-
psnet.ahrq.gov/web-mm/treatment-challenges-after-discharge
January 03, 2017 - This need for transitional care is evidenced by the fact that timely follow-up with a nurse or primary … In fact, failure to follow up on TPADs is the source of 25% of all diagnosis-related malpractice lawsuits … In fact, Poon and colleagues ( 10 ) found that neither hospitalists nor primary care physicians are satisfied
-
psnet.ahrq.gov/web-mm/july-syndrome
July 01, 2011 - In fact, one of the most sophisticated studies found that undesirable events were committed as frequently … The killing season—fact or fiction? BMJ. 1994;309:1690. [go to PubMed] 6. Blumberg MS. … The "July phenomenon" and the care of the severely injured patient: fact or fiction?
-
psnet.ahrq.gov/web-mm/low-totem-pole
October 01, 2003 - In fact, the usual hierarchy in the medical workplace, with physicians at the top of the heap, is set … another in which a patient received an invasive cardiac procedure intended for another patient.( 5 ) In fact … In fact, he has been known to throw things in the OR, and let’s say he has good aim.
-
psnet.ahrq.gov/issue/busy-day-effect-perinatal-complications-delivery-weekends-retrospective-cohort-study
January 16, 2019 - Study
A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study.
Citation Text:
Snowden JM, Kozhimannil KB, Muoto I, et al. A 'busy day' effect on perinatal complications of delivery on weekends: a retrospective cohort study. BMJ Qual Saf. 2017;…
-
psnet.ahrq.gov/issue/qualitative-study-systems-level-factors-affect-rural-obstetric-nurses-work-during-clinical
April 20, 2022 - Study
A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergencies.
Citation Text:
Bernstein SL, Picciolo M, Grills E, et al. A qualitative study of systems-level factors that affect rural obstetric nurses' work during clinical emergen…
-
psnet.ahrq.gov/issue/statewide-perinatal-quality-improvement-teamwork-and-communication-activities-oklahoma-and
October 19, 2022 - Study
Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas.
Citation Text:
Stierman EK, O'Brien BT, Stagg J, et al. Statewide perinatal quality improvement, teamwork, and communication activities in Oklahoma and Texas. Qual Manag Health Ca…
-
psnet.ahrq.gov/issue/when-lights-go-down-delivery-room-lessons-ransomware-attack
September 02, 2020 - Commentary
When the lights go down in the delivery room: lessons from a ransomware attack.
Citation Text:
Gabbay‐Benziv R, Ben‐Natan M, Roguin A, et al. When the lights go down in the delivery room: lessons from a ransomware attack. Int J Gynaecol Obstet. 2023;162(2):562-568. doi:10.1002…
-
psnet.ahrq.gov/issue/first-do-no-harm-practitioners-ability-diagnose-system-weaknesses-and-improve-safety-critical
March 03, 2021 - Commentary
First do no harm: practitioners' ability to 'diagnose' system weaknesses and improve safety is a critical initial step in improving care quality.
Citation Text:
English M, Ogola M, Aluvaala J, et al. First do no harm: practitioners’ ability to ‘diagnose’ system weaknesses and …
-
psnet.ahrq.gov/issue/should-operations-be-regionalized-empirical-relation-between-surgical-volume-and-mortality
August 04, 2021 - Study
Classic
Should operations be regionalized? The empirical relation between surgical volume and mortality.
Citation Text:
Luft HS, Bunker JP, Enthoven AC. Should operations be regionalized? The empirical relation between surgical volume and mortality. N En…
-
psnet.ahrq.gov/issue/how-do-no-harm-empowering-local-leaders-make-care-safer-low-resource-settings
March 03, 2021 - Commentary
How to do no harm: empowering local leaders to make care safer in low-resource settings.
Citation Text:
Vincent CA, Mboga M, Gathara D, et al. How to do no harm: empowering local leaders to make care safer in low-resource settings. Arch Dis Child. 2021;106(4):333-337. doi:10.1…
-
psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical task analysis.
Citation Text:
Raduma-Tomàs MA, Flin R, Yule S, et al. The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical …
-
psnet.ahrq.gov/issue/year-1-medical-undergraduates-knowledge-and-attitudes-medical-error
March 24, 2011 - Study
Year 1 medical undergraduates' knowledge of and attitudes to medical error.
Citation Text:
Flin R, Patey R, Jackson J, et al. Year 1 medical undergraduates' knowledge of and attitudes to medical error. Med Educ. 2009;43(12):1147-55. doi:10.1111/j.1365-2923.2009.03499.x.
Copy Ci…
-
psnet.ahrq.gov/issue/patient-safety-helping-medical-students-understand-error-healthcare
December 16, 2009 - Study
Patient safety: helping medical students understand error in healthcare.
Citation Text:
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9.
Copy Citation
Format:
Goo…
-
psnet.ahrq.gov/issue/assessing-quality-patient-handoffs-care-transitions
April 24, 2013 - Study
Assessing the quality of patient handoffs at care transitions.
Citation Text:
Manser T, Foster S, Gisin S, et al. Assessing the quality of patient handoffs at care transitions. Qual Saf Health Care. 2010;19(6):e44. doi:10.1136/qshc.2009.038430.
Copy Citation
Format:
…
-
psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
February 24, 2011 - Study
Classic
Communication failures: an insidious contributor to medical mishaps.
Citation Text:
Sutcliffe K, Lewton E, Rosenthal M. Communication failures: an insidious contributor to medical mishaps. Acad Med. 2004;79(2):186-194.
Copy Citation
Format:…
-
psnet.ahrq.gov/issue/challenges-faced-providing-safe-care-rural-perinatal-settings
June 14, 2017 - Study
Challenges faced in providing safe care in rural perinatal settings.
Citation Text:
Jukkala AM, Kirby RS. Challenges faced in providing safe care in rural perinatal settings. MCN Am J Matern Child Nurs. 2009;34(6):365-371. doi:10.1097/01.NMC.0000363685.20315.0e.
Copy Citation
…
-
psnet.ahrq.gov/issue/universal-protocol-preventing-wrong-site-wrong-procedure-wrong-person-surgery
May 30, 2012 - Multi-use Website
Classic
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery.
Citation Text:
Universal Protocol for Preventing Wrong Site, Wrong Procedure, Wrong Person Surgery. The Joint Commission.
Copy Citation
…
-
psnet.ahrq.gov/node/60865/psn-pdf
August 31, 2020 - That's just a fact. … The discussion lands on the fact that Cindy is a ‘person.’ … It doesn't change the fact that the nurse needs to do a clear, concise assessment
and have it documented
-
psnet.ahrq.gov/node/33746/psn-pdf
March 01, 2013 - RW: Do you think the fact that simulation was seen as a cool toy hurt the field or advantaged it in some … In fact, our journal (
Simulation in Healthcare) has pretty much stopped accepting papers that only … In fact, we have very little
evidence to prove the efficacy of our traditional educational, training
-
psnet.ahrq.gov/node/33704/psn-pdf
December 01, 2010 - How much of this is fear that, in fact, it will
encourage lawsuits? … In fact,
disclosure is, at its base, nothing more or less than a difficult conversation where you're … In fact, in one of the hospitals I said, "Your ice machine is right
around the corner here.