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Showing results for "going".

2001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837710/psn-pdf
      July 20, 2022 - Independent Neurology Inquiry. July 20, 2022 Lockhart B, Mascie-Taylor H. Crown Copyright: London, England; June 2022.  ISBN 9781912313631. https://psnet.ahrq.gov/issue/independent-neurology-inquiry Misdiagnosis of neurological conditions, such as stroke, can lead to delays in treatment and patient morbidity…

2002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39036/psn-pdf
      October 21, 2009 - Disclosing medical errors to patients: a challenge for health care professionals and institutions. October 21, 2009 Levinson W. Disclosing medical errors to patients: a challenge for health care professionals and institutions. Patient Educ Couns. 2009;76(3):296-9. doi:10.1016/j.pec.2009.07.018. https://psnet.ahrq.…

2003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844773/psn-pdf
      September 11, 2019 - How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. September 11, 2019 Rein L. Washington Post. August 30, 2019. https://psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases Clinicians are often reluctant to report impaired or incompetent colleag…

2004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43239/psn-pdf
      June 11, 2014 - A cycle of redemption in a medical error disclosure and apology program. June 11, 2014 Carmack HJ. A Cycle of Redemption in a Medical Error Disclosure and Apology Program. Qual Health Res. 2014;24(6):860-869. https://psnet.ahrq.gov/issue/cycle-redemption-medical-error-disclosure-and-apology-program Clinicians who…

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44223/psn-pdf
      November 22, 2016 - Patient Safety and Incident Management Toolkit. November 22, 2016 Edmonton, AB: Canadian Patient Safety Institute. June 2015. https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three- compone…

2006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836832/psn-pdf
      March 30, 2022 - Improving Education—A Key to Better Diagnostic Outcomes. March 30, 2022 Olson APJ, Danielson J, Stanley J, et al. Rockville, MD: Agency for Healthcare Research and Quality; March 2022. AHRQ Publication No. 22-0026-1-EF https://psnet.ahrq.gov/issue/improving-education-key-better-diagnostic-outcomes Diagnostic skil…

2007. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - KH : Going back to our discussion about specific adverse events, we had talked about infection control

2008. In Conversation With... Poonam Sharma, MD, MPH, the Senior Clinical Data Analyst at Atrium Health, and Rhonda Dickman, MSN, RN, CPHQ, the Director of the Tennessee Hospital Association PSO | PSNet
      psnet.ahrq.gov/perspective/conversation-poonam-sharma-md-mph-senior-clinical-data-analyst-atrium-health-and-rhonda
      January 12, 2022 - medical officers, continued working through weekends and nights without a break trying to keep things going

2009. Patient Safety Events and the Role of Patient Safety Organizations During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/patient-safety-events-and-role-patient-safety-organizations-during-covid-19-pandemic
      January 12, 2022 - medical officers, continued working through weekends and nights without a break trying to keep things going

2010. In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0 | PSNet
      psnet.ahrq.gov/perspective/conversation-withstephen-hines-phd-and-monika-haugstetter-mha-msn-rn-cphq-about
      February 28, 2024 - training if you think about it as an opportunity to make things better and to celebrate things that are going

2011. Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training | PSNet
      psnet.ahrq.gov/perspective/revising-teamstepps-evolution-patient-safety-teamwork-training
      February 28, 2024 - training if you think about it as an opportunity to make things better and to celebrate things that are going

2012. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836971/psn-pdf
      April 20, 2022 - Patients should know who's operating, surgeons say. April 20, 2022 Laber-Warren E. MedPage Today. April 5, 2022. https://psnet.ahrq.gov/issue/patients-should-know-whos-operating-surgeons-say Resident autonomy is an essential component to medical training, but it is not without patient safety risks. This news artic…

2013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859352/psn-pdf
      December 20, 2023 - More hospitals move to confront medical errors head on. December 20, 2023 Gorenstein D. Tradeoffs. November 16, 2023. https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head Amid governmental guidance to improve safety, front-line perspectives remain an important source for insight to make im…

2014. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850934/psn-pdf
      June 21, 2023 - Are apologies a way to reduce malpractice risks?. June 21, 2023 Sanfilippo JS, Kettering C, Smith SR. Are apologies a way to reduce malpractice risks? Clin Obstet Gynecol. 2023;66(2):293-297. doi:10.1097/grf.0000000000000772. https://psnet.ahrq.gov/issue/are-apologies-way-reduce-malpractice-risks Effective apology…

2015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837153/psn-pdf
      January 01, 2025 - Annual Communication, Apology, and Resolution (CARe) Forum. October 29, 2024 Betsy Lehman Center for Patient Safety.  https://psnet.ahrq.gov/issue/annual-communication-apology-and-resolution-care-forum Communication and resolution programs are a promising strategy for successful management of relationships a…

2016. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47955/psn-pdf
      April 17, 2019 - Will human factors restore faith in the GMC? April 17, 2019 Morgan L, Benson D, McCulloch P. Will human factors restore faith in the GMC? BMJ. 2019;364:l1037. doi:10.1136/bmj.l1037. https://psnet.ahrq.gov/issue/will-human-factors-restore-faith-gmc Investigations into medical mistakes that result in patient harm sh…

2017. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45916/psn-pdf
      March 08, 2017 - Feeling unsafe in the healthcare setting: patients' perspectives. March 8, 2017 Kenward L, Whiffin C, Spalek B. Feeling unsafe in the healthcare setting: patients' perspectives. Br J Nurs. 2017;26(3):143-149. doi:10.12968/bjon.2017.26.3.143. https://psnet.ahrq.gov/issue/feeling-unsafe-healthcare-setting-patients-p…

2018. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
      psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
      April 01, 2003 - The Wild West: Patient Safety in Office-Based Anesthesia Rainu Kaushal, MD MPH; Sekhar Upadhyayula, MD; David M. Gaba, MD; Lucian L. Leape, MD | May 1, 2006  View more articles from the same authors. Citation Text: Kaushal R, Upadhyayula S, Gaba DM, et al. The Wild…

2019. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43240/psn-pdf
      February 21, 2015 - Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. February 21, 2015 Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217. https://psnet.ahrq.gov/…

2020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837593/psn-pdf
      June 29, 2022 - Adverse event reporting priorities: an integrative review. June 29, 2022 Falcone ML, Van Stee SK, Tokac U, et al. Adverse event reporting priorities: an integrative review. J Patient Saf. 2022;18(4):e727-e740. doi:10.1097/pts.0000000000000945. https://psnet.ahrq.gov/issue/adverse-event-reporting-priorities-integrat…