-
psnet.ahrq.gov/node/36701/psn-pdf
January 18, 2011 - present six case studies of failures in occupational and physical therapy and analyze the
ethical issues involved
-
psnet.ahrq.gov/node/37607/psn-pdf
May 02, 2018 - important causes of errors not described in the series, and offers a broader perspective on the factors
involved
-
psnet.ahrq.gov/node/43102/psn-pdf
December 14, 2016 - The majority of errors involved false negative readings (i.e.,
missed injuries).
-
psnet.ahrq.gov/node/42743/psn-pdf
November 20, 2013 - 200 closed malpractice claims filed against nurse practitioners and found that most of
the claims involved
-
psnet.ahrq.gov/node/39254/psn-pdf
January 27, 2010 - This study
discusses practical issues involved in ensuring optimal checklist usage, along with the safety
-
psnet.ahrq.gov/node/37416/psn-pdf
March 28, 2012 - story-behind-story-physician-skepticism-about-relying-clinical-information-
technologies
This survey of physicians involved
-
psnet.ahrq.gov/node/43225/psn-pdf
June 04, 2014 - qualitative study could recall at least
one near miss or preventable adverse event that they were directly involved
-
psnet.ahrq.gov/node/45336/psn-pdf
September 21, 2016 - news article reviews several examples of
misdiagnosis and insights from the patients and families involved
-
psnet.ahrq.gov/node/36049/psn-pdf
January 02, 2017 - Lisa Iezzoni highlights the unique safety and quality issues involved in the medical
care of individuals
-
psnet.ahrq.gov/node/33796/psn-pdf
January 01, 2016 - Every physician knows about malpractice cases—maybe they've been
unfortunate enough to be involved in … Then, ultimately I see the Institute of Medicine getting involved. How did
that all happen? … The report
involved the work of some 30 individuals over a period of 18 months, with the final report … To the extent that they can
become more involved in their own diagnosis, it might be safer. … The report asks health care organizations to get involved in terms of
facilitating communication and
-
psnet.ahrq.gov/node/43778/psn-pdf
April 22, 2015 - meet-cancer-patient-room-52-his-name-joseph-call-him-joe
This newspaper article reports on a pilot program which involved
-
psnet.ahrq.gov/node/38656/psn-pdf
May 27, 2009 - In contrast to a
prior study, the most common types of errors involved medications and procedural complications
-
psnet.ahrq.gov/node/42943/psn-pdf
April 12, 2014 - doing-right-our-patients-when-things-go-wrong-ambulatory-setting
This commentary describes the partnerships and consensus efforts involved
-
psnet.ahrq.gov/node/45285/psn-pdf
September 14, 2016 - This commentary describes a
communication training initiative for pathology residents that involved
-
psnet.ahrq.gov/node/36130/psn-pdf
September 29, 2010 - System, a communication protocol for
exchanging medication data, within the context of the stakeholders involved
-
psnet.ahrq.gov/node/35079/psn-pdf
November 04, 2015 - of lessons learned since the Harvard Medical Practice Study (HMPS),
this book explores the issues involved
-
psnet.ahrq.gov/node/36337/psn-pdf
October 26, 2010 - events related to medical devices, equipment, and other
technologies and discuss governance issues involved
-
psnet.ahrq.gov/node/38219/psn-pdf
May 24, 2015 - emotional-impact-medical-error-involvement-physicians-call-leadership-and-
organisational
This review analyzed how medical errors affect the physicians involved
-
psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - surgeries as well as chart review to identify medication errors, investigators determined that 44% of cases involved … The medications most frequently involved included propofol, phenylephrine, and fentanyl, and errors occurred … described a tendency toward self-doubt in novel or ambiguous situations.( 5-8 ) In this case, the resident involved … rooms alone, that the attending is physically accessible for consultation at all times, and that the involved
-
psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.242_slideshow.ppt
June 01, 2011 - for Family Members
In one study, 1/3 of physicians had observed a colleague become “inappropriately involved … sexual history or substance abuse
May try to spare a relative from a painful procedure
Can become too involved … http://jama.ama-assn.org/content/88/12/877.short
*
Take-Home Points
Becoming professionally involved