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Showing results for "involving".

2921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36915/psn-pdf
      May 30, 2007 - Fatal error sparks debate over punitive measures.  May 30, 2007 Fernandez J. Drug Topics. May 7, 2007. https://psnet.ahrq.gov/issue/fatal-error-sparks-debate-over-punitive-measures This article discusses a chemotherapy overdose that led to a child's death and the punitive measures taken against the pharmacist invo…

2922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38857/psn-pdf
      July 31, 2012 - Name and shame. July 31, 2012 Cassidy J. Name and shame. BMJ. 2009;339:b2693. doi:10.1136/bmj.b2693. https://psnet.ahrq.gov/issue/name-and-shame This article examines the impact of whistleblowing on the caregivers involved, using the Bristol incident and other high-profile examples from the United Kingdom. https:…

2923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41113/psn-pdf
      February 01, 2012 - Elderly Falls. February 1, 2012 J Safety Res. 2011;42(6):415-542.   https://psnet.ahrq.gov/issue/elderly-falls This special issue explores fall prevention, including strategies, literature reviews, and progress reports from organizations involved in fall prevention efforts. https://psnet.ahrq.gov/issue/elder…

2924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39434/psn-pdf
      April 07, 2010 - Questions to ask about radiation safety. April 7, 2010 The American Society for Radiation Oncology https://psnet.ahrq.gov/issue/questions-ask-about-radiation-safety This Web site offers information to help patients understand both safety issues and risks involved in radiation therapy. https://psnet.ahrq.gov/issue…

2925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33951/psn-pdf
      November 21, 2016 - National Agenda for Action: Patients and Families in Patient Safety.  November 21, 2016 Boston, MA: National Patient Safety Foundation; 2008. https://psnet.ahrq.gov/issue/national-agenda-action-patients-and-families-patient-safety This report outlines actions that should be taken by all health care organizations t…

2926. In Conversation With… Matthew Weinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-matthew-weinger-md
      August 01, 2018 - Studies involving patients have demonstrated that procedural skills training using simulation is associated … Simulations involving standardized patients are a means to assess selected competencies in patient care

2927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36422/psn-pdf
      December 22, 2010 - Side errors in neurosurgery. December 22, 2010 Mitchell P, Nicholson CL, Jenkins A. Side errors in neurosurgery. Acta Neurochir (Wien). 2006;148(12):1289-92; discussion 1292. https://psnet.ahrq.gov/issue/side-errors-neurosurgery The authors interviewed surgeons involved in wrong-site incidents and found that the e…

2928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39869/psn-pdf
      September 22, 2010 - Teaching quality improvement. September 22, 2010 Murray ME, Douglas S, Girdley D, et al. Teaching quality improvement. J Nurs Educ. 2010;49(8):466-9. doi:10.3928/01484834-20100430-09. https://psnet.ahrq.gov/issue/teaching-quality-improvement This commentary outlines an educational program for nursing students desi…

2929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39132/psn-pdf
      December 17, 2009 - Nurses Transforming Care. December 17, 2009 Am J Nurs. 2009;109(suppl 11):3-80, C3.   https://psnet.ahrq.gov/issue/nurses-transforming-care This special issue highlights the work of nurse-led teams involved in the Transforming Care at the Bedside  project and describes its impact on safety and quality improve…

2930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38810/psn-pdf
      July 22, 2009 - When doctors make mistakes. July 22, 2009 Chen PW. https://psnet.ahrq.gov/issue/when-doctors-make-mistakes-1 This column shares one physician's experience with the deterioration of a colleague's practice after involvement in error. The piece highlights the need for effective support of physicians-in-training to ma…

2931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867497/psn-pdf
      February 26, 2025 - Surgical Count Processes  Surgical Count A process involving two people who look at items together

2932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850361/psn-pdf
      June 14, 2023 - Involving a patient’s family members, if permitted by the patient, helps them to understand the patient

2933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35128/psn-pdf
      March 04, 2011 - Junior doctors' shifts and sleep deprivation. March 4, 2011 Murray A, Pounder R, Mather H, et al. Junior doctors' shifts and sleep deprivation. BMJ. 2005;330(7505):1404. https://psnet.ahrq.gov/issue/junior-doctors-shifts-and-sleep-deprivation The authors argue that the National Health Service shift system, which i…

2934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35974/psn-pdf
      May 08, 2018 - Tablet splitting: Do it only if you "half" to, and then do it safely. May 8, 2018 ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2. https://psnet.ahrq.gov/issue/tablet-splitting-do-it-only-if-you-half-and-then-do-it-safely This alert presents the risks involved with tablet splitting and outlin…

2935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36918/psn-pdf
      September 01, 2011 - Developing a culture of safety in ambulatory care settings. September 1, 2011 Shostek K. Developing a culture of safety in ambulatory care settings. J Ambul Care Manage. 2007;30(2):105-13. https://psnet.ahrq.gov/issue/developing-culture-safety-ambulatory-care-settings The author discusses the issues involved in e…

2936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34631/psn-pdf
      December 23, 2016 - Sentinel Event Alert. December 23, 2016 Oakbrook Terrace, IL: The Joint Commission. https://psnet.ahrq.gov/issue/sentinel-event-alert This newsletter provides guidance to health care organizations for responding to commonly reported incidents. The Joint Commission issues these sentinel event alerts to review selec…

2937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36776/psn-pdf
      August 26, 2011 - The role of the chief executive officer in maximizing patient safety. August 26, 2011 Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. https://psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety The author discus…

2938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37579/psn-pdf
      February 27, 2008 - Rx for errors: speed, high volume can trigger mistakes. February 27, 2008 McCoy K; Brady E. https://psnet.ahrq.gov/issue/rx-errors-speed-high-volume-can-trigger-mistakes This series of investigative articles uncovers the factors involved in pharmacy errors, relates stories of patients harmed by such errors, and in…

2939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35035/psn-pdf
      March 17, 2011 - Scottish Audit of Surgical Mortality. March 17, 2011 Scottish Audit of Surgical Mortality and Royal College of Physicians and Surgeons of Glasgow. https://psnet.ahrq.gov/issue/scottish-audit-surgical-mortality The Scottish Audit of Surgical Mortality (SASM) facilitates the peer review of all surgical deaths in Scot…

2940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38789/psn-pdf
      July 28, 2013 - AMA meeting: delegates see boosting quality of care as duty. July 28, 2013 O'Reilly KB. American Medical News. July 6, 2009;17:28. https://psnet.ahrq.gov/issue/ama-meeting-delegates-see-boosting-quality-care-duty This news article reviews the American Medical Association's new policy designed to involve physicians…