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Showing results for "expert".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33707/psn-pdf
    February 01, 2011 - The University of Texas System Clinical Safety and Effectiveness Course February 1, 2011 Thomas EJ, Patterson JE, Martin S, et al. The University of Texas System Clinical Safety and Effectiveness Course. PSNet [internet]. 2011. https://psnet.ahrq.gov/perspective/university-texas-system-clinical-safety-and-effectiv…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35487/psn-pdf
    September 12, 2016 - Safety improvements urged for MRI facilities. September 12, 2016 Mitka M. Safety improvements urged for MRI facilities. JAMA. 2005;294(17):2145-8. https://psnet.ahrq.gov/issue/safety-improvements-urged-mri-facilities This news story from JAMA summarizes a teleconference on magnetic resonance imaging safety and sha…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39347/psn-pdf
    September 30, 2015 - MGH death spurs review of patient monitors. September 30, 2015 Kowalczyk L. Boston Globe. February 21, 2010. https://psnet.ahrq.gov/issue/mgh-death-spurs-review-patient-monitors This news account discusses a patient death after a heart monitor alarm was inadvertently turned off. Hospital and device safety experts …

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34974/psn-pdf
    February 08, 2011 - A model patient: how simulators are changing the way doctors are trained. February 8, 2011 https://psnet.ahrq.gov/issue/model-patient-how-simulators-are-changing-way-doctors-are-trained Through discussions with numerous experts and medical educators, this piece explores how simulation training has developed over t…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37230/psn-pdf
    October 21, 2007 - Former pharmacist indicted for manslaughter after med error. October 21, 2007 Paul R. Drug Topics. September 17, 2007. https://psnet.ahrq.gov/issue/former-pharmacist-indicted-manslaughter-after-med-error This article reports on an error for which criminal charges were filed against the pharmacist and his license …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36978/psn-pdf
    September 19, 2016 - TRUST: the 5 rights of the second victim. September 19, 2016 Denham CR. TRUST. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000236917.02321.fd. https://psnet.ahrq.gov/issue/trust-5-rights-second-victim The author discusses the psychological impact of medical error on clinicians and shares interviews with several …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37353/psn-pdf
    March 28, 2012 - Medication Use: A Systems Approach to Reducing Errors, Second Edition. March 28, 2012 Porche? RA. Oakbrook Terrace, IL: Joint Commission Resources: 2008. ISBN 9781599400976. https://psnet.ahrq.gov/issue/medication-use-systems-approach-reducing-errors-second-edition Co-authored by a host of medication safety expert…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36216/psn-pdf
    August 03, 2012 - Hospital Medication Errors Commonplace. August 3, 2012 Berwick D; Lassman S; Bates D. National Public Radio. July 28, 2006. https://psnet.ahrq.gov/issue/hospital-medication-errors-commonplace This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine (IOM) report Prev…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35033/psn-pdf
    May 18, 2005 - Medical errors still claiming many lives. May 18, 2005 Weise E. USA Today. May 18, 2005. https://psnet.ahrq.gov/issue/medical-errors-still-claiming-many-lives This article highlights a commentary published in JAMA by two leading experts in patient safety which summarizes the progress made since publication of the …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35488/psn-pdf
    July 31, 2012 - American College of Radiology White Paper on MR Safety: 2004 Update and Revisions. July 31, 2012 doi:10.2214/ajr.182.5.182111. https://psnet.ahrq.gov/issue/american-college-radiology-white-paper-mr-safety-2004-update-and-revisions This white paper combines two reports from the ACR Blue Ribbon Panel on MR Safety. E…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37976/psn-pdf
    December 14, 2010 - Practicing Medicine in Difficult Times: Protecting Physicians from Malpractice Litigation. December 14, 2010 Thomas MO, Quinn CJ, Donohue GM. Sudbury, MA: Jones Bartlett; 2009. ISBN: 100763748560. https://psnet.ahrq.gov/issue/practicing-medicine-difficult-times-protecting-physicians-malpractice-litigation Written …

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43267/psn-pdf
    June 11, 2014 - The PROTECT Initiative: Advancing Children's Medication Safety. June 11, 2014 US Centers for Disease Control and Prevention. https://psnet.ahrq.gov/issue/protect-initiative-advancing-childrens-medication-safety This Web site offers resources related to a collaborative involving public health agencies, private org…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37864/psn-pdf
    August 06, 2016 - Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. August 6, 2016 Nemeth CP, ed. Burlington, VT: Ashgate Publishing; 2008. ISBN: 9780754670254. https://psnet.ahrq.gov/issue/improving-healthcare-team-communication-building-lessons-aviation-and- aerospace This book provides an…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38336/psn-pdf
    January 14, 2009 - Proceedings of a summit on preventing patient harm and death from IV medication errors. January 14, 2009 Proceedings of a summit on preventing patient harm and death from i.v. medication errors. doi:10.2146/ajhp080406. https://psnet.ahrq.gov/issue/proceedings-summit-preventing-patient-harm-and-death-iv-medication-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41674/psn-pdf
    September 12, 2012 - Medical errors harm huge number of patients. What will it take to make America's hospitals safer? September 12, 2012 Sternberg S. https://psnet.ahrq.gov/issue/medical-errors-harm-huge-number-patients-what-will-it-take-make-americas- hospitals-safer This magazine article discusses insights from experts and patient…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35538/psn-pdf
    March 29, 2010 - Identifying medical errors: developing consensus on classifications and consequences. March 29, 2010 Hobgood C; Eaton J; Weiner BJ. https://psnet.ahrq.gov/issue/identifying-medical-errors-developing-consensus-classifications-and- consequences The investigators surveyed a panel of experts to determine if they coul…

  17. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. | PSNet

    psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-their
    July 31, 2008 - Study How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Citation Text: Davis R, Koutantji M, Vincent C. How willing are patients to question healthcare staff on issues related to the quality and …

  18. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? | PSNet

    psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experience
    February 06, 2014 - Study Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Finding and fixing mistakes: do checklists work for clinicians with different levels of experience? Adv Health Sci Educ T…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39724/psn-pdf
    July 28, 2010 - Prone to error: earliest steps to find cancer. July 28, 2010 Saul S. New York Times. July 19, 2010;A1. https://psnet.ahrq.gov/issue/prone-error-earliest-steps-find-cancer This newspaper article investigates diagnostic errors in breast cancer through the story of a patient who was misdiagnosed. Concern about the ac…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47556/psn-pdf
    November 28, 2018 - Improving Diagnosis. November 28, 2018 Deutsch E, ed. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):1-70. https://psnet.ahrq.gov/issue/improving-diagnosis This special issue raises awareness of challenges to reducing diagnostic error. Articles discuss insights from experts about how to improve diagnosis, t…
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