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Total Results: 7,150 records

Showing results for "involving".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837745/psn-pdf
    July 27, 2022 - Making electronic health records both SAFER and SMARTER. July 27, 2022 Johnson KB, Stead WW. Making electronic health records both SAFER and SMARTER. JAMA. 2022;328(6):523-524. doi:10.1001/jama.2022.12243. https://psnet.ahrq.gov/issue/making-electronic-health-records-both-safer-and-smarter Electronic health recor…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34778/psn-pdf
    December 23, 2008 - Anesthetic mishaps: breaking the chain of accident evolution. December 23, 2008 Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology. 1987;66(5):670-6. https://psnet.ahrq.gov/issue/anesthetic-mishaps-breaking-chain-accident-evolution A review of anesthesia saf…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45324/psn-pdf
    August 31, 2016 - The problem with medication reconciliation. August 31, 2016 Pevnick JM, Shane R, Schnipper JL. The problem with medication reconciliation. BMJ Qual Saf. 2016;25(9):726-730. doi:10.1136/bmjqs-2015-004734. https://psnet.ahrq.gov/issue/problem-medication-reconciliation Medication reconciliation has demonstrated safet…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47442/psn-pdf
    October 03, 2018 - Speaking up for safety—it’s not simple. October 3, 2018 Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3). https://psnet.ahrq.gov/issue/speaking-safety-its-not-simple Engaging patients and families in patient safety efforts is a key priority in health care. This poll of patients from Pennsylvania explores action…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34801/psn-pdf
    February 10, 2011 - Medication prescribing errors in a teaching hospital. February 10, 2011 Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital This study analyzed nearly 290,000 medica…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46790/psn-pdf
    March 14, 2018 - When clinicians drop out and start over after adverse events. March 14, 2018 Rodriquez J, Scott SD. When Clinicians Drop Out and Start Over after Adverse Events. Jt Comm J Qual Patient Saf. 2018;44(3):137-145. doi:10.1016/j.jcjq.2017.08.008. https://psnet.ahrq.gov/issue/when-clinicians-drop-out-and-start-over-afte…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45321/psn-pdf
    August 01, 2017 - Peer support for clinicians: a programmatic approach. August 1, 2017 Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. https://psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach Peer support programs can help …

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836727/psn-pdf
    March 09, 2022 - A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091. https://psnet.ahrq.gov/issue/family-an…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838192/psn-pdf
    September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847059/psn-pdf
    April 05, 2023 - A decade after Francis: is the NHS safer and more open? April 5, 2023 Martin G, Stanford S, Dixon-Woods M. A decade after Francis: is the NHS safer and more open? BMJ. 2023;380:513. doi:10.1136/bmj.p513. https://psnet.ahrq.gov/issue/decade-after-francis-nhs-safer-and-more-open The Francis report served as a call t…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47146/psn-pdf
    June 27, 2018 - Provider perspectives on partnering with parents of hospitalized children to improve safety. June 27, 2018 Rosenberg RE, Williams E, Ramchandani N, et al. Provider Perspectives on Partnering With Parents of Hospitalized Children to Improve Safety. Hosp Pediatr. 2018;8(6):330-337. doi:10.1542/hpeds.2017-0159. https…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44000/psn-pdf
    July 18, 2016 - Elucidating reasons for resident underutilization of electronic adverse event reporting. July 18, 2016 Hatoun J, Suen W, Liu C, et al. Elucidating Reasons for Resident Underutilization of Electronic Adverse Event Reporting. Am J Med Qual. 2016;31(4):308-314. doi:10.1177/1062860615574504. https://psnet.ahrq.gov/iss…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42625/psn-pdf
    November 08, 2013 - Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. November 8, 2013 Judson TJ, Howell MD, Guglielmi C, et al. Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items. Jt Comm J Qual Patient Saf. 2013;39(10):4…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851924/psn-pdf
    August 02, 2023 - The things we carry: the scope and impact of second victim syndrome. August 2, 2023 Nosanov L, Elseth AJ, Maxwell J, et al. The things we carry: the scope and impact of second victim syndrome. Am J Surg. 2023;226(5):726-728. doi:10.1016/j.amjsurg.2023.06.035. https://psnet.ahrq.gov/issue/things-we-carry-scope-and-…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45525/psn-pdf
    November 18, 2016 - In support of the medical apology: the nonlegal arguments. November 18, 2016 Heaton HA, Campbell RL, Thompson KM, et al. In Support of the Medical Apology: The Nonlegal Arguments. J Emerg Med. 2016;51(5):605-609. doi:10.1016/j.jemermed.2016.06.048. https://psnet.ahrq.gov/issue/support-medical-apology-nonlegal-argu…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866356/psn-pdf
    July 24, 2024 - To forgive, divine. July 24, 2024 Johnson V. To forgive, divine. N Engl J Med. 2024;391(1):6-7. doi:10.1056/nejmp2402006. https://psnet.ahrq.gov/issue/forgive-divine Resident physicians are vulnerable to psychological harm when they have made a mistake. This commentary shares one resident’s experiences with error.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847053/psn-pdf
    April 05, 2023 - Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. April 5, 2023 Wiig S, Macrae C, Frich J, et al. Naming the “baby” or the “beast”? The importance of concepts and labels in healthcare safety investigation. Front Public Health. 2023;11:1087268. doi:10.3389/fp…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43043/psn-pdf
    September 19, 2016 - "Second victim" casualties and how physician leaders can help. September 19, 2016 MacLeod L. "Second victim" casualties and how physician leaders can help. Physician Exect. 2014;40(1):8- 12. https://psnet.ahrq.gov/issue/second-victim-casualties-and-how-physician-leaders-can-help Second victims are clinicians who …

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43563/psn-pdf
    November 17, 2014 - Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. November 17, 2014 Hor S-Y, Iedema R, Manias E. Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study. BMJ Qual Saf. 2014;23(12):1007-13. doi:10.1136/bmjqs-2014-002835. https://ps…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46213/psn-pdf
    June 28, 2017 - The second victim: a review. June 28, 2017 Coughlan B, Powell D, Higgins MF. The Second Victim: a Review. Eur J Obstet Gynecol Reprod Biol. 2017;213:11-16. doi:10.1016/j.ejogrb.2017.04.002. https://psnet.ahrq.gov/issue/second-victim-review Maternity care is a high-risk environment. This review discusses second vic…
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