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Showing results for "experiences".

4641. Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. | PSNet
      psnet.ahrq.gov/issue/incidence-preventability-and-consequences-adverse-events-older-people-results-retrospective
      March 03, 2011 - Study Incidence, preventability and consequences of adverse events in older people: results of a retrospective case-note review. Citation Text: Sari ABA, Cracknell A, Sheldon T. Incidence, preventability and consequences of adverse events in older people: results of a retrospective cas…

4642. In Conversation With... Heidi Wald, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-heidi-wald-md
      November 26, 2019 - patient who is hospitalized for something, and is already quite debilitated, falls in the hospital and experiences … multi-phase approach to the care of these patients may help providers minimize the risk that the patient experiences

4643. Patient Safety in Frail Older Patients | PSNet
      psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
      November 26, 2019 - multi-phase approach to the care of these patients may help providers minimize the risk that the patient experiences … patient who is hospitalized for something, and is already quite debilitated, falls in the hospital and experiences

4644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867603/psn-pdf
      March 15, 2025 - Request for Information Regarding the Impact of Ageism in Healthcare. January 22, 2025 Request for Information Regarding the Impact of Ageism in Healthcare. Agency for Healthcare Quality and Research. Fed Register. December 27, 2024. 89:105605-105606. https://psnet.ahrq.gov/issue/request-information-regarding-impa…

4645. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37515/psn-pdf
      February 06, 2008 - Probabilistic risk assessment of accidental ABO- incompatible thoracic organ transplantation before and after 2003. February 6, 2008 Cook RI, Wreathall J, Smith A, et al. Probabilistic risk assessment of accidental ABO-incompatible thoracic organ transplantation before and after 2003. Transplantation. 2007;84(12):…

4646. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41440/psn-pdf
      August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How To Improve Hospital Quality and Safety. August 17, 2016 Rockville, MD: Agency for Healthcare Research and Quality; July 2016. https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety This toolkit provides resou…

4647. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39735/psn-pdf
      January 03, 2017 - A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. January 3, 2017 Ashley L, Armitage G, Neary M, et al. A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings. Jt Comm J Qual Patient Saf.…

4648. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47220/psn-pdf
      September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…

4649. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40359/psn-pdf
      May 30, 2011 - Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. May 30, 2011 Roland M, Rao SR, Sibbald B, et al. Professional values and reported behaviours of doctors in the USA and UK: quantitative survey. BMJ Qual Saf. 2011;20(6):515-21. doi:10.1136/bmjqs.2010.048173. https://psne…

4650. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854265/psn-pdf
      October 04, 2023 - Can AI help doctors come up with better diagnoses? October 4, 2023 Landro L. Wall Street Journal. September 24, 2023. https://psnet.ahrq.gov/issue/can-ai-help-doctors-come-better-diagnoses Artificial intelligence (AI) is being considered as a strong contender in the effort to reduce harmful diagnostic error, but c…

4651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60009/psn-pdf
      March 04, 2020 - How common mental shortcuts can cause major physician errors. March 4, 2020 Jena AB, Olenski AR. New York Times. February 20, 2020. https://psnet.ahrq.gov/issue/how-common-mental-shortcuts-can-cause-major-physician-errors Unconscious biases affecting health care decisions elevate the potential for harm. This news …

4652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45906/psn-pdf
      June 22, 2017 - A piece of my mind. After the medical error. June 22, 2017 Worthen M. After the Medical Error. JAMA. 2017;317(17):1763-1764. doi:10.1001/jama.2017.0004. https://psnet.ahrq.gov/issue/piece-my-mind-after-medical-error Patients who have been exposed to medical error could be reluctant to trust the health care system. …

4653. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34646/psn-pdf
      July 01, 2015 - The attributes of medical event reporting systems. July 1, 2015 Battles JB, Kaplan HS, van der Schaaf TW, et al. The attributes of medical event-reporting systems: experience with a prototype medical event-reporting system for transfusion medicine. Arch Pathol Lab Med. 1998;122(3):231-8. https://psnet.ahrq.gov/iss…

4654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45160/psn-pdf
      May 18, 2016 - Clues to better health care from old malpractice lawsuits. May 18, 2016 Landro L. https://psnet.ahrq.gov/issue/clues-better-health-care-old-malpractice-lawsuits Closed claims have been considered a source for adverse event data for years, and recently such data has been utilized to inform safety improvement work. …

4655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38498/psn-pdf
      September 27, 2016 - Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. September 27, 2016 Thomson MS, Gruneir A, Lee M, et al. Nursing time devoted to medication administration in long-term care: clinical, safety, and resource implications. J Am Geriatr Soc. 2009;57(2):266…

4656. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45007/psn-pdf
      March 30, 2016 - Medication errors involving healthcare students. March 30, 2016 Hess L, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. March 2016;13:18-23. https://psnet.ahrq.gov/issue/medication-errors-involving-healthcare-students Using reports of medication errors submitted to the Pennsylvania Patient Safety Authority that …

4657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46534/psn-pdf
      January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…

4658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34747/psn-pdf
      August 04, 2009 - The Improvement Guide: A Practical Approach to Enhancing Organizational Performance. 2nd ed. August 4, 2009 Langley GJ, Moen R, Nolan KM, et al. Hoboken, NJ: Jossey-Bass; 2009. ISBN: 9780470430880. https://psnet.ahrq.gov/issue/improvement-guide-practical-approach-enhancing-organizational-performance- 2nd-ed Effec…

4659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47885/psn-pdf
      May 01, 2019 - Deny, Dismiss, Dehumanise: What Happened When I Went to Hospital. May 1, 2019 Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236. https://psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital Patient stories offer important insights regarding the impact m…

4660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43820/psn-pdf
      February 18, 2015 - Care of the clinician after an adverse event. February 18, 2015 Pratt SD, Jachna BR. Care of the clinician after an adverse event. Int J Obstet Anesth. 2014;24(1):54-63. doi:10.1016/j.ijoa.2014.10.001. https://psnet.ahrq.gov/issue/care-clinician-after-adverse-event Spotlighting the emotional impact adverse events …