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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46399/psn-pdf
    October 11, 2017 - calibration—the relationship between individual confidence in diagnostic decision making and diagnostic accuracy—including
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35129/psn-pdf
    June 22, 2009 - aftermath-adverse-event-supporting-health-care-professionals-meet-patient- expectations The authors explain elements of successful disclosure, including
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41641/psn-pdf
    August 29, 2012 - patient-safety-and-quality-improvement-overview-qi This commentary describes strategies to improve quality and safety in health care systems, including
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43434/psn-pdf
    August 06, 2014 - maryland-hospitals-arent-reporting-all-errors-and-complications-experts-say This news article reports weaknesses in a Maryland reporting program, including
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44532/psn-pdf
    December 21, 2018 - in health care incident reporting systems that limit their ability to contribute to improvements, including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45306/psn-pdf
    August 17, 2016 - IPSC educational activities and efforts to raise awareness of local and national safety initiatives, including
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43718/psn-pdf
    December 03, 2014 - overall interest in patient safety and teamwork, but also identified numerous areas for improvements, including
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45544/psn-pdf
    December 19, 2016 - a 12- year period, this article recommends strategies to reduce risks associated with prescribing, including
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49525/psn-pdf
    December 01, 2006 - Discuss the management of HIT, including use of direct thrombin inhibitors and extended anticoagulation … appropriate initial management of the condition includes discontinuation of all forms of heparin (including … Such an approach is supported by several studies, including a randomized controlled trial of UFH versus … †ASR = acute systemic reaction, including hypertension, tachypnea, fever, following intravenous heparin … ‡Discontinue all forms of heparin, including vascular catheter heparin flushes and heparin-coated catheters
  10. psnet.ahrq.gov/web-mm/time-death
    January 03, 2017 - The Case An 80-year-old woman with multiple illnesses, including chronic obstructive pulmonary disease … This case vividly illustrates shortcomings in the educational process of resuscitation skills, including … The case also brings to light several issues of team performance, including (i) problems of situation … Effective debriefing, including performance feedback, provides opportunities for learners to analyze … A recent review further describes the key components of effective team training, including management
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49768/psn-pdf
    September 01, 2016 - visited one of his patients—an 80- year-old, Spanish-speaking woman with multiple medical problems including … Her family was advised that she would require ongoing assistance to manage complex tasks including organizing … The patient's medical record revealed that she was supposed to be taking eight medications daily, including … The resident identified several errors in the pill organization system, including empty slots for upcoming … Medication access interventions, including unit dose packaging, have demonstrated an increase in medication
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35029/psn-pdf
    January 05, 2017 - Brigham and Women’s Hospital in Boston, the authors discuss development of a patient safety team, including
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42491/psn-pdf
    September 18, 2013 - used to estimate the incidence of diagnostic error and recommends tactics to improve its measurement, including
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40868/psn-pdf
    October 19, 2011 - simulation-based training can reduce errors and improve patient outcomes, this commentary recommends including
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45026/psn-pdf
    April 19, 2016 - This perspective describes strategies to decrease risks associated with concurrent operations, including
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43714/psn-pdf
    December 17, 2014 - undisclosed details from the emergency room physician who misdiagnosed the patient when he first presented, including
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40080/psn-pdf
    December 15, 2010 - This study surveyed more than 5000 providers who reported elements of unsafe injection practices, including
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42910/psn-pdf
    July 28, 2014 - Review of the literature identified 40 attributes, including trust, being cared for, and staff competency
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44110/psn-pdf
    May 13, 2015 - Articles in this special issue explore research around simulation training, including faculty development
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36323/psn-pdf
    November 14, 2018 - the three types of behavior involved in error—human error, at-risk behavior, and reckless behavior—including

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