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Showing results for "managing".

6381. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37419/psn-pdf
      December 19, 2007 - Ensuring medication reconciliation. December 19, 2007 Georgia K, Kinney K, Pace A, Helton K. Patient Saf Qual Healthc. November / December 2007. https://psnet.ahrq.gov/issue/ensuring-medication-reconciliation The authors describe the team-based process they used to improve medication management at the admission, t…

6382. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35165/psn-pdf
      June 23, 2009 - Error reporting as a preventive force. June 23, 2009 Simpson RL. Error reporting as a preventive force. Nurs Manage. 2005;36(6):21-24, 56. https://psnet.ahrq.gov/issue/error-reporting-preventive-force This author highlights how error reporting can improve patient safety when supported by information technology, le…

6383. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38646/psn-pdf
      June 09, 2009 - Risk, Safety and Reliability Special Issue. June 9, 2009 Newbold D, Attree M, eds. J Nurs Manag. 2009;17:145-266.   https://psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue This special issue contains articles exploring patient safety, risk, and reliability from both theoretical and practical st…

6384. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37088/psn-pdf
      August 08, 2007 - The art of apology: when and how to seek forgiveness. August 8, 2007 Roberts RG. Fam Pract Manag. 2007;14(7):44-49. https://psnet.ahrq.gov/issue/art-apology-when-and-how-seek-forgiveness This article offers practical advice on how to determine when an error has occurred and discusses the elements of an appropriate…

6385. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40862/psn-pdf
      October 19, 2011 - Thinking about our thinking as physicians. October 19, 2011 Groopman J; Hartzband P. https://psnet.ahrq.gov/issue/thinking-about-our-thinking-physicians Exploring concepts such as anchoring error, availability bias, and confirmation bias, this piece describes tactics to help recognize and manage errors in thinking…

6386. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37357/psn-pdf
      March 08, 2017 - Abstracts of the 7th Annual International Meeting on Simulation in Healthcare. March 8, 2017 Simul Healthc. 2007;1(suppl 1):34-138. https://psnet.ahrq.gov/issue/abstracts-7th-annual-international-meeting-simulation-healthcare This conference endorsed the use of simulation as a way for health care professional…

6387. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38858/psn-pdf
      August 12, 2009 - Quality and Safety Education. August 12, 2009 Dolansky MA, Singh MK, eds. Qual Manag Health Care. 2009;18(3):149-227. https://psnet.ahrq.gov/issue/quality-and-safety-education This special issue covers topics related to implementing successful patient safety and quality educational initiatives, such as curriculum …

6388. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37281/psn-pdf
      December 23, 2011 - Crime in the workplace, part 1. December 23, 2011 Pastorius D. Crime in the workplace, part 1. Nurs Manage. 2007;38(10):18, 20, 22, 24, 26-27. https://psnet.ahrq.gov/issue/crime-workplace-part-1 The author discusses the dynamic between blame and accountability within the context of the just culture paradigm. http…

6389. Amended Lab Results: Communication Slip | PSNet
      psnet.ahrq.gov/web-mm/amended-lab-results-communication-slip
      September 26, 2012 - Amended Lab Results: Communication Slip Citation Text: Mohta V. Amended Lab Results: Communication Slip. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML En…

6390. Fatal Error in Neonate: Does "Just Culture" Provide an Answer? | PSNet
      psnet.ahrq.gov/web-mm/fatal-error-neonate-does-just-culture-provide-answer
      June 24, 2020 - SPOTLIGHT CASE Fatal Error in Neonate: Does "Just Culture" Provide an Answer? Citation Text: Dekker SWA. Fatal Error in Neonate: Does "Just Culture" Provide an Answer?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010. …

6391. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49791/psn-pdf
      April 01, 2017 - Wrong-side Bedside Paravertebral Block: Preventing the Preventable April 1, 2017 Barrington MJ, Uda Y. Wrong-side Bedside Paravertebral Block: Preventing the Preventable. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable The Case An 84-year-old wo…

6392. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49740/psn-pdf
      August 21, 2015 - Baffled by Botulinum Toxin August 21, 2015 Sivaraman-Nair KP. Baffled by Botulinum Toxin. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/baffled-botulinum-toxin The Case A 5-year-old boy with a history of transverse myelitis with resultant spasticity of both lower extremities, gait abnormalities, neurogeni…

6393. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49700/psn-pdf
      February 01, 2014 - Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients February 1, 2014 Piccini JP, Newby KL, Califf R. Nonsustained Ventricular Tachycardia After Acute Coronary Syndromes: Recognizing High-Risk Patients. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/nonsustaine…

6394. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49742/psn-pdf
      September 01, 2015 - A Fumbled Handoff to Inpatient Rehab September 1, 2015 Ashcraft LE, Kahn JM. A Fumbled Handoff to Inpatient Rehab. PSNet [internet]. 2015. https://psnet.ahrq.gov/web-mm/fumbled-handoff-inpatient-rehab The Case An 18-year-old man with no significant past medical history sustained a traumatic brain injury after a mo…

6395. Communication With Consultants | PSNet
      psnet.ahrq.gov/web-mm/communication-consultants
      October 01, 2018 - Communication With Consultants Citation Text: Cohn SL. Communication With Consultants. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnot…

6396. Secured But Not Always Safe | PSNet
      psnet.ahrq.gov/web-mm/secured-not-always-safe
      October 01, 2015 - Secured But Not Always Safe Citation Text: Jahr JS, Hosseini P. Secured But Not Always Safe. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML …

6397. Misread Label | PSNet
      psnet.ahrq.gov/web-mm/misread-label
      August 28, 2024 - Misread Label Citation Text: Franklin BD. Misread Label. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

6398. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849660/psn-pdf
      May 31, 2023 - Strategies to Improve Organizational Health Literacy. May 31, 2023 Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy Background Health literacy is important at both the personal …

6399. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36747/psn-pdf
      July 26, 2011 - Simple strategies to avoid medication errors. July 26, 2011 Jenkins RH, Vaida AJ. Simple strategies to avoid medication errors. Fam Pract Manag. 2007;14(2):41-47. https://psnet.ahrq.gov/issue/simple-strategies-avoid-medication-errors The authors highlight low-cost strategies that support safe medication use in offi…

6400. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39666/psn-pdf
      April 16, 2018 - Teamwork and Communication. April 16, 2018 Pa Patient Saf Advis. June 2010;7(suppl 2):1-16. https://psnet.ahrq.gov/issue/teamwork-and-communication Articles in this special supplement outline tactics to improve communication including crew resource management, chain-of-command policies, and teamwork training. htt…