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Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. | PSNet

psnet.ahrq.gov/issue/preventing-facility-pressure-ulcers-patient-safety-strategy-systematic-review

January 06, 2018 - July 19, 2023 Changes in medical errors after implementation of a handoff program. … December 8, 2021 Pressure Injury Prevention in Hospitals Training Program. … 18, 2017 Towards international consensus on patient harm: perspectives on pressure injury … September 19, 2016 The $17.1 billion problem: the annual cost of measurable medical errors

Assertive communication training for nurses to speak up in cases of medical errors: a systematic review and meta-analysis. | PSNet

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April 15, 2020 - Review Assertive communication training for nurses to speak up in cases of medical … Assertive communication training for nurses to speak up in cases of medical errors: a systematic review … identified 11 studies on the effectiveness of trainings to increase nurses' assertiveness to report medical … Assertive communication training for nurses to speak up in cases of medical errors: a systematic review … July 23, 2012 System approach to prevent common bile duct injury and enhance performance

Hierarchy and medical error: speaking up when witnessing an error. | PSNet

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April 14, 2011 - Review Emerging Classic Hierarchy and medical error: speaking … Hierarchy and medical error: speaking up when witnessing an error. … This systematic review explored the mechanisms influencing speaking up behaviors while witnessing medical … Hierarchy and medical error: speaking up when witnessing an error. … 19, 2023 Towards international consensus on patient harm: perspectives on pressure injury

Quality and safety in medical care: what does the future hold? | PSNet

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September 18, 2019 - Commentary Quality and safety in medical care: what does the future hold? … Quality and safety in medical care: what does the future hold? … Quality and safety in medical care: what does the future hold? … February 15, 2011 My brother's keeper: must a physician disclose another's medical error … August 10, 2022 Complexity bias in the prevention of iatrogenic injury: why specific

Apologies following an adverse medical event: the importance of focusing on the consumer's needs. | PSNet

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June 27, 2011 - Study Apologies following an adverse medical event: the importance of focusing on … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … Apologies following an adverse medical event: The importance of focusing on the consumer's needs. … March 6, 2013 View More Related Resources Disclosing medical errors … injury.

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery. | PSNet

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March 04, 2015 - Review Toward constructive change after making a medical error: recovery from situations … Toward constructive change after making a medical error: recovery from situations of error theory as … The authors update their 2010 systematic review on medical professionals’ coping with medical error … Toward constructive change after making a medical error: recovery from situations of error theory as … June 10, 2020 A critical review: moral injury in nurses in the aftermath of a patient

Communication practices on 4 Harvard surgical services: a surgical safety collaborative. | PSNet

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September 29, 2017 - Communication failures are a common cause of patient harm in both medical and surgical settings. … Patterns of technical error among surgical malpractice claims: an analysis of strategies to prevent injury … March 3, 2011 Patterns of communication breakdowns resulting in injury to surgical patients

Hip Fractures in Older Patients: the Case for Geriatrics Comanagement | PSNet

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July 01, 2004 - improved functional independence at 4 and 12 months.( 12-14 ) Hip fracture is a common and serious injury … The associated morbidity is generally related to the initial trauma and the subsequent immobilization … Injury. 2018;49:1458-1460. [go to PubMed] 2. Cummings SR, Black DM, Rubin SM. … J Orthop Trauma. 2006;20:172-180. [go to PubMed] 12. … J Orthop Trauma. 2014;28:e49-e55.

The effect of multidisciplinary care teams on intensive care unit mortality. | PSNet

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January 17, 2018 - Investigators discovered that the presence of daily rounds was associated with lower mortality among medical … educational video game versus traditional educational apps at improving physician decision making in trauma … June 30, 2021 Clinical characteristics and short-term outcomes of acute kidney injury … April 22, 2009 Measurable outcomes of quality improvement in the trauma intensive care … Intensive Care Units Health Care Providers Quality and Safety Professionals Critical Care Medical

Frontline providers' and patients' perspectives on improving diagnostic safety in the emergency department: a qualitative study. | PSNet

psnet.ahrq.gov/issue/frontline-providers-and-patients-perspectives-improving-diagnostic-safety-emergency

May 15, 2024 - intrateam communication could be improved, for example with structured hand-offs between emergency medical … July 21, 2021 High delayed and missed injury rate after inter-hospital transfer of severely … injured trauma patients.

