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Showing results for "harms".

8121. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866356/psn-pdf
      July 24, 2024 - To forgive, divine. July 24, 2024 Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. https://psnet.ahrq.gov/issue/forgive-divine Resident physicians are vulnerable to psychological harm when they have made a mistake. This commentary shares one resident’s experiences with error.…

8122. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849138/psn-pdf
      May 17, 2023 - Non-accidental Injuries in Infants Attending the Emergency Department. May 17, 2023 Farnborough, UK: Healthcare Safety Investigation Branch; April 2023. https://psnet.ahrq.gov/issue/non-accidental-injuries-infants-attending-emergency-department Misattribution of child maltreatment injuries can be a serious misdiag…

8123. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45133/psn-pdf
      July 18, 2016 - Pharmacist medication reviews to improve safety monitoring in primary care patients. July 18, 2016 Gallimore CE, Sokhal D, Schreiter EZ, et al. Pharmacist medication reviews to improve safety monitoring in primary care patients. Fam Syst Health. 2016;34(2):104-113. doi:10.1037/fsh0000185. https://psnet.ahrq.gov/is…

8124. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/844552/psn-pdf
      February 15, 2023 - Home medical device safety tops ECRI'S list of healthcare technology. February 15, 2023 Wicklund E. HealthLeaders. January 19, 2023. https://psnet.ahrq.gov/issue/home-medical-device-safety-tops-ecris-list-healthcare-technology Technologies both advance and challenge care safety. This article summarizes an annual a…

8125. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34870/psn-pdf
      April 18, 2016 - Unintended medication discrepancies at the time of hospital admission. April 18, 2016 Cornish PL, Knowles SR, Marchesano R, et al. Unintended medication discrepancies at the time of hospital admission. Arch Intern Med. 2005;165(4):424-9. https://psnet.ahrq.gov/issue/unintended-medication-discrepancies-time-hospita…

8126. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60009/psn-pdf
      March 04, 2020 - How common mental shortcuts can cause major physician errors. March 4, 2020 Jena AB, Olenski AR. New York Times. February 20, 2020. https://psnet.ahrq.gov/issue/how-common-mental-shortcuts-can-cause-major-physician-errors Unconscious biases affecting health care decisions elevate the potential for harm. This news …

8127. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45981/psn-pdf
      June 21, 2017 - State sepsis mandates—a new era for regulation of hospital quality. June 21, 2017 Hershey TB, Kahn JM. State Sepsis Mandates - A New Era for Regulation of Hospital Quality. N Engl J Med. 2017;376(24):2311-2313. doi:10.1056/NEJMp1611928. https://psnet.ahrq.gov/issue/state-sepsis-mandates-new-era-regulation-hospital…

8128. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60247/psn-pdf
      April 22, 2020 - A war on two fronts: cancer care in the time of COVID-19. April 22, 2020 Kutikov A, Weinberg DS, Edelman MJ, et al. A war on two fronts: cancer care in the time of COVID-19. Ann Intern Med. 2020;172(11):756-758. doi:10.7326/m20-1133. https://psnet.ahrq.gov/issue/war-two-fronts-cancer-care-time-covid-19 Oncology pa…

8129. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866326/psn-pdf
      July 17, 2024 - Telehealth safety framework: addressing a new frontier in patient safety. July 17, 2024 Gomes KM, Apathy N, Krevat SA, et al. Telehealth safety framework: addressing a new frontier in patient safety. J Patient Saf. 2024;20(5):358-359. doi:10.1097/pts.0000000000001243. https://psnet.ahrq.gov/issue/telehealth-safety…

8130. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44129/psn-pdf
      November 23, 2016 - ECRI out with 10 deadly healthcare technology hazards for 2017. November 23, 2016 Monegain B. Healthcare IT News. November 7, 2016. https://psnet.ahrq.gov/issue/ecri-out-10-deadly-healthcare-technology-hazards-2017 This news article discusses findings of an annual consensus report identifying health care technolog…

8131. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41157/psn-pdf
      February 22, 2012 - Results of a national neurosurgery resident survey on duty hour regulations. February 22, 2012 Fargen KM, Chakraborty A, Friedman WA. Results of a national neurosurgery resident survey on duty hour regulations. Neurosurgery. 2011;69(6):1162-70. doi:10.1227/NEU.0b013e3182245989. https://psnet.ahrq.gov/issue/results…

8132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46244/psn-pdf
      June 28, 2017 - Changing the narratives for patient safety. June 28, 2017 Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. https://psnet.ahrq.gov/issue/changing-narratives-patient-safety Mental models represent established …

8133. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74238/psn-pdf
      January 12, 2022 - Program access, depressive symptoms, and medical errors among resident physicians with disability. January 12, 2022 Meeks LM, Pereira-Lima K, Frank E, et al. Program access, depressive symptoms, and medical errors among resident physicians with disability. JAMA Netw Open. 2021;4(12):e2141511. doi:10.1001/jamanetwo…

8134. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838020/psn-pdf
      September 07, 2022 - Families’ experiences of central-line infection in children: a qualitative study. September 7, 2022 Soto C, Dixon-Woods M, Tarrant C. Families’ experiences of central-line infection in children: a qualitative study. Arch Dis Child. 2022;107(11):1038-1042. doi:10.1136/archdischild-2022-324186. https://psnet.ahrq.go…

8135. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46831/psn-pdf
      April 18, 2018 - Guideline Summary: Medication Safety. April 18, 2018 Guideline Summary: Medication Safety. AORN J. 2018;107(4):489-494. doi:10.1002/aorn.12096. https://psnet.ahrq.gov/issue/guideline-summary-medication-safety Perioperative medication errors can result in patient harm as well as emotional distress among clinical te…

8136. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38356/psn-pdf
      January 21, 2009 - Oxytocin as a high-alert medication: implications for perinatal patient safety. January 21, 2009 Simpson KR, Knox E. Oxytocin as a high-alert medication: implications for perinatal patient safety. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7. doi:10.1097/01.NMC.0000343859.62828.ee. https://psnet.ahrq.gov…

8137. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836759/psn-pdf
      April 06, 2022 - Diversion is a Threat to Patient Safety: Adopting Best Practices. March 16, 2022 Institute for Safe Medication Practices. April 6, 2022.  https://psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices Drug diversion can result in patient harm due to reduced medication availability, impai…

8138. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847053/psn-pdf
      April 05, 2023 - Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023 Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public Health. 2023;11:1087268. doi:10.3389/fp…

8139. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47695/psn-pdf
      June 14, 2019 - No shortcuts to safer opioid prescribing. June 14, 2019 Dowell D, Haegerich T, Chou R. No Shortcuts to Safer Opioid Prescribing. N Engl J Med. 2019;380(24):2285-2287. doi:10.1056/NEJMp1904190. https://psnet.ahrq.gov/issue/no-shortcuts-safer-opioid-prescribing Improving opioid prescribing is a complex challenge tha…

8140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47233/psn-pdf
      November 02, 2018 - The STEP-up programme: engaging all staff in patient safety. November 2, 2018 Hamblin-Brown DJ; Ingram J. https://psnet.ahrq.gov/issue/step-programme-engaging-all-staff-patient-safety A transparent and respectful hospital culture is the foundation for improving working conditions to reduce preventable harm. This …