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Total Results: 9,445 records

Showing results for "experiences".

4661. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46213/psn-pdf
      June 28, 2017 - The second victim: a review. June 28, 2017 Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. https://psnet.ahrq.gov/issue/second-victim-review Maternity care is a high-risk environment. This review discusses second vic…

4662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60065/psn-pdf
      March 18, 2020 - Safety in Numbers: Hospital Performance on Leapfrog’s Surgical Volume Standard Based on Results of the 2019 Leapfrog Hospital Survey. March 18, 2020 Washington DC: Leapfrog Group; 2020. https://psnet.ahrq.gov/issue/safety-numbers-hospital-performance-leapfrogs-surgical-volume-standard- based-results-2019 Surgica…

4663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838642/psn-pdf
      October 19, 2022 - Notes on healing after a missed diagnosis. October 19, 2022 Fleming EA. Notes on healing after a missed diagnosis. JAMA. 2022;328(13):1297-1298. doi:10.1001/jama.2022.15724. https://psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis Honest apology is known to support healing from medical error for clinician…

4664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857446/psn-pdf
      December 06, 2023 - Community Health Systems’ ongoing journey to zero preventable harm. December 6, 2023 Simon LT, Van Buren T. Community Health Systems’ ongoing journey to zero preventable harm. NEJM Catal Innov Care Deliv. 2023;4(12). doi:10.1056/cat.23.0250. https://psnet.ahrq.gov/issue/community-health-systems-ongoing-journey-zer…

4665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838254/psn-pdf
      October 05, 2022 - Embedded bias: how medical records sow discrimination. October 5, 2022 Tahir D. Kaiser Health News. September 26, 2022.  https://psnet.ahrq.gov/issue/embedded-bias-how-medical-records-sow-discrimination Negative patient representations in medical records perpetuate stereotypes that can affect care over ti…

4666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37056/psn-pdf
      February 24, 2011 - Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. February 24, 2011 O'Mahony S, Mazur E, Charney P, et al. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of …

4667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46438/psn-pdf
      September 20, 2017 - Communicating Clearly About Medicines: Proceedings of a Workshop. September 20, 2017 National Academies of Sciences, Engineering, and Medicine. Washington, DC: The National Academies Press: 2017. ISBN: 9780309461856. https://psnet.ahrq.gov/issue/communicating-clearly-about-medicines-proceedings-workshop Patient h…

4668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837905/psn-pdf
      August 24, 2022 - How cisgender clinicians can help prevent harm during encounters with transgender patients. August 24, 2022 doi:10.1001/amajethics.2022.753. https://psnet.ahrq.gov/issue/how-cisgender-clinicians-can-help-prevent-harm-during-encounters- transgender-patients Implicit bias, discrimination, and stigmatization impact …

4669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47336/psn-pdf
      March 04, 2019 - "Saying sorry": some strategies for effective apology within the workplace. March 4, 2019 Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. https://psnet.ahrq.gov/issue/saying-sorry…

4670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46326/psn-pdf
      October 18, 2017 - Surgical Patient Safety: A Case-Based Approach. October 18, 2017 Stahel PF, ed. New York, NY: McGraw-Hill Education/Medical; 2017. ISBN: 9780071842631. https://psnet.ahrq.gov/issue/surgical-patient-safety-case-based-approach Surgical residency can be a stressful learning experience. This textbook provides an introd…

4671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43677/psn-pdf
      November 19, 2014 - Reporting and Learning Systems for Medication Errors: The Role of Pharmacovigilance Centres. November 19, 2014 Bencheikh SR, Cousins D, Benabdallah G, et al. Geneva, Switzerland: World Health Organization; October 2014. ISBN: 9789241507943. https://psnet.ahrq.gov/issue/reporting-and-learning-systems-medication-err…

4672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40396/psn-pdf
      May 18, 2016 - 2010 John M. Eisenberg Patient Safety and Quality Awards. May 18, 2016 Jt Comm J Qual Patient Saf. 2011;37(5):194-239. https://psnet.ahrq.gov/issue/2010-john-m-eisenberg-patient-safety-and-quality-awards This special issue highlights the efforts of the 2010 Eisenberg Award recipients and their impact on improving…

4673. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44190/psn-pdf
      June 03, 2015 - Minimizing medical mistakes: mother's mission to reduce hospital errors. June 3, 2015 Takahara D. KDVR. May 19, 2015. https://psnet.ahrq.gov/issue/minimizing-medical-mistakes-mothers-mission-reduce-hospital-errors Parents of children who experience harm in the course of medical care serve as advocates to drive saf…

4674. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44087/psn-pdf
      November 16, 2015 - Teaching a 'good' ward round. November 16, 2015 Powell N, Bruce CG, Redfern O. Teaching a 'good' ward round. Clin Med (Lond). 2015;15(2):135-138. doi:10.7861/clinmedicine.15-2-135. https://psnet.ahrq.gov/issue/teaching-good-ward-round Ward rounds, while an important educational activity, may not receive the attent…

4675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39483/psn-pdf
      May 25, 2010 - Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. May 25, 2010 Kim CS, Lukela MP, Parekh V, et al. Teaching internal medicine residents quality improvement and patient safety: a lean thinking approach. Am J Med Qual. 2010;25(3):211-7. doi:10.1177/1062860609357466…

4676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44093/psn-pdf
      April 29, 2015 - South Carolina medication error bill is dangerously off target. April 29, 2015 ISMP Medication Safety Alert! Acute Care Edition. April 9, 2015;20:1,4. https://psnet.ahrq.gov/issue/south-carolina-medication-error-bill-dangerously-target This newsletter article reports on issues related to a legislation, drafted in …

4677. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43321/psn-pdf
      August 02, 2015 - Costs associated with surgical site infections in Veterans Affairs hospitals. August 2, 2015 Schweizer ML, Cullen JJ, Perencevich E, et al. Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. JAMA Surg. 2014;149(6):575-81. doi:10.1001/jamasurg.2013.4663. https://psnet.ahrq.gov/issue/costs…

4678. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43455/psn-pdf
      December 15, 2014 - What about doctors? The impact of medical errors. December 15, 2014 Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. https://psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors Patients are the first victims when medica…

4679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60357/psn-pdf
      May 20, 2020 - Preventing medication errors at small and rural hospitals. May 20, 2020 McCook A. Preventing medication errors at small and rural hospitals.  Pharmacy Practice News. May 6, 2020. https://psnet.ahrq.gov/issue/preventing-medication-errors-small-and-rural-hospitals Small and rural facilities experience similar m…

4680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46790/psn-pdf
      March 14, 2018 - When clinicians drop out and start over after adverse events. March 14, 2018 Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte…