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Showing results for "experiences".

9501. One system's journey in creating a disclosure and apology program. | PSNet
      psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
      May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

9502. Preventing pressure ulcers: the goal is zero. | PSNet
      psnet.ahrq.gov/issue/preventing-pressure-ulcers-goal-zero
      September 30, 2010 - Commentary Preventing pressure ulcers: the goal is zero. Citation Text: Duncan KD. Preventing pressure ulcers: the goal is zero. Jt Comm J Qual Patient Saf. 2007;33(10):605-10. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

9503. The iatrogenic potential of the physician's words. | PSNet
      psnet.ahrq.gov/issue/iatrogenic-potential-physicians-words
      July 10, 2008 - Commentary The iatrogenic potential of the physician's words. Citation Text: Barsky AJ. The Iatrogenic Potential of the Physician's Words. JAMA. 2017;318(24):2425-2426. doi:10.1001/jama.2017.16216. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNot…

9504. Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. | PSNet
      psnet.ahrq.gov/issue/root-cause-analysis-core-problem-solving-and-corrective-action-second-edition
      June 09, 2011 - Book/Report Classic Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Citation Text: Root Cause Analysis: The Core of Problem Solving and Corrective Action, Second Edition. Oakes D. Milwaukee, WI: ASQ Quality Press; 2019. IS…

9505. Reducing medical errors and adverse events. | PSNet
      psnet.ahrq.gov/issue/reducing-medical-errors-and-adverse-events
      March 21, 2012 - Review Reducing medical errors and adverse events. Citation Text: Pham JC, Aswani MS, Rosen MA, et al. Reducing medical errors and adverse events. Annu Rev Med. 2012;63:447-63. doi:10.1146/annurev-med-061410-121352. Copy Citation Format: DOI Google Scholar PubMed BibTeX E…

9506. Leadership oversight for patient safety programs: an essential element. | PSNet
      psnet.ahrq.gov/issue/leadership-oversight-patient-safety-programs-essential-element
      October 03, 2017 - Commentary Leadership oversight for patient safety programs: an essential element. Citation Text: Moffatt-Bruce SD, Clark S, DiMaio M, et al. Leadership Oversight for Patient Safety Programs: An Essential Element. Ann Thorac Surg. 2017;105(2):351-356. doi:10.1016/j.athoracsur.2017.11.021…

9507. Fatal mistakes: why do ten-fold medication errors in children keep happening? | PSNet
      psnet.ahrq.gov/issue/fatal-mistakes-why-do-ten-fold-medication-errors-children-keep-happening
      April 21, 2021 - Newspaper/Magazine Article Fatal mistakes: why do ten-fold medication errors in children keep happening? Citation Text: Fatal mistakes: why do ten-fold medication errors in children keep happening? Parry C. The Pharmaceutical Journal.  April 22 2021. Copy Citation …

9508. Characteristics of medication errors made by students during the administration phase: a descriptive study. | PSNet
      psnet.ahrq.gov/issue/characteristics-medication-errors-made-students-during-administration-phase-descriptive-study
      July 13, 2009 - Study Characteristics of medication errors made by students during the administration phase: a descriptive study. Citation Text: Wolf ZR, Hicks RW, Serembus JF. Characteristics of medication errors made by students during the administration phase: a descriptive study. J Prof Nurs. 2006…

9509. Radiological error: analysis, standard setting, targeted instruction and teamworking. | PSNet
      psnet.ahrq.gov/issue/radiological-error-analysis-standard-setting-targeted-instruction-and-teamworking
      December 12, 2018 - Commentary Radiological error: analysis, standard setting, targeted instruction and teamworking. Citation Text: FitzGerald R. Radiological error: analysis, standard setting, targeted instruction and teamworking. Eur Radiol. 2005;15(8). doi:10.1007/s00330-005-2662-8. Copy Citation …

