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Showing results for "managing".

  1. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. | PSNet

    psnet.ahrq.gov/issue/knowledge-retention-after-simulated-crisis-importance-independent-practice-and-simulated
    September 13, 2017 - Study Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Citation Text: Burnett G, Goldberg A, DeMaria S, et al. Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. Br J Anaesth. 2019…

  2. Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? | PSNet

    psnet.ahrq.gov/issue/notification-abnormal-lab-test-results-electronic-medical-record-do-any-safety-concerns
    April 04, 2011 - Study Classic Notification of abnormal lab test results in an electronic medical record: do any safety concerns remain? Citation Text: Singh H, Thomas EJ, Sittig DF, et al. Notification of abnormal lab test results in an electronic medical record: do any safet…

  3. Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet

    psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
    August 12, 2020 - Commentary Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. Citation Text: Wickner PG, Hartley T, Salmasian H, et al. Communication with health care workers regarding health care-associated exposur…

  4. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. | PSNet

    psnet.ahrq.gov/issue/incidence-and-root-cause-analysis-wrong-site-pain-management-procedures-multicenter-study
    April 29, 2020 - Study Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Citation Text: Cohen SP, Hayek SM, Datta S, et al. Incidence and root cause analysis of wrong-site pain management procedures: a multicenter study. Anesthesiology. 2010;112(3):711-8. d…

  5. A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. | PSNet

    psnet.ahrq.gov/issue/longitudinal-study-clinical-peer-reviews-impact-quality-and-safety-us-hospitals
    March 29, 2023 - Study A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. Citation Text: Edwards MT. A longitudinal study of clinical peer review's impact on quality and safety in U.S. hospitals. J Healthc Manag. 2013;58(5):369-85. Copy Citation Format: …

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33815/psn-pdf
    September 01, 2016 - Telemedicine and Patient Safety September 1, 2016 Agboola SO, Kvedar JC. Telemedicine and Patient Safety. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/telemedicine-and-patient-safety Perspective A paradigm shift is ongoing in the health care sector. The traditional model of episodic and hospital-base…

  7. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet

    psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
    February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50773/psn-pdf
    January 08, 2020 - Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting. January 8, 2020 Koers L, van Haperen M, Meijer CGF, et al. Effect of Cognitive Aids on Adherence to Best Practice in the Treatment of Deteriorating Surgic…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72544/psn-pdf
    December 09, 2020 - Design and implementation of an analgesia, sedation, and paralysis order set to enhance compliance of pro re nata medication orders with Joint Commission medication management standards in a pediatric ICU. December 9, 2020 Procaccini D, Rapaport R, Petty BG, et al. Design and Implementation of an analgesia, sedati…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73242/psn-pdf
    May 12, 2021 - Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. May 12, 2021 Longhini J, Papastavrou E, Efstathiou G, et al. Strategies to prevent missed nursing care: an international qualitative study based upon a positive deviance approach. J Nurs Manag. 20…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47382/psn-pdf
    August 29, 2018 - Parenteral opioid shortage—treating pain during the opioid-overdose epidemic. August 29, 2018 Bruera E. Parenteral Opioid Shortage - Treating Pain during the Opioid-Overdose Epidemic. N Engl J Med. 2018;379(7):601-603. doi:10.1056/NEJMp1807117. https://psnet.ahrq.gov/issue/parenteral-opioid-shortage-treating-pain-…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41313/psn-pdf
    January 18, 2017 - Apology for errors: whose responsibility? January 18, 2017 Leape L. Apology for errors: whose responsibility? Front Health Serv Manage. 2012;28(3):3-12. https://psnet.ahrq.gov/issue/apology-errors-whose-responsibility Although victims of adverse events have clearly expressed their preferences for full error disclos…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44179/psn-pdf
    November 20, 2015 - Routine failures in the process for blood testing and the communication of results to patients in primary care in the UK: a qualitative exploration of patient and provider perspectives. November 20, 2015 Litchfield I, Bentham L, Hill A, et al. Routine failures in the process for blood testing and the communication…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73340/psn-pdf
    June 02, 2021 - Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop. June 2, 2021 Thomas J, Dahm MR, Li J, et al. Can patients contribute to enhancing the safety and effectiveness of test? result follow?up? Qualitative outcomes from a hea…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47198/psn-pdf
    August 22, 2018 - Health IT Safe Practices for Closing the Loop. August 22, 2018 Partnership for Health IT Patient Safety. Plymouth Meeting, PA: ECRI; August 2018. https://psnet.ahrq.gov/issue/health-it-safe-practices-closing-loop Inadequate follow-up of test results can contribute to missed and delayed diagnoses. Developing optimal…

  16. In Conversation with…Gerald B. Hickson, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
    December 01, 2009 - Managing disruptive physician behavior: impact on staff relationships and patient care.

  17. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. | PSNet

    psnet.ahrq.gov/web-mm/hemorrhagic-shock-after-elective-spine-surgery-failure-rescue-after-limited-response-nursing
    October 31, 2023 - SPOTLIGHT CASE Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns. Citation Text: Zakaluzny S. Hemorrhagic Shock after Elective Spine Surgery: Failure to Rescue after Limited Response to Nursing Concerns.. PSNet [internet]. Rockville (MD):…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49848/psn-pdf
    January 01, 2019 - Inadequate Preanesthetic Evaluation, Airway Trouble November 1, 2018 Blitz J. Inadequate Preanesthetic Evaluation, Airway Trouble. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/inadequate-preanesthetic-evaluation-airway-trouble The Case Case #1: A 34-year-old woman was scheduled for a hysteroscopy under g…

  19. Complexity and the Adoption of Innovation in Health Care. | PSNet

    psnet.ahrq.gov/issue/complexity-and-adoption-innovation-health-care
    June 16, 2012 - Book/Report Complexity and the Adoption of Innovation in Health Care. Citation Text: Complexity and the Adoption of Innovation in Health Care. Plsek P. Washington DC: National Institute for Health Care Management Foundation and National Committee for Quality Health Care; 2003. Co…

  20. A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. | PSNet

    psnet.ahrq.gov/issue/proposal-use-common-ground-exists-between-medical-and-legal-professions-promote-culture
    December 15, 2021 - Commentary A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. Citation Text: A proposal to use common ground that exists between the medical and legal professions to promote a culture of safety. Pegalis SE, 51 N.Y.L. SCH.…
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