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Showing results for "incident".

  1. The debrief imperative: building teaming competencies and team effectiveness. | PSNet

    psnet.ahrq.gov/issue/debrief-imperative-building-teaming-competencies-and-team-effectiveness
    December 16, 2020 - Commentary The debrief imperative: building teaming competencies and team effectiveness. Citation Text: Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. Copy Citati…

  2. Adverse events in hospitals: the patient's point of view. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - Review Adverse events in hospitals: the patient's point of view. Citation Text: Guijarro M, Andrés JMA, Mira JJ, et al. Adverse events in hospitals: the patient's point of view. Qual Saf Health Care. 2010;19(2):144-7. doi:10.1136/qshc.2007.025585. Copy Citation Format: DO…

  3. Disclosing medical errors to patients: effects of nonverbal involvement. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-errors-patients-effects-nonverbal-involvement
    June 14, 2017 - Study Disclosing medical errors to patients: effects of nonverbal involvement. Citation Text: Hannawa AF. Disclosing medical errors to patients: effects of nonverbal involvement. Patient Educ Couns. 2014;94(3):310-313. doi:10.1016/j.pec.2013.11.007. Copy Citation Format: DO…

  4. Diseases of medical progress. | PSNet

    psnet.ahrq.gov/issue/diseases-medical-progress
    June 27, 2018 - Review Classic Diseases of medical progress. Citation Text: MOSER RH. Diseases of medical progress. N Engl J Med. 1956;255(13):606-14. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Clinical Summary: Screening for HIV Infection (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/WJE2r5v4CHc9dMZ4GT7dnT
    Clinical Summary: Screening for HIV Infection Clinical Summary: Screening for HIV Infection Population Adolescents and adults aged 15 to 65 years Pregnant Persons Recommendation Screen for HIV infection. Grade: A Screen for HIV infection. Grade: A Risk Assessment Although all adolesc…

  6. Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. | PSNet

    psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error-second-edition
    May 30, 2019 - Book/Report Classic Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Citation Text: Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. Casey SM. Santa Barbara, CA: Ae…

  7. Failure mode and effects analysis: too little for too much? | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effects-analysis-too-little-too-much
    November 25, 2009 - Commentary Failure mode and effects analysis: too little for too much? Citation Text: Franklin BD, Shebl NA, Barber N. Failure mode and effects analysis: too little for too much? BMJ Qual Saf. 2012;21(7):607-11. doi:10.1136/bmjqs-2011-000723. Copy Citation Format: DOI Goo…

  8. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/negative-impact-nurse-physician-disruptive-behavior-patient-safety-review-literature
    August 18, 2021 - Review The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. Citation Text: Saxton R, Hines T, Enriquez M. The negative impact of nurse-physician disruptive behavior on patient safety: a review of the literature. J Patient Saf. 2009;5…

  9. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. | PSNet

    psnet.ahrq.gov/issue/invited-article-managing-disruptive-physician-behavior-impact-staff-relationships-and-patient
    February 03, 2010 - Study Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Citation Text: Rosenstein AH, O'Daniel M. Invited article: Managing disruptive physician behavior: impact on staff relationships and patient care. Neurology. 2008;70(17):1564-…

  10. To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. | PSNet

    psnet.ahrq.gov/issue/tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients
    April 19, 2011 - Commentary Classic To tell the truth: ethical and practical issues in disclosing medical mistakes to patients. Citation Text: Wu AW, Cavanaugh TA, McPhee SJ, et al. To tell the truth. J Gen Intern Med. 2003;12(12). doi:10.1046/j.1525-1497.1997.07163.x. Copy …

  11. A piece of my mind. Despite my best intentions. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-despite-my-best-intentions
    September 13, 2016 - Commentary A piece of my mind. Despite my best intentions. Citation Text: Kahn JS. Despite My Best Intentions. JAMA. 2017;318(17). doi:10.1001/jama.2017.6123. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. | PSNet

    psnet.ahrq.gov/issue/eradicating-central-line-associated-bloodstream-infections-statewide-hawaii-experience
    January 15, 2014 - Study Eradicating central line–associated bloodstream infections statewide: the Hawaii experience. Citation Text: Lin D, Weeks K, Bauer L, et al. Eradicating Central Line–Associated Bloodstream Infections Statewide. American Journal of Medical Quality. 2011;27(2). doi:10.1177/106286061…

