-
psnet.ahrq.gov/perspective/safety-and-medical-education
December 01, 2013 - RW : Talk about mentorship, how important it's been, and what makes a good mentor for you. … chosen but she was really invested in my professional career—and I think those are the hallmarks of a good … Many of my good ideas came to me when I wasn't officially at work. … While I would say for junior researchers it's good to be focused, the types of problems that we're trying … Being opportunistic might be good for people who really need funding to get started or are looking for
-
psnet.ahrq.gov/perspective/safety-medical-devices
June 01, 2011 - Being "well-informed" starts with having good data—a genuine understanding of the real world. … These shortcomings can be avoided with good design, based on good research. … What do you think about that general philosophy—that although automation may be good, one of the unintended … issues as system problems rather than manifestations of individual carelessness or sloppiness—most are good … I'm not saying that that is necessarily a bad thing; sometimes it's a good thing.
-
psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
May 01, 2018 - the slow pace of computerization, how much of it has been because the systems haven't been all that good … Actually, on the outpatient side, the systems now are quite good. … Most of the big vendor applications now are sufficiently good that organizations and providers will realize … But what computers are really good for is ensuring that specific things happen reliably. … they need to go to a hospital in their community, and they want to check out whether it seems like a good
-
psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
May 26, 2021 - KH: Having the ability to openly report events is part of this good safety culture, right?
-
psnet.ahrq.gov/node/74120/psn-pdf
November 30, 2021 - Culture Clash No More: Integration and Coordination of
Disease Treatment and Palliative Care
November 30, 2021
Spero H, Usher AE, Howard B, et al. Culture Clash No More: Integration and Coordination of Disease
Treatment and Palliative Care . PSNet [internet]. 2021.
https://psnet.ahrq.gov/web-mm/culture-clash-no-mo…
-
psnet.ahrq.gov/node/836976/psn-pdf
April 27, 2022 - Intraosseous Line Extravasation in a Pediatric Trauma
Patient
April 27, 2022
Yoon J, Barnes DK. Intraosseous Line Extravasation in a Pediatric Trauma Patient. PSNet [internet]. 2022.
https://psnet.ahrq.gov/web-mm/intraosseous-line-extravasation-pediatric-trauma-patient
Disclosure of Relevant Financial Relationship…
-
psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - SPOTLIGHT CASE
Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression
Citation Text:
Fazio S, Firestone R. Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Depar…
-
psnet.ahrq.gov/web-mm/stroke-error
February 01, 2016 - Related Resources From the Same Author(s)
WebM&M Cases
Good
-
psnet.ahrq.gov/web-mm/do-not-miss-sepsis-needles-viral-haystacks
March 27, 2024 - October 18, 2023
"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency
-
psnet.ahrq.gov/web-mm/multiple-missed-opportunities-suicide-risk-assessment-emergency-and-primary-care-settings
May 26, 2021 - positive screen on question #9 was associated with an increased risk over days to months but was not good
-
psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
June 29, 2020 - FDA-approved medication or vaccine for COVID-19, and we are seeing the use of medications that have a good
-
psnet.ahrq.gov/web-mm/premature-closure-was-it-just-syncope
February 10, 2021 - SPOTLIGHT CASE
Premature Closure: Was It Just Syncope?
Citation Text:
Maurier D, Barnes DK. Premature Closure: Was It Just Syncope?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2020.
Copy Citation
Format:
…
-
psnet.ahrq.gov/perspective/safety-culture-ems
May 26, 2021 - KH: Having the ability to openly report events is part of this good safety culture, right?
-
psnet.ahrq.gov/node/43950/psn-pdf
March 04, 2015 - Diagnostic errors in the pediatric and neonatal ICU: a
systematic review.
March 4, 2015
Custer JW, Winters BD, Goode V, et al. Diagnostic errors in the pediatric and neonatal ICU: a systematic
review. Pediatr Crit Care Med. 2015;16(1):29-36. doi:10.1097/PCC.0000000000000274.
https://psnet.ahrq.gov/issue/diagnostic…
-
psnet.ahrq.gov/node/33621/psn-pdf
November 01, 2005 - to have the capacity to activate the RRT
simply because, in their judgment, the patient didn't look good … Is this a good idea?
Resources are scarce—especially for personnel.
-
psnet.ahrq.gov/web-mm/direct-oral-anticoagulants-are-high-risk-medications-potentially-complex-dosing
August 21, 2005 - consistently receiving pertinent information regarding their medication(s)
Using the teach-back method is a good
-
psnet.ahrq.gov/sites/default/files/2021-09/spotlight_missed_sea_09.17.2021_-_final.pdf
January 01, 2021 - 44
Take-Home Points (1)
45
• Early diagnosis and timely intervention are necessary to achieve good
-
psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
December 14, 2022 - people conduct hot debriefings, which are quick meetings and discussions after a patient care event, good
-
psnet.ahrq.gov/perspective/patient-safety-united-kingdom-evolution-and-progress
May 01, 2007 - We wanted to develop a program for evaluating good solutions to reduce risk, so we have a "Safety Solutions
-
psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
May 01, 2007 - We wanted to develop a program for evaluating good solutions to reduce risk, so we have a "Safety Solutions