Artificial intelligence versus clinicians: systematic review of design, reporting standards, and claims of deep learning studies. | PSNet

psnet.ahrq.gov/issue/artificial-intelligence-versus-clinicians-systematic-review-design-reporting-standards-and

May 20, 2019 - comparing the performance of artificial intelligence (AI; specifically deep learning algorithms ) in medical … August 11, 2021 Visual illusions in radiology: untrue perceptions in medical images and … March 4, 2020 Association of low-dose whole-body computed tomography with missed injury … diagnoses and radiation exposure in patients with blunt multiple trauma.

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet

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December 23, 2020 - Aggressively seeking errors and injuries, and relentlessly inquiring into the causes and solutions, increases … Executives who believe that accidents and injuries are confidential and hidden from the troops are deeply … Although it showed rare errors, there were no deaths or serious injuries from chemotherapy-related errors … errors and iatrogenic injuries. … more adverse events and medical errors?

Complaints as Safety Surveillance | PSNet

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May 05, 2021 - Chicago, IL: American Medical Association; 2004. [Available at] 14. Wachter RM, Pronovost PJ. … injury reconciliation processes: item generation for a novel survey questionnaire. … May 5, 2021 Patients' experiences with communication-and-resolution programs after medical … injury. … injury.

Do nurse and patient injuries share common antecedents? An analysis of associations with safety climate and working conditions. | PSNet

psnet.ahrq.gov/issue/do-nurse-and-patient-injuries-share-common-antecedents-analysis-associations-safety-climate

February 29, 2012 - Study Do nurse and patient injuries share common antecedents? … Do nurse and patient injuries share common antecedents? … climate had an increased risk of preventable adverse events for patients and an increased risk of injuries … Do nurse and patient injuries share common antecedents?

Theme Issue on Medical Error. | PSNet

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October 01, 2024 - Special or Theme Issue Theme Issue on Medical Error. … Citation Text: Theme Issue on Medical Error. BMJ. 2000 Mar 18;320(7237):725-814. … Copy URL Cite Citation Citation Text: Theme Issue on Medical … March 6, 2005 Costs of medical injuries in Utah and Colorado.

Respiratory Distress after Neck Surgery: Two Cases of Postoperative Cervical Hematoma. | PSNet

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August 14, 2024 - Patients undergoing ACSS are commonly admitted to the hospital postoperatively for wound observation, … Early identification is crucial, as airway obstruction may evolve rapidly and hypoxic brain injury follows … C lear steri-strips and pull suture O pen wound – cut skin and platysma stitches O pen wound – … Hypoxic brain injury occurs rapidly after airway obstruction, and prompt recognition and management of … WebM&M Cases Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury

Video-based communication assessment of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical harm: reliability assessment with generalizability theory. | PSNet

psnet.ahrq.gov/issue/video-based-communication-assessment-physician-error-disclosure-skills-crowdsourced-laypeople

August 21, 2024 - of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical … of physician error disclosure skills by crowdsourced laypeople and patient advocates who experienced medical … adverse events and medical errors? … Stigmatizing language and the transmission of bias in the medical record. … October 28, 2009 Removing Insult from Injury: Disclosing Adverse Events.

Development and expression of a high-reliability organization. | PSNet

psnet.ahrq.gov/issue/development-and-expression-high-reliability-organization

November 03, 2021 - August 12, 2020 Medical malpractice lawsuits involving trainees in obstetrics and gynecology … February 15, 2023 High delayed and missed injury rate after inter-hospital transfer of … severely injured trauma patients. … Army Medical Department treatment facilities worldwide.

Flying Object Hits MRI | PSNet

psnet.ahrq.gov/web-mm/flying-object-hits-mri

September 01, 2005 - Although the child was unharmed, this incident might easily have produced significant injury. … Three illustrative cases from the Food and Drug Administration’s Medical Device Reporting system are … accelerated by the magnet striking a technician and knocking him over 15 feet resulting in serious injury … The patient received injuries requiring sutures.” … 2,4 ) In addition to turning ferromagnetic objects into projectiles, the MRI magnet may also cause injuries

Talking with patients about other clinicians' errors. | PSNet

psnet.ahrq.gov/issue/talking-patients-about-other-clinicians-errors

October 27, 2021 - between organizational communication and patients' experience of prolonged emotional impact following medical … December 19, 2018 Disclosing harmful medical errors to patients: tackling three tough … May 4, 2014 How trainees would disclose medical errors: educational implications for … May 29, 2014 Massachusetts Alliance for Communication and Resolution Following Medical … Injury.

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