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Showing results for "happened".

941. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867190/psn-pdf
     November 20, 2024 - Misdiagnosis is dangerous. Help your doctor get it right. November 20, 2024 Terry K. Misdiagnosis is dangerous. Help your doctor get it right. WebMD. November 11, 2024; https://psnet.ahrq.gov/issue/misdiagnosis-dangerous-help-your-doctor-get-it-right Patients are partners in health care and can inform actions to id…

942. In Conversation With… Matthew Weinger, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
     August 01, 2018 - Why hasn't that happened? MW : It's a function of the structure of health care.

943. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73331/psn-pdf
     May 26, 2021 - Cancer diagnoses delayed among prisoners in Washington state. May 26, 2021 Medscape Medical News. May 12, 2021. https://psnet.ahrq.gov/issue/cancer-diagnoses-delayed-among-prisoners-washington-state Delays and mistakes in health care for distinct patient populations hold improvement lessons for the broader system…

944. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36352/psn-pdf
     April 14, 2011 - Patient expectations of fair complaint handling in hospitals: empirical data. April 14, 2011 Friele RD, Sluijs EM. Patient expectations of fair complaint handling in hospitals: empirical data. BMC Health Serv Res. 2006;6:106. https://psnet.ahrq.gov/issue/patient-expectations-fair-complaint-handling-hospitals-empir…

945. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74276/psn-pdf
     January 19, 2022 - Guideline for Prevention of Unintentionally Retained Surgical Items. January 19, 2022 Croke L. Guideline for prevention of unintentionally retained surgical items. AORN J. 2021;114(6):4-6. doi:10.1002/aorn.13579. https://psnet.ahrq.gov/issue/guideline-prevention-unintentionally-retained-surgical-items Retained su…

946. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50838/psn-pdf
     January 29, 2020 - Start the new year off right by preventing these top 10 medication errors and hazards. January 29, 2020 ISMP Medication Safety Alert! Acute care edition. January 16, 2020;26(2):1-6. https://psnet.ahrq.gov/issue/start-new-year-right-preventing-these-top-10-medication-errors-and-hazards Medication errors routinely c…

947. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854639/psn-pdf
     October 18, 2023 - Right Kind of Wrong: Why Learning to Fail can Teach us to Thrive. October 18, 2023 Edmondson A. Atria Books, New York, 2023. ISBN: 9781982195069. https://psnet.ahrq.gov/issue/right-kind-wrong-why-learning-fail-can-teach-us-thrive Despite the harm that failure can cause, its value as a learning opportunity, if exam…

948. In Conversation with…Christopher P. Landrigan, MD | PSNet
     psnet.ahrq.gov/perspective/conversation-withchristopher-p-landrigan-md
     April 01, 2005 - However, it turned out that this kind of thing happened only a handful of times over the life of the

949. Introducing the New AHRQ WebM&M and AHRQ Patient Safety Network (PSNet) | PSNet
     psnet.ahrq.gov/perspective/introducing-new-ahrq-webmm-and-ahrq-patient-safety-network-psnet
     April 01, 2005 - However, it turned out that this kind of thing happened only a handful of times over the life of the

950. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33879/psn-pdf
     May 01, 2019 - In Conversation With… Jane Brice, MD, MPH May 1, 2019 In Conversation With… Jane Brice, MD, MPH. PSNet [internet]. 2019. https://psnet.ahrq.gov/perspective/conversation-jane-brice-md-mph Editor's note: Dr. Brice is Professor and Chair of the Department of Emergency Medicine at the University of North Carolina. She…

951. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45840/psn-pdf
     February 08, 2017 - Implementation of the safety huddle. February 8, 2017 Kylor C, Napier T, Rephann A, et al. Implementation of the Safety Huddle. Crit Care Nurse. 2016;36(6):80- 82. https://psnet.ahrq.gov/issue/implementation-safety-huddle The safety huddle is becoming common within health care practice as a way to inform clinician…

952. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74846/psn-pdf
     February 16, 2022 - Weight-based Medication Errors in Children. February 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/weight-based-medication-errors-children Weight-calculation errors can result in pediatric patient harm as they affect medication prescribing, dispensing…

953. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33613/psn-pdf
     May 01, 2005 - Organizational Change in the Face of Highly Public Errors—II. The Duke Experience May 1, 2005 Frush K. Organizational Change in the Face of Highly Public Errors—II. The Duke Experience. PSNet [internet]. 2005. https://psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-ii-duke-experience Pe…

954. Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. | PSNet
     psnet.ahrq.gov/issue/use-interactive-telephone-based-self-management-support-program-identify-adverse-events-among
     June 11, 2010 - Study Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients. Citation Text: Sarkar U, Handley MA, Gupta R, et al. Use of an interactive, telephone-based self-management support program to identify adverse ev…

955. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43513/psn-pdf
     September 10, 2014 - Preventing medical errors: how to proceed with caution. September 10, 2014 Shaw G. Preventing Medical Errors. The Hearing Journal. 2014;67(7). doi:10.1097/01.hj.0000452244.07451.64. https://psnet.ahrq.gov/issue/preventing-medical-errors-how-proceed-caution This article provides an overview of patient safety issues…

956. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34773/psn-pdf
     March 08, 2017 - Medication Errors: The Nursing Experience. March 8, 2017 Wolf ZR. Albany NY: Delmar Publishers; 1994. ISBN: 9780827362628. https://psnet.ahrq.gov/issue/medication-errors-nursing-experience In one of the first professional books to deal with medication error from the nursing perspective, Wolf provides a comprehensi…

957. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36499/psn-pdf
     January 07, 2011 - Retrospective analysis of medication incidents reported using an on-line reporting system. January 7, 2011 Ashcroft DM, Cooke J. Retrospective analysis of medication incidents reported using an on-line reporting system. Pharmacy World & Science. 2006;28(6). doi:10.1007/s11096-006-9040-8. https://psnet.ahrq.gov/iss…

958. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34854/psn-pdf
     March 28, 2005 - Preventing lawsuits: Coalition pushes apologies and cash up-front. Dealing with medical errors when they happen-- instead of in court--can benefit doctors and patients, supporters say. March 28, 2005 Albert T. AMNews. February 7, 2005. https://psnet.ahrq.gov/issue/preventing-lawsuits-coalition-pushes-apologies-an…

959. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45936/psn-pdf
     March 08, 2017 - Using information from external errors to signal a "clear and present danger." March 8, 2017 ISMP Medication Safety Alert! Acute care edition. February 9, 2017;22:1-5. https://psnet.ahrq.gov/issue/using-information-external-errors-signal-clear-and-present-danger Monitoring external reports of error and harm can pr…

960. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42346/psn-pdf
     June 10, 2018 - Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3. https://psnet.ahrq.gov/issue/fatal-pca-adverse-events-continue-happenbetter-patient-monitoring-essential- prevent-harm Describi…