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Total Results: 9,434 records

Showing results for "experiences".

4581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46617/psn-pdf
      February 21, 2018 - Supporting second victims. February 21, 2018 Quick Safety. January 22, 2018;(39):1-3. https://psnet.ahrq.gov/issue/supporting-second-victims Involvement in patient harm can result in serious psychological consequences for health care workers. This newsletter article describes problems second victims may experience…

4582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72655/psn-pdf
      January 20, 2021 - A night in the hospital, from both ends of the stethoscope. January 20, 2021 Ofri D. New York Times. January 5, 2021.  https://psnet.ahrq.gov/issue/night-hospital-both-ends-stethoscope Physicians have unique perspectives when exposed to health care delivery problems as patients themselves or as caregivers. T…

4583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73523/psn-pdf
      July 21, 2021 - TeamSTEPPS Video Toolkit. July 21, 2021 AHA Team Training and Project Firstline. Chicago, IL: American Hospital Association, Center for Disease Control and Prevention; July 2021. https://psnet.ahrq.gov/issue/teamstepps-video-toolkit Problems in communication are common contributors to patient care mistakes. This t…

4584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42132/psn-pdf
      July 03, 2014 - Surgeon-reported conflict with intensivists about postoperative goals of care. July 3, 2014 Olson TJP, Brasel KJ, Redmann AJ, et al. Surgeon-reported conflict with intensivists about postoperative goals of care. JAMA Surg. 2013;148(1):29-35. doi:10.1001/jamasurgery.2013.403. https://psnet.ahrq.gov/issue/surgeon-re…

4585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39747/psn-pdf
      August 11, 2010 - Wrong-site sinus surgery in otolaryngology. August 11, 2010 Shah RK, Nussenbaum B, Kienstra M, et al. Wrong-site sinus surgery in otolaryngology. Otolaryngol Head Neck Surg. 2010;143(1):37-41. doi:10.1016/j.otohns.2010.04.003. https://psnet.ahrq.gov/issue/wrong-site-sinus-surgery-otolaryngology This survey of otol…

4586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39728/psn-pdf
      January 03, 2017 - Diffusing aviation innovations in a hospital in the Netherlands. January 3, 2017 de Korne DF, van Wijngaarden JDH, Hiddema F, et al. Diffusing aviation innovations in a hospital in The Netherlands. Jt Comm J Qual Patient Saf. 2010;36(8):339-47. https://psnet.ahrq.gov/issue/diffusing-aviation-innovations-hospital-n…

4587. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39807/psn-pdf
      December 29, 2014 - Perspectives in quality: designing the WHO Surgical Safety Checklist. December 29, 2014 Weiser TG, Haynes AB, Lashoher A, et al. Perspectives in quality: designing the WHO Surgical Safety Checklist. Int J Qual Health Care. 2010;22(5):365-70. doi:10.1093/intqhc/mzq039. https://psnet.ahrq.gov/issue/perspectives-qual…

4588. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42025/psn-pdf
      February 06, 2013 - Medical malpractice: why is it so hard for doctors to apologize? February 6, 2013 Sanghavi D. https://psnet.ahrq.gov/issue/medical-malpractice-why-it-so-hard-doctors-apologize Discussing barriers to physician error disclosure, this article details how an apology-and-offer approach and analyzing claims data can im…

4589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43202/psn-pdf
      September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The…

4590. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41360/psn-pdf
      September 30, 2012 - The simulated ward: ideal for training clinical clerks in an era of patient safety. September 30, 2012 Mollo EA, Reinke CE, Nelson C, et al. The simulated ward: ideal for training clinical clerks in an era of patient safety. J Surg Res. 2012;177(1):e1-6. doi:10.1016/j.jss.2012.03.050. https://psnet.ahrq.gov/issue/…

4591. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42282/psn-pdf
      October 08, 2013 - Flow disruptions in trauma care handoffs. October 8, 2013 Catchpole K, Gangi A, Blocker RC, et al. Flow disruptions in trauma care handoffs. J Surg Res. 2013;184(1):586-91. doi:10.1016/j.jss.2013.02.038. https://psnet.ahrq.gov/issue/flow-disruptions-trauma-care-handoffs Higher acuity trauma patients were more like…

4592. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60834/psn-pdf
      September 01, 2020 - How the pandemic defeated America. August 19, 2020 Yong E. The Atlantic. September 2020 https://psnet.ahrq.gov/issue/how-pandemic-defeated-america This article takes a holistic view of the multiple preventable failures of the U.S. in managing the COVID-19 pandemic, raising several patient safety issues from the me…

4593. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46553/psn-pdf
      October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…

4594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39642/psn-pdf
      December 21, 2014 - Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. December 21, 2014 Businger A, Guller U, Oertli D. Effect of the 50-hour workweek limitation on training of surgical residents in Switzerland. Arch Surg. 2010;145(6):558-63. doi:10.1001/archsurg.2010.88. https://psnet.ahrq.g…

4595. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46251/psn-pdf
      October 31, 2017 - A piece of my mind. Speak up. October 31, 2017 Merrill DG. Speak Up. JAMA. 2017;317(23). doi:10.1001/jama.2017.2022. https://psnet.ahrq.gov/issue/piece-my-mind-speak Team support and respect are key elements of a culture of safety. This commentary highlights how clinicians can experience disrespectful encounters w…

4596. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43520/psn-pdf
      July 16, 2015 - Relationship of adverse events and support to RN burnout. July 16, 2015 Lewis EJ, Baernholdt MB, Yan G, et al. Relationship of adverse events and support to RN burnout. J Nurs Care Qual. 2015;30(2):144-52. doi:10.1097/NCQ.0000000000000084. https://psnet.ahrq.gov/issue/relationship-adverse-events-and-support-rn-bur…

4597. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36863/psn-pdf
      August 29, 2011 - Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. August 29, 2011 Scholefield H. Embedding quality improvement and patient safety at Liverpool Women's NHS Foundation Trust. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):593-607. https://psnet.ahrq.gov/issue/embedding-qual…

4598. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36459/psn-pdf
      January 07, 2011 - Assessment of adverse drug events among patients in a tertiary care medical center. January 7, 2011 Johnston PE, France DJ, Byrne DW, et al. Assessment of adverse drug events among patients in a tertiary care medical center. Am J Health Syst Pharm. 2006;63(22):2218-27. https://psnet.ahrq.gov/issue/assessment-adver…

4599. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36613/psn-pdf
      January 14, 2011 - Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. January 14, 2011 Campbell D, Thompson M. Patient safety rounds: description of an inexpensive but important strategy to improve the safety culture. Am J Med Qual. 2007;22(1):26-33. https://psnet.ahrq.gov/issu…

4600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43619/psn-pdf
      October 22, 2014 - The SAGES FUSE program: bridging a patient safety gap. October 22, 2014 Fuchshuber PR, Robinson TN, Feldman LS, et al. The SAGES FUSE program: bridging a patient safety gap. Bull Am Coll Surg. 2014;99(9):18-27. https://psnet.ahrq.gov/issue/sages-fuse-program-bridging-patient-safety-gap Surgical fires, though rare,…