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Total Results: 9,434 records

Showing results for "experiences".

4561. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34128/psn-pdf
      December 23, 2016 - Patient controlled analgesia by proxy. December 23, 2016 Patient controlled analgesia by proxy. Sentinel Event Alert. 2004;33(33):1-2. https://psnet.ahrq.gov/issue/patient-controlled-analgesia-proxy Patient-controlled analgesia (PCA) is a recognized method of controlling pain when administered by credentialed prac…

4562. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837813/psn-pdf
      January 21, 2021 - Recognizing Excellence in Diagnosis. January 21, 2021 The Leapfrog Group. https://psnet.ahrq.gov/issue/recognizing-excellence-diagnosis Examination of diagnostic failure and identification of reduction strategies require multidisciplinary expertise to be successful. This collaborative initiative will initially dev…

4563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40311/psn-pdf
      March 23, 2011 - The association of shift-level nurse staffing with adverse patient events. March 23, 2011 Patrician PA, Loan L, McCarthy MC, et al. The association of shift-level nurse staffing with adverse patient events. J Nurs Adm. 2011;41(2):64-70. doi:10.1097/NNA.0b013e31820594bf. https://psnet.ahrq.gov/issue/association-shi…

4564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38171/psn-pdf
      June 29, 2009 - An educational and audit tool to reduce prescribing error in intensive care. June 29, 2009 Thomas AN, Boxall EM, Laha SK, et al. An educational and audit tool to reduce prescribing error in intensive care. Qual Saf Health Care. 2008;17(5):360-3. doi:10.1136/qshc.2007.023242. https://psnet.ahrq.gov/issue/educationa…

4565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39078/psn-pdf
      May 21, 2014 - Assessing Patient Safety Practices and Outcomes in the U.S. Health Care System. May 21, 2014 Farley DO, Ridgely MS, Mendel P, et al. Santa Monica, CA: RAND Corporation; 2009. ISBN: 9780833047748. https://psnet.ahrq.gov/issue/assessing-patient-safety-practices-and-outcomes-us-health-care-system This publication re…

4566. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46708/psn-pdf
      February 08, 2023 - FDA/ISMP Safe Medication Management Fellowship Program. February 8, 2023 Food and Drug Administration, Institute for Safe Medication Practices. https://psnet.ahrq.gov/issue/fdaismp-safe-medication-management-fellowship-program This fellowship program provides clinicians with learning opportunities at the Institute…

4567. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40951/psn-pdf
      December 21, 2014 - Quality and safety in medical care: what does the future hold? December 21, 2014 Liang BA, Mackey T. Quality and safety in medical care: what does the future hold? Arch Pathol Lab Med. 2011;135(11):1425-31. doi:10.5858/arpa.2011-0154-OA. https://psnet.ahrq.gov/issue/quality-and-safety-medical-care-what-does-future…

4568. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846766/psn-pdf
      March 29, 2023 - The prisoner. March 29, 2023 Kent S. NJ.com. March 12, 2023. https://psnet.ahrq.gov/issue/prisoner Heuristics, uncertainty, and bias are contributors to diagnostic error, overuse, and treatment delay. This story describes the care experience of an adolescent patient whose rare immune system condition was initiall…

4569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34601/psn-pdf
      January 26, 2009 - Strategies and tips for maximizing failure mode and effect analysis in your organization. January 26, 2009 Chicago, IL: American Society of Healthcare Risk Management; 2002. https://psnet.ahrq.gov/issue/strategies-and-tips-maximizing-failure-mode-and-effect-analysis-your- organization The implementation and appli…

4570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35291/psn-pdf
      April 21, 2010 - Use of complex adaptive systems metaphor to achieve professional and organizational change. April 21, 2010 Rowe A, Hogarth A. Use of complex adaptive systems metaphor to achieve professional and organizational change. J Adv Nurs. 2005;51(4). doi:10.1111/j.1365-2648.2005.03510.x. https://psnet.ahrq.gov/issue/use-co…

4571. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42216/psn-pdf
      June 28, 2013 - Simulation for ward processes of surgical care. June 28, 2013 Pucher PH, Darzi A, Aggarwal R. Simulation for ward processes of surgical care. Am J Surg. 2013;206(1):96-102. doi:10.1016/j.amjsurg.2012.08.013. https://psnet.ahrq.gov/issue/simulation-ward-processes-surgical-care This commentary describes one hospital…

4572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39384/psn-pdf
      March 24, 2010 - Keeping safety a priority in home care and hospice: one agency's journey. March 24, 2010 Mullin LV. Keeping safety a priority in home care and hospice: one agency's journey. Home Healthc Nurse. 2010;28(2):63-70. doi:10.1097/NHH.0b013e3181cb5939. https://psnet.ahrq.gov/issue/keeping-safety-priority-home-care-and-ho…

4573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39781/psn-pdf
      November 23, 2016 - Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals. November 23, 2016 Oakbrook Terrace, IL: The Joint Commission; 2010. https://psnet.ahrq.gov/issue/advancing-effective-communication-cultural-competence-and-patient-and- family-centered-care This…

4574. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35047/psn-pdf
      November 04, 2015 - Managing patients with identical names in the same ward. November 4, 2015 Lee ACW, Leung M, So KT. Managing patients with identical names in the same ward. Int J Health Care Qual Assur Inc Leadersh Health Serv. 2005;18(1):15-23. https://psnet.ahrq.gov/issue/managing-patients-identical-names-same-ward This case rep…

4575. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866322/psn-pdf
      July 17, 2024 - UCSF Coordinating Center for Diagnostic Excellence (CoDEx). July 17, 2024 University of California, San Francisco. https://psnet.ahrq.gov/issue/ucsf-coordinating-center-diagnostic-excellence-codex Diagnostic excellence is an emergent field of study that aligns with diagnostic error reduction efforts. This center …

4576. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37824/psn-pdf
      June 11, 2008 - Residents' perspective on the impact of the 80-hour workweek policy. June 11, 2008 Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy. Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584. https://psnet.ahrq.gov/issue/residents-perspective-impact-80-…

4577. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44720/psn-pdf
      December 16, 2015 - The persistent problem of diagnostic error. December 16, 2015 Lundberg GD. Medscape. December 1, 2015. https://psnet.ahrq.gov/issue/persistent-problem-diagnostic-error Spotlighting the author's experience with autopsies to provide context regarding diagnostic errors as a patient safety problem, this commentary out…

4578. Liver Biopsy: Proceed With Caution | PSNet
      psnet.ahrq.gov/web-mm/liver-biopsy-proceed-caution
      March 07, 2012 - Liver Biopsy: Proceed With Caution Citation Text: Rockey DC. Liver Biopsy: Proceed With Caution. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2014. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 …

4579. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33814/psn-pdf
      September 01, 2016 - In Conversation With… Reed V. Tuckson, MD September 1, 2016 In Conversation With… Reed V. Tuckson, MD. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md Editor's note: Dr. Tuckson is Managing Director of Tuckson Health Connections, LLC, and President of the American Telemed…

4580. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36545/psn-pdf
      January 10, 2011 - Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists. January 10, 2011 Halasyamani L, Kripalani S, Coleman E, et al. Transition of care for hospitalized elderly patients—Development of a discharge checklist for hospitalists. J Hosp Med. 2006;1(6). doi:10.1002/…