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  1. 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
  2. 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
  3. 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
  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/34718/psn-pdf
    August 05, 2008 - factors approach to medical errors and tells the stories of several victims of tragic medical errors, including
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43454/psn-pdf
    November 20, 2015 - commentary offers information about educational opportunities for patient safety and quality improvement, including
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35438/psn-pdf
    September 15, 2009 - Patient Safety (NCPS), reviews elements of a successful Veterans Health Administration safety program, including
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39995/psn-pdf
    November 10, 2010 - The articles highlight work related to topics including critical occurrence review, hand hygiene compliance
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45134/psn-pdf
    August 10, 2016 - patient-safety-exploring-quality-care-us This website provides resources exploring patient safety challenges from various perspectives, including
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39609/psn-pdf
    June 27, 2010 - identification-and-prevention-common-adverse-drug-events-intensive-care-unit This supplement focuses on strategies to enhance medication safety in the intensive care unit, including
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42370/psn-pdf
    June 19, 2013 - publication outlines quality and safety improvement projects from one hospital's residency program, including
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43538/psn-pdf
    September 17, 2014 - This review explores medication errors, including common causes, incidence rates, factors that can increase
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36855/psn-pdf
    August 29, 2011 - environment The authors summarize the uses of video in patient safety and discuss issues with its use, including
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43586/psn-pdf
    October 22, 2014 - prescribing errors using the critical incident technique, researchers identified several underlying causes, including
  15. psnet.ahrq.gov/web-mm/missing-abscess-radiology-reads-digital-era
    January 01, 2009 - Elective oophorectomy is performed for many reasons including elimination of ovarian cancer risk. … At that time, the radiologists involved, including me, recognized that the installation could be opening … radiology department in person, where they engaged in an in-person consultation with the radiologist, including … record preliminary impressions, provide an audit of messages exchanged among health care providers (including … that adapts the many tools available to vastly improve communication and follow-up among providers, including
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33771/psn-pdf
    August 22, 2014 - Including the patient in patient safety. … influence patient safety, we must find ways to include the patient in this work.(18) We should be including … There are other ways including the patient in patient safety, such as assessing and mitigating the effects … interventions to promote metacognition, for example), or more specific symptom-directed interventions including … This is not to mention the effects of time on non-diagnostic errors in medicine, including medication
  17. psnet.ahrq.gov/web-mm/radiology-missed-intracranial-bleed-lethargic-infant
    August 21, 2016 - The patient underwent a non-accidental trauma evaluation including a comprehensive metabolic panel, lipase … Background Child maltreatment, including neglect, endangerment, and physical and or sexual abuse, is … Without obvious external signs of trauma, recognizing NAT, including milder forms of AHT, can be especially … A consensus statement supported by multiple international professional societies including the American … Take-Home Points NAT, including neglect, endangerment, and physical or sexual abuse, is widespread and
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33800/psn-pdf
    January 01, 2015 - The observed physicians were volunteers from institutions representing 11 different CPOE systems, including … Cost is also a barrier to CPOE implementation, with implementation costs (including software, consultants … directions in CPOE research should include more data on usability and errors from real-world settings, including
  19. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
    July 01, 2003 - .): Code Status Confusion The resident had discussed the case briefly with the intern (including her … Case (cont.): Code Status Confusion The patient did receive cardiopulmonary resuscitation, including … Standardize the DNR order sheet Separate authorization for CPR, intubation, and vasopressors Consider including
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33802/psn-pdf
    February 01, 2016 - professional satisfaction among physicians.(1-3) First, better professional satisfaction in any field (including … Proponents of this idea, including me, believe that when a group of physicians is dissatisfied, stressed … interfaces, lack of health information exchange, and degradation of the quality of clinical documentation (including

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