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Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37043/psn-pdfMay 04, 2015 - To reduce risks, hospitals enlist 'proceduralists.' May 4, 2015 Landro L. https://psnet.ahrq.gov/issue/reduce-risks-hospitals-enlist-proceduralists This article reports on hospitals that are creating dedicated teams of experts who have the skills to perform risky medical procedures. https://psnet.ahrq.gov/issue/r… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34986/psn-pdfDecember 10, 2008 - Buried answers. December 10, 2008 Dobbs D. New York Times. April 24, 2005. https://psnet.ahrq.gov/issue/buried-answers The author interviews experts who discuss the autopsy as a unique method for discovering medical mistakes and why it is not used more often as a teaching and improvement mechanism. https://psnet.… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34131/psn-pdfMarch 07, 2005 - Safetyleaders.org March 7, 2005 Texas Medical Institute of Technology https://psnet.ahrq.gov/issue/safetyleadersorg Safetyleaders.org is a knowledge management system provided to hospital leaders and performance experts. Portions of the site are not accessible to individuals whose organizations are not actively in… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/42771/psn-pdfJanuary 08, 2014 - Patient Safety Collaboration. January 8, 2014 National Quality Forum; NQF. https://psnet.ahrq.gov/issue/patient-safety-collaboration This program aligns with the Partnership for Patients to engage patients, reduce readmissions, and improve safety in maternity care by convening experts and developing best practices… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36508/psn-pdfDecember 06, 2011 - Patient Safety. December 6, 2011 Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53(6):1053-1276. https://psnet.ahrq.gov/issue/patient-safety-3 This special issue examines patient safety through the perspectives of parents, hospital leadership, human factors experts, and clinicians. https://psnet.ahrq.gov/is… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35691/psn-pdfFebruary 08, 2006 - Recommendations for Safe Use of Insulin in Hospitals. February 8, 2006 Bethesda MD: American Society of Health-system Pharmacists, Hospital and Health-System Association of Pennsylvania; 2004. https://psnet.ahrq.gov/issue/recommendations-safe-use-insulin-hospitals This report contains recommendations from a panel … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35487/psn-pdfSeptember 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/39347/psn-pdfSeptember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37230/psn-pdfOctober 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/34974/psn-pdfFebruary 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36978/psn-pdfSeptember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37353/psn-pdfMarch 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/36216/psn-pdfAugust 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35033/psn-pdfMay 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/43267/psn-pdfJune 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/35488/psn-pdfJuly 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… -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/37976/psn-pdfDecember 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 … -
Psn-Pdf (pdf file)
psnet.ahrq.gov/node/33670/psn-pdfJuly 01, 2008 - He is a leading expert on several aspects of patient safety, including disclosure and evaluation. -
psnet.ahrq.gov/issue/finding-and-fixing-mistakes-do-checklists-work-clinicians-different-levels-experienceFebruary 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…
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psnet.ahrq.gov/issue/how-willing-are-patients-question-healthcare-staff-issues-related-quality-and-safety-theirJuly 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 …
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