. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37141/psn-pdf
      October 04, 2011 - Fallacious reasoning and complexity as root causes of clinical inertia. October 4, 2011 Miles RW. Fallacious reasoning and complexity as root causes of clinical inertia. J Am Med Dir Assoc. 2007;8(6):349-54. https://psnet.ahrq.gov/issue/fallacious-reasoning-and-complexity-root-causes-clinical-inertia The author d…

4173. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - financial ramifications, but malpractice claims events do not necessarily provide useful learning experiences … They will strive to better understand and improve work processes, patient care experiences, and organizational

4174. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33720/psn-pdf
      November 01, 2011 - Simulation accelerates expertise by providing experiences through scenarios that help to connect and … These types of experiences create self-regulation. Always thinking about what you're thinking.

4175. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. November 30, 2007 Wojcieszak D. https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions The author, who lost his brother to medical error, reflects on his family's frustrating experience …

4176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39005/psn-pdf
      January 03, 2017 - One system's journey in creating a disclosure and apology program. January 3, 2017 Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. https://psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-…

4177. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37987/psn-pdf
      May 26, 2011 - Requirements for the design and implementation of checklists for surgical processes. May 26, 2011 Verdaasdonk EGG, Stassen LPS, Widhiasmara PP, et al. Requirements for the design and implementation of checklists for surgical processes. Surg Endosc. 2009;23(4):715-26. doi:10.1007/s00464-008-0044-4. https://psnet.ah…

4178. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33950/psn-pdf
      February 05, 2018 - Quick Tips--When Planning for Surgery. February 5, 2018 Rockville, MD: Agency for Health Care Policy and Research; 2005. AHRQ Pub. No. 01-0040d. https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery-0 This AHRQ brochure provides practical advice for patients facing non-emergent surgery, to help them be gen…

4179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39219/psn-pdf
      January 13, 2010 - No simple fix for fixation errors: cognitive processes and their clinical applications. January 13, 2010 Fioratou E, Flin R, Glavin R. No simple fix for fixation errors: cognitive processes and their clinical applications. Anaesthesia. 2009;65(1). doi:10.1111/j.1365-2044.2009.05994.x. https://psnet.ahrq.gov/issue/…

4180. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39722/psn-pdf
      July 28, 2010 - Through and beyond anaesthesia awareness. July 28, 2010 Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. https://psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness This commentary reveals one patient’s experience with anesthesia awareness and desc…