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Showing results for "experiences".

  1. 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…

  2. Staff Safety Assessment | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/toolkit/staff-safety-assessment.html
    December 01, 2012 - Staff Safety Assessment CUSP Toolkit Determine what risks are present in your unit Purpose of this form: This form is designed to tap into your experience at the front line of patient care to determine what risks are present in your unit that have jeopardized or could jeopardize patient safety. Who shoul…

  3. 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…

  4. 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…

  5. Exhibit 5.9. Lean Team Training at Heights Hospital | Agency for Healthcare Research and Quality

    www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-9.html
    November 01, 2014 - Improving Care Delivery Through Lean: Implementation Case Studies Exhibit 5.9. Lean Team Training at Heights Hospital Previous Page Next Page Table of Contents Improving Care Delivery Through Lean: Implementation Case Studies Introduction to the Case Studies Case 1. Lakeview Healthcare Case 2.…

  6. 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…

  7. 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…

  8. 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…

  9. Training Module 2 — Core Team Discussion Guide | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/education-bundles/infection-prevention/environment-and-equipment/core-discussion.html
    March 01, 2017 - Training Module 2 — Core Team Discussion Guide AHRQ Safety Program for Long-Term Care: HAIs/CAUTI Clean Equipment and Environment: Knowledge and Practice Directions Answer the following questions to help reflect on how you can prepare to discuss cleaning and disinfection practices at your faci…

  10. 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 …

  11. 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 …

  12. 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…

  13. 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…

  14. 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…

  15. 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…

  16. 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…

  17. 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…

  18. 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 …

  19. 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, …

  20. 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…
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