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Showing results for "experiences".

4721. 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. …

4722. 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…

4723. 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…

4724. 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…

4725. 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…

4726. 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…

4727. 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…

4728. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34946/psn-pdf
      February 03, 2011 - Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes. February 3, 2011 Mehta RH. Relationship of Incorrect Dosing of Fibrinolytic Therapy and Clinical Outcomes. JAMA. 2005;293(14). doi:10.1001/jama.293.14.1746. https://psnet.ahrq.gov/issue/relationship-incorrect-dosing-fibrinolytic-therap…

4729. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39695/psn-pdf
      July 21, 2010 - The impact of the 80-hour work week on appropriate resident case coverage. July 21, 2010 Shin S, Britt R, Doviak M, et al. The Impact of the 80-Hour Work Week on Appropriate Resident Case Coverage. Journal of Surgical Research. 2009;162(1). doi:10.1016/j.jss.2009.12.003. https://psnet.ahrq.gov/issue/impact-80-hour…

4730. 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 …

4731. 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 …

4732. 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…

4733. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851452/psn-pdf
      July 19, 2023 - Factors influencing in-hospital prescribing errors: a systematic review. July 19, 2023 Mahomedradja RF, Schinkel M, Sigaloff KCE, et al. Factors influencing in?hospital prescribing errors: a systematic review. Br J Clin Pharmacol. 2023;89(6):1724-1735. doi:10.1111/bcp.15694. https://psnet.ahrq.gov/issue/factors-in…

4734. 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…

4735. 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…

4736. 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…

4737. 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…

4738. 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 …

4739. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44224/psn-pdf
      June 10, 2015 - To be sued less, doctors should consider talking to patients more. June 10, 2015 Carroll AE. https://psnet.ahrq.gov/issue/be-sued-less-doctors-should-consider-talking-patients-more Reporting on trends associated with medical malpractice, how the same physicians tend to get sued, and reasons patients file claims, …

4740. 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…