9510. Through and beyond anaesthesia awareness. | PSNet
      psnet.ahrq.gov/issue/through-and-beyond-anaesthesia-awareness
      September 20, 2023 - Commentary Through and beyond anaesthesia awareness. Citation Text: Aaen A-M, Møller K. Through and beyond anaesthesia awareness. BMJ. 2010;341:c3669. doi:10.1136/bmj.c3669. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged…

9511. Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. | PSNet
      psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
      March 10, 2021 - Newspaper/Magazine Article Classic Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman. Citation Text: Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused deat…

9512. Medical errors arising from outsourcing laboratory and radiology services. | PSNet
      psnet.ahrq.gov/issue/medical-errors-arising-outsourcing-laboratory-and-radiology-services
      October 19, 2022 - Study Medical errors arising from outsourcing laboratory and radiology services. Citation Text: Chasin BS, Elliott SP, Klotz SA. Medical errors arising from outsourcing laboratory and radiology services. Am J Med. 2007;120(9):819.e9-11. Copy Citation Format: Google Schola…

9513. Tolerance of uncertainty and the practice of emergency medicine. | PSNet
      psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
      May 25, 2022 - Commentary Tolerance of uncertainty and the practice of emergency medicine. Citation Text: Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015. Copy Citation …

9514. Strengthening the medical error "meme pool." | PSNet
      psnet.ahrq.gov/issue/strengthening-medical-error-meme-pool
      August 08, 2012 - Commentary Strengthening the medical error "meme pool." Citation Text: Mazer BL, Nabhan C. Strengthening the Medical Error "Meme Pool". J Gen Intern Med. 2019;34(10):2264-2267. doi:10.1007/s11606-019-05156-7. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

9515. Ten ERs in Colorado tried to curtail opioids and did better than expected. | PSNet
      psnet.ahrq.gov/issue/ten-ers-colorado-tried-curtail-opioids-and-did-better-expected
      December 04, 2016 - Newspaper/Magazine Article Ten ERs in Colorado tried to curtail opioids and did better than expected. Citation Text: Ten ERs in Colorado tried to curtail opioids and did better than expected. Daley J. Colorado Public Radio. February 23, 2018. Copy Citation Save Sa…

9516. The lost sponge: patient safety in the operating room. | PSNet
      psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
      January 26, 2022 - Commentary The lost sponge: patient safety in the operating room. Citation Text: Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900. Copy Citation Format: DOI Google Scholar PubM…

9517. Irked by drug-interaction alerts? Customize them, experts advise. | PSNet
      psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
      May 20, 2020 - Newspaper/Magazine Article Irked by drug-interaction alerts? Customize them, experts advise. Citation Text: Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006. Copy Citation Save Save to your library …

9518. Fatal error sparks debate over punitive measures.  | PSNet
      psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures
      May 20, 2020 - Newspaper/Magazine Article Fatal error sparks debate over punitive measures.  Citation Text: Fatal error sparks debate over punitive measures.  Fernandez J. Drug Topics. May 7, 2007. Copy Citation Save Save to your library Print Download PDF …

9519. What are the critical success factors for team training in health care? | PSNet
      psnet.ahrq.gov/issue/what-are-critical-success-factors-team-training-health-care
      March 21, 2017 - Commentary What are the critical success factors for team training in health care? Citation Text: Salas E, Almeida SA, Salisbury M, et al. What are the critical success factors for team training in health care? Jt Comm J Qual Patient Saf. 2009;35(8):398-405. Copy Citation Format: …

9520. Building high reliability teams: progress and some reflections on teamwork training. | PSNet
      psnet.ahrq.gov/issue/building-high-reliability-teams-progress-and-some-reflections-teamwork-training
      March 21, 2017 - Commentary Building high reliability teams: progress and some reflections on teamwork training. Citation Text: Salas E, Rosen MA. Building high reliability teams: progress and some reflections on teamwork training. BMJ Qual Saf. 2013;22(5):369-73. doi:10.1136/bmjqs-2013-002015. Copy C…