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Showing results for "experiences".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47771/psn-pdf
    April 24, 2019 - The impact of errors on healthcare professionals in the critical care setting. April 24, 2019 Kaur AP, Levinson AT, Monteiro JFG, et al. The impact of errors on healthcare professionals in the critical care setting. J Crit Care. 2019;52:16-21. doi:10.1016/j.jcrc.2019.03.001. https://psnet.ahrq.gov/issue/impact-err…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/846761/psn-pdf
    September 29, 2018 - Using clinical simulation to study how to improve quality and safety in healthcare. September 29, 2018 Lamé G, Dixon-Woods M. Using clinical simulation to study how to improve quality and safety in healthcare. BMJ Simul Technol Enhanc Learn. 2018;6(2):87-94. doi:10.1136/bmjstel-2018-000370. https://psnet.ahrq.gov/…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862993/psn-pdf
    February 21, 2024 - Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. February 21, 2024 Michelson KA, Bachur RG, Rangel SJ, et al. Disparities in diagnostic timeliness and outcomes of pediatric appendicitis. JAMA Netw Open. 2024;7(1):e2353667. doi:10.1001/jamanetworkopen.2023.53667. https://psnet.ahrq.gov/i…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47155/psn-pdf
    October 17, 2018 - Medication errors with pediatric liquid acetaminophen after standardization of concentration and packaging improvements. October 17, 2018 Brass EP, Reynolds KM, Burnham RI, et al. Medication Errors With Pediatric Liquid Acetaminophen After Standardization of Concentration and Packaging Improvements. Acad Pediatr. …

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73858/psn-pdf
    September 22, 2021 - Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. September 22, 2021 D'Angelo JD, Lund S, Busch RA, et al. Coping with errors in the operating room: intraoperative strategies, postoperative strategies, and sex differences. Surgery. 2021;170(2):440-44…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42934/psn-pdf
    February 21, 2015 - Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta- analysis. February 21, 2015 Ahmed AH, Giri J, Kashyap R, et al. Outcome of adverse events and medical errors in the intensive care unit: a systematic review and meta-analysis. Am J Med Qual. 2015;30(1):23-30. do…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73596/psn-pdf
    August 11, 2021 - Empowering Patients and Supporting Health Care Providers—New Avenues for High Quality Care and Safety. August 11, 2021 Rimondini M, Busch IM, eds. Int J Environ Res Public Health. 2021;18. https://psnet.ahrq.gov/issue/empowering-patients-and-supporting-health-care-providers-new-avenues-high- quality-care-and…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837866/psn-pdf
    August 17, 2022 - A System in Need of Repair: Addressing Organizational Failures of the U.S.’s Organ Procurement and Transplantation Network. August 17, 2022 US Senate Finance Committee. 117th Cong (2021-2022). August 3, 2022. https://psnet.ahrq.gov/issue/system-need-repair-addressing-organizational-failures-uss-organ- procurement…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44371/psn-pdf
    September 09, 2015 - Acute stroke chameleons in a university hospital: risk factors, circumstances, and outcomes. September 9, 2015 Richoz B, Hugli O, Dami F, et al. Acute stroke chameleons in a university hospital: Risk factors, circumstances, and outcomes. Neurology. 2015;85(6):505-11. doi:10.1212/WNL.0000000000001830. https://psnet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44256/psn-pdf
    October 06, 2016 - Effect of distractions on operative performance and ability to multitask—a case for deliberate practice. October 6, 2016 Ahmed A, Ahmad M, Stewart M, et al. Effect of distractions on operative performance and ability to multitask--a case for deliberate practice. Laryngoscope. 2015;125(4):837-41. doi:10.1002/lary.24…

  11. Spotlight

    psnet.ahrq.gov/sites/default/files/2024-07/spotlight_case_intraoperative_awareness_during_rhinoplasty_slides_final.pptx
    January 01, 2024 - Spotlight Spotlight Intraoperative Awareness during Rhinoplasty 1 Source and Credits This presentation is based on the July 2024 AHRQ WebM&M Spotlight Case See the full article at https://psnet.ahrq.gov/webmm  CME credit is available  Commentary by: Christian Bohringer MBBS and Jaijeet Toor MD AHRQ WebM&M Edit…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33662/psn-pdf
    January 01, 2008 - I do think that there are some recent experiences here at both the Brigham and the Mass General where

  13. In Conversation With… Neel Shah, MD, MPP | PSNet

    psnet.ahrq.gov/perspective/conversation-neel-shah-md-mpp
    October 30, 2019 - For a prenatal test, the patient experiences the blood leaving their vein and that's the end of their

  14. Establishing a Safety Culture: Thinking Small | PSNet

    psnet.ahrq.gov/perspective/establishing-safety-culture-thinking-small
    December 01, 2006 - If someone surfaces an issue and sees it not addressed, it doesn't take very many experiences like that

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33587/psn-pdf
    June 15, 2024 - Missed Nursing Care June 15, 2024 Missed Nursing Care. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/missed-nursing-care PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current research and practice in the patient safety field. Last reviewed…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49418/psn-pdf
    October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46577/psn-pdf
    April 03, 2018 - The new diagnostic team. April 3, 2018 Graber ML, Rusz D, Jones ML, et al. The new diagnostic team. Diagnosis (Berl). 2017;4(4):225-238. doi:10.1515/dx-2017-0022. https://psnet.ahrq.gov/issue/new-diagnostic-team Teamwork has been highlighted as a key component of patient safety that also applies to improving diag…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45213/psn-pdf
    June 08, 2016 - The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. June 8, 2016 Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. https://psnet.ahrq.gov/issue/real-malady-marcel-p…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60256/psn-pdf
    April 22, 2020 - A critical review: moral injury in nurses in the aftermath of a patient safety incident. April 22, 2020 Stovall M, Hansen L, van Ryn M. A critical review: moral injury in nurses in the aftermath of a patient safety incident. J Nurs Scholarsh. 2020;52(3):320-328. doi:10.1111/jnu.12551. https://psnet.ahrq.gov/issue/…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47116/psn-pdf
    August 15, 2018 - Thematic analysis of women's perspectives on the meaning of safety during hospital-based birth. August 15, 2018 Lyndon A, Malana J, Hedli LC, et al. Thematic Analysis of Women's Perspectives on the Meaning of Safety During Hospital-Based Birth. J Obstet Gynecol Neonatal Nurs. 2018;47(3):324-332. doi:10.1016/j.jogn…
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