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Total Results: 9,434 records

Showing results for "experiences".

4521. 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…

4522. 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/…

4523. 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-…

4524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36826/psn-pdf
      December 31, 2014 - Staying safe: simple tools for safe surgery. December 31, 2014 Karl RC. Staying safe: simple tools for safe surgery. Bull Am Coll Surg. 2007;92(4):16-22. https://psnet.ahrq.gov/issue/staying-safe-simple-tools-safe-surgery The author uses examples from his experience as a pilot to discuss aviation safety strategies,…

4525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42983/psn-pdf
      June 27, 2018 - Medication reconciliation: getting started with IT. June 27, 2018 Lefeber J https://psnet.ahrq.gov/issue/medication-reconciliation-getting-started-it This article reveals the experience of a critical access hospital that used medication reconciliation to expand electronic health record adoption efforts. The author…

4526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42295/psn-pdf
      May 29, 2013 - Medication reconciliation meets its MATCH. May 29, 2013 Agency for Healthcare Research and Quality. Research Activities. May 2013:1, 3-4. https://psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match This newsletter article describes the development of the Medications at Transitions and Clinical Handoffs …

4527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38864/psn-pdf
      July 08, 2013 - Addressing the quality and safety gap—parts I-III. July 8, 2013 Princeton, NJ: Robert Wood Johnson Foundation; November 2010. https://psnet.ahrq.gov/issue/addressing-quality-and-safety-gap-parts-i-iii Part I of this three-part series examines the quality improvement experience of four health care organizations and…

4528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37070/psn-pdf
      April 21, 2011 - Excessive work hours of physicians in training in El Salvador: putting patients at risk. April 21, 2011 Taylor KRF. Excessive work hours of physicians in training in El Salvador: putting patients at risk. PLoS Med. 2007;4(7):e205. https://psnet.ahrq.gov/issue/excessive-work-hours-physicians-training-el-salvador-pu…

4529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60754/psn-pdf
      August 05, 2020 - COVID blindness. August 5, 2020 Brown L. COVID blindness. Diagnosis (Berl). 2020;7(2):83-84. doi:10.1515/dx-2020-0042. https://psnet.ahrq.gov/issue/covid-blindness This editorial describes one clinician’s experience treating a patient during the early stages of the COVID- 19 pandemic, and the impacts of “COVID bli…

4530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35062/psn-pdf
      June 22, 2009 - Blurring the boundaries: scenario-based simulation in a clinical setting.   June 22, 2009 Kneebone RL, Kidd J, Nestel D, et al. Blurring the boundaries: scenario-based simulation in a clinical setting. Med Educ. 2005;39(6). doi:10.1111/j.1365-2929.2005.02110.x. https://psnet.ahrq.gov/issue/blurring-boundaries-scen…

4531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42186/psn-pdf
      April 24, 2013 - High reliability: truly achieving healthcare quality and safety. April 24, 2013 Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. https://psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety This commentary discusses how high reliability …

4532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46769/psn-pdf
      November 07, 2018 - The Kentucky Institute for Patient Safety and Quality. November 7, 2018 Kentucky Institute for Patient Safety and Quality; KIPSQ. https://psnet.ahrq.gov/issue/kentucky-institute-patient-safety-and-quality The Kentucky Institute for Patient Safety and Quality offers the support of a patient safety organization and …

4533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38348/psn-pdf
      December 30, 2014 - Implementing a bar-code medication administration system. December 30, 2014 Weber RJ. Implementing a Bar-Code Medication Administration System. Hosp Pharm. 2010;43(12):1016- 1022. doi:10.1310/hpj4312-1016. https://psnet.ahrq.gov/issue/implementing-bar-code-medication-administration-system This commentary discusse…

4534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39725/psn-pdf
      August 11, 2010 - The Invisible Gorilla: and Other Ways Our Intuitions Deceive Us. August 11, 2010 Chabris C, Simons D. New York, NY: Crown Publishing Group; 2010. ISBN: 0307459659. https://psnet.ahrq.gov/issue/invisible-gorilla-and-other-ways-our-intuitions-deceive-us This book explores inattentional blindness, as demonstrated in …

4535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34716/psn-pdf
      February 18, 2011 - Facing our mistakes. February 18, 2011 Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. https://psnet.ahrq.gov/issue/facing-our-mistakes In this piece, Dr. Hilfiker shares his personal experience with medical error. He describes the emotional toll of these mistakes and the difficulty processing t…

4536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35214/psn-pdf
      June 24, 2009 - Using clinical simulation to teach patient safety in an acute/critical care nursing course. June 24, 2009 Henneman EA, Cunningham H. Using clinical simulation to teach patient safety in an acute/critical care nursing course. Nurse Educ. 2005;30(4):172-177. https://psnet.ahrq.gov/issue/using-clinical-simulation-tea…

4537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37213/psn-pdf
      October 13, 2011 - Human patient simulation: teaching students to provide safe care. October 13, 2011 Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide safe care. Nurse Educ. 2007;32(5):212-7. https://psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care T…

4538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49418/psn-pdf
      October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…

4539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33587/psn-pdf
      June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

4540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34985/psn-pdf
      July 14, 2010 - The role of automation in complex system failures. July 14, 2010 Perry SJ, Wears RL, Cook RI. The role of automation in complex system failures. J Patient Saf. 2005;1(1):56-61. https://journals.lww.com/journalpatientsafety/Fulltext/2005/03000/The_Role_of_Automation_in_Complex_System_Failures.10.aspx. https://psnet…