  13. Methods for assessing the preventability of adverse drug events: a systematic review. | PSNet

    psnet.ahrq.gov/issue/methods-assessing-preventability-adverse-drug-events-systematic-review
    July 24, 2013 - Review Methods for assessing the preventability of adverse drug events: a systematic review. Citation Text: Hakkarainen KM, Sundell KA, Petzold M, et al. Methods for assessing the preventability of adverse drug events: a systematic review. Drug Saf. 2012;35(2):105-26. doi:10.2165/11596…

  14. Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/recommendations-using-revised-safer-dx-instrument-help-measure-and-improve-diagnostic-safety
    August 07, 2019 - Commentary Recommendations for using the Revised Safer Dx instrument to help measure and improve diagnostic safety. Citation Text: Singh H, Khanna A, Spitzmueller C, et al. Recommendations for using the Revised Safer Dx Instrument to help measure and improve diagnostic safety. Diagnosis …

  15. A prevalence study of errors in opioid prescribing in a large teaching hospital. | PSNet

    psnet.ahrq.gov/issue/prevalence-study-errors-opioid-prescribing-large-teaching-hospital
    October 19, 2022 - Study A prevalence study of errors in opioid prescribing in a large teaching hospital. Citation Text: Davies D, Schneider F, Childs S, et al. A prevalence study of errors in opioid prescribing in a large teaching hospital. Int J Clin Pract. 2011;65(9):923-9. doi:10.1111/j.1742-1241.201…

  16. Technical mistakes during the acquisition of the electrocardiogram. | PSNet

    psnet.ahrq.gov/issue/technical-mistakes-during-acquisition-electrocardiogram
    March 09, 2022 - Review Technical mistakes during the acquisition of the electrocardiogram. Citation Text: García-Niebla J, Llontop-García P, Valle-Racero JI, et al. Technical mistakes during the acquisition of the electrocardiogram. Ann Noninvasive Electrocardiol. 2009;14(4):389-403. doi:10.1111/j.154…

  17. Physicians and electronic health records: a statewide survey. | PSNet

    psnet.ahrq.gov/issue/physicians-and-electronic-health-records-statewide-survey
    December 31, 2014 - Study Physicians and electronic health records: a statewide survey. Citation Text: Simon SR, Kaushal R, Cleary PD, et al. Physicians and electronic health records: a statewide survey. Arch Intern Med. 2007;167(5):507-12. Copy Citation Format: Google Scholar PubMed BibTeX …

  18. Patient safety attitudes of paediatric trainee physicians. | PSNet

    psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physicians
    December 01, 2010 - Study Patient safety attitudes of paediatric trainee physicians. Citation Text: Parry G, Horowitz L, Goldmann D. Patient safety attitudes of paediatric trainee physicians. Qual Saf Health Care. 2009;18(6):462-6. doi:10.1136/qshc.2006.020230. Copy Citation Format: DOI Goog…

  19. Finding blunders in thyroid testing: experience in newborns. | PSNet

    psnet.ahrq.gov/issue/finding-blunders-thyroid-testing-experience-newborns
    March 04, 2020 - Study Finding blunders in thyroid testing: experience in newborns. Citation Text: Zilka LJ, Lott JA, Baker LC, et al. Finding blunders in thyroid testing: experience in newborns. J Clin Lab Anal. 2008;22(4):254-6. doi:10.1002/jcla.20247. Copy Citation Format: DOI Google S…

  20. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. | PSNet

    psnet.ahrq.gov/issue/wrong-site-craniotomy-analysis-35-cases-and-systems-prevention
    November 16, 2022 - Study Wrong-site craniotomy: analysis of 35 cases and systems for prevention. Citation Text: Cohen FL, Mendelsohn D, Bernstein M. Wrong-site craniotomy: analysis of 35 cases and systems for prevention. J Neurosurg. 2010;113(3):461-73. doi:10.3171/2009.10.JNS091282. Copy Citation …
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