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Showing results for "identifying".

6261. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866815/psn-pdf
      September 25, 2024 - Why a sociotechnical framework is necessary to address diagnostic error. September 25, 2024 Ladell MM, Yale S, Bordini BJ, et al. Why a sociotechnical framework is necessary to address diagnostic error. BMJ Qual Saf. 2024;33(12):823-828. doi:10.1136/bmjqs-2024-017231. https://psnet.ahrq.gov/issue/why-sociotechnica…

6262. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43683/psn-pdf
      April 22, 2015 - STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. April 22, 2015 O'Mahony D, O'Sullivan D, Byrne S, et al. STOPP/START criteria for potentially inappropriate prescribing in older people: version 2. Age Ageing. 2015;44(2):213-218. doi:10.1093/ageing/afu145. https://psnet.ahr…

6263. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42116/psn-pdf
      March 20, 2013 - Rapid response systems as a patient safety strategy: a systematic review. March 20, 2013 Winters BD, Weaver SJ, Pfoh ER, et al. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 Pt 2):417-25. doi:10.7326/0003-4819-158-5-201303051-00009. https://psnet.ahrq.gov/issu…

6264. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40597/psn-pdf
      August 10, 2011 - Improving follow-up of high-risk psychiatry outpatients at resident year-end transfer. August 10, 2011 Young JQ, Pringle Z, Wachter R. Improving follow-up of high-risk psychiatry outpatients at resident year- end transfer. Jt Comm J Qual Patient Saf. 2011;37(7):300-308. https://psnet.ahrq.gov/issue/improving-follo…

6265. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36427/psn-pdf
      December 22, 2010 - Adverse events detected by clinical surveillance on an obstetric service. December 22, 2010 Forster AJ, Fung I, Caughey S, et al. Adverse events detected by clinical surveillance on an obstetric service. Obstet Gynecol. 2006;108(5):1073-83. https://psnet.ahrq.gov/issue/adverse-events-detected-clinical-surveillance…

6266. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47459/psn-pdf
      October 10, 2018 - People, processes, health IT and accurate patient identification. October 10, 2018 Quick Safety. October 1, 2018;(45):1-2. https://psnet.ahrq.gov/issue/people-processes-health-it-and-accurate-patient-identification This newsletter article reviews common problems related to patient identification and recommends st…

6267. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34674/psn-pdf
      December 23, 2008 - Incidence and preventability of adverse drug events in hospitalized patients. December 23, 2008 Bates DW, Leape L, Petrycki S. Incidence and preventability of adverse drug events in hospitalized adults. J Gen Intern Med. 1993;8(6):289-294. https://psnet.ahrq.gov/issue/incidence-and-preventability-adverse-drug-even…

6268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35017/psn-pdf
      August 24, 2017 - The Field Guide to Human Error Investigations, Third Edition. August 24, 2017 Dekker S. Boca Baton, FL: CRC Press; 2017. https://psnet.ahrq.gov/issue/field-guide-human-error-investigations-third-edition This revised and reorganized book provides a primer on how human error causes mishaps and often illustrates dee…

6269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837974/psn-pdf
      August 31, 2022 - Fostering a just culture in healthcare organizations: experiences in practice. August 31, 2022 van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-08418-z. https://psnet.ahrq.gov/i…

6270. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43155/psn-pdf
      May 07, 2014 - Problem-based training improves recognition of patient hazards by advanced medical students during chart review: a randomized controlled crossover study. May 7, 2014 Holderried F, Heine D, Wagner R, et al. Problem-based training improves recognition of patient hazards by advanced medical students during chart revi…

6271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72712/psn-pdf
      February 03, 2021 - Not ‘just depression.’ She seemed trapped in a downward mental health spiral. The real cause was a profound shock. February 3, 2021 Boodman SG. Washington Post. January 23, 2021. https://psnet.ahrq.gov/issue/not-just-depression-she-seemed-trapped-downward-mental-health-spiral-real- cause-was-profound Misdia…

6272. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44559/psn-pdf
      April 15, 2016 - Diagnostic errors related to acute abdominal pain in the emergency department. April 15, 2016 Medford-Davis L, Park E, Shlamovitz G, et al. Diagnostic errors related to acute abdominal pain in the emergency department. Emerg Med J. 2016;33(4):253-9. doi:10.1136/emermed-2015-204754. https://psnet.ahrq.gov/issue/dia…

6273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45799/psn-pdf
      May 09, 2017 - Assessing frequency and risk of weight entry errors in pediatrics. May 9, 2017 Hagedorn PA, Kirkendall E, Kouril M, et al. Assessing Frequency and Risk of Weight Entry Errors in Pediatrics. JAMA Pediatr. 2017;171(4):392-393. doi:10.1001/jamapediatrics.2016.3865. https://psnet.ahrq.gov/issue/assessing-frequency-and…

6274. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764409/psn-pdf
      March 02, 2022 - She was headed to a locked psych ward. Then an ER doctor made a startling discovery. March 2, 2022 Boodman SG. Washington Post. February 12, 2022. https://psnet.ahrq.gov/issue/she-was-headed-locked-psych-ward-then-er-doctor-made-startling-discovery Misdiagnosis over a long period of time can be exacerbated by stig…

6275. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50891/psn-pdf
      February 12, 2020 - Nurses as antimicrobial stewards: recognition, confidence, and organizational factors across nine hospitals. February 12, 2020 Monsees E, Goldman J, Vogelsmeier A, et al. Nurses as antimicrobial stewards: Recognition, confidence, and organizational factors across nine hospitals. Am J Infect Control. 2020. doi:10.1…

6276. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43840/psn-pdf
      January 28, 2015 - A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. January 28, 2015 O'Hara R, Johnson M, Siriwardena N, et al. A qualitative study of systemic influences on paramedic decision making: care transitions and patient safety. J Health Serv Res Policy. 2015;20(1 …

6277. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44785/psn-pdf
      January 27, 2016 - Reducing Adverse Drug Events Related to Opioids Implementation Guide. January 27, 2016 Frederickson TW. Gordon DB, De Pinto M, et al. Philadelphia, PA: Society of Hospital Medicine; 2015. https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-related-opioids-implementation-guide Opioids are high-risk medication…

6278. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35069/psn-pdf
      June 22, 2009 - Towards an organization with a memory: exploring the organizational generation of adverse events in health care. June 22, 2009 Smith D, Toft B. Towards an organization with a memory: exploring the organizational generation of adverse events in health care. Health Serv Manage Res. 2005;18(2). doi:10.1258/0951484053…

6279. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73627/psn-pdf
      January 01, 2022 - The problem with 'My Five Moments for Hand Hygiene'. August 25, 2021 Gould D, Purssell E, Jeanes A, et al. The problem with ‘My Five Moments for Hand Hygiene’. BMJ Qual Saf. 2022;31(4):322-326. doi:10.1136/bmjqs-2020-011911. https://psnet.ahrq.gov/issue/problem-my-five-moments-hand-hygiene The “My Five Moments for…

6280. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73367/psn-pdf
      June 09, 2021 - Ethical challenges in child abuse: what is the harm of a misdiagnosis? June 9, 2021 Brown SD. Ethical challenges in child abuse: what is the harm of a misdiagnosis? Pediatr Radiol. 2021;51(6):1070-1075. doi:10.1007/s00247-020-04845-4. https://psnet.ahrq.gov/issue/ethical-challenges-child-abuse-what-harm-misdiagnos…