-
psnet.ahrq.gov/perspective/making-just-culture-reality-one-organizations-approach
October 01, 2007 - Perspective
We've all been there...something goes wrong, a patient is harmed, and we, as medical … Job descriptions, medical staff bylaws, and codes of conduct should incorporate the principles. … The conversation that ensued among operational and medical leaders focused on categorizing the behavior … sport, and it's a reason that most of us carry first-party insurance to protect us from unanticipated injury … But it hasn't changed the tort system, which says, if you get harmed by the medical system, you sue.
-
psnet.ahrq.gov/node/851568/psn-pdf
July 31, 2023 - Relevant Financial Relationships : As a provider accredited by the Accreditation Council
for Continuing Medical … The Accreditation Council for Continuing Medical
Education (ACCME) defines an ineligible company as … Medical record review revealed that he had been titrated upward
to dexmedetomidine IV 0.6 mcg/kg/hr … diazepam, chlordiazepoxide) are
metabolized by the liver; therefore, in patients with AWS with liver injury … Healthcare utilization in medical intensive care unit survivors
with alcohol withdrawal.
-
psnet.ahrq.gov/web-mm/complicated-course-severe-alcohol-withdrawal-dexmedetomidine-infusion
June 14, 2023 - The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … The Case A 65-year-old man weighing 71 kg with a past medical history of alcohol use disorder and prostate … Medical record review revealed that he had been titrated upward to dexmedetomidine IV 0.6 mcg/kg/hr ( … diazepam, chlordiazepoxide) are metabolized by the liver; therefore, in patients with AWS with liver injury … Healthcare utilization in medical intensive care unit survivors with alcohol withdrawal.
-
psnet.ahrq.gov/node/33608/psn-pdf
February 01, 2024 - Johnson
Pregnancy and birth are normal physiologic processes that optimally require support rather than medical … taking deliberate steps to value each mother’s
life equally, appreciating the impact of historical trauma … High reliability perinatal units: an approach to the prevention of
patient injury and medical malpractice
-
psnet.ahrq.gov/perspective/conversation-linda-aiken-phd-rn
March 01, 2018 - with baccalaureate degrees have substantially faster reductions in mortality, surgical and common medical … only by his actions but by his inaction, and in either case he is justly accountable to them for the injury … Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. … September 24, 2010
The effect of nurse staffing patterns on medical errors and nurse
-
psnet.ahrq.gov/web-mm/missed-connection-case-inadequate-ecg-oversight-cardiac-surgery
March 25, 2020 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “ … Medicine UC Davis Health mfierro@ucdavis.edu Sandhya Venugopal, MD, MS-HPEd Associate Dean, Continuing Medical … Related Resources
WebM&M Cases
Uterine Artery Injury
-
psnet.ahrq.gov/perspective/missed-nursing-care-key-measure-patient-safety
March 01, 2018 - only by his actions but by his inaction, and in either case he is justly accountable to them for the injury … Medical error—the third leading cause of death in the US. BMJ. 2016;353:i2139. … with baccalaureate degrees have substantially faster reductions in mortality, surgical and common medical … Estimating the economic cost of nurse sensitive adverse events amongst patients in medical
-
psnet.ahrq.gov/perspective/safety-dentistry
August 01, 2016 - On the surface, the answer is disturbingly clear: dental care, like medical care, is inherently risky … that a review of the literature ( 2 ) we conducted identified reports of serious lacerations and other injuries … state assistance for dental care is limited.( 15 ) Finally, dental records are usually independent of medical … We use this methodology with medical, dentistry, and nursing students with good results. … Here, the medical and health authorities began to show interest in patient safety in approximately 2004
-
psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
March 27, 2024 - Barbara Pelletreau: My background is in patient safety and employee injury prevention. … In many cases, these outages—the loss of medical technology—after a ransomware attack can last 30 days … There will be a loss of all this medical technology and operational technology. … Provide Medical Care Is in Critical Condition: Analysis and Stakeholder Decision Support to Minimize … American Medical Association. Guidelines for developing EHR downtime procedures.
-
psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
March 27, 2024 - Important procedures may be delayed, clinicians can lose access to vital information such as medical … The American Medical Association recommends notifying staff as soon as possible about the scope of the … American Medical Association. Guidelines for developing EHR downtime procedures. … Barbara Pelletreau: My background is in patient safety and employee injury prevention. … There will be a loss of all this medical technology and operational technology.
-
psnet.ahrq.gov/node/60328/psn-pdf
May 27, 2020 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical … The Accreditation Council for Continuing Medical
Education (ACCME) defines a commercial interest as … depression, of which 77% resulted in severe brain damage or death.13 Most of
these opioid-related injuries … Postdoctoral Research Fellow,
Division of Pulmonary, Critical Care and Sleep Medicine
Clinical Nurse, Medical … Findings of a Naloxone Database and its Utilization to
Improve Safety and Education in a Tertiary Care Medical
-
psnet.ahrq.gov/web-mm/fatal-patient-controlled-analgesia-pca-opioid-induced-respiratory-depression
May 26, 2021 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical … The Accreditation Council for Continuing Medical Education (ACCME) defines a commercial interest as “ … depression, of which 77% resulted in severe brain damage or death. 13 Most of these opioid-related injuries … Findings of a Naloxone Database and its Utilization to Improve Safety and Education in a Tertiary Care Medical … WebM&M Cases
Weight and Height Juxtaposition in the Electronic Medical
-
psnet.ahrq.gov/web-mm/neurological-red-flags-missed-stroke-after-intermittent-episodes-dizziness-and-headache
February 08, 2023 - Cervical artery dissections can occur spontaneously or after head or neck trauma, which can be minimal … would be dizziness in the context of tachycardia, melena, and heavy ibuprofen use after an orthopedic injury … Age Sex Vascular risk factors Past history of migraine Family history of migraine Recent head or neck trauma … age ~40 years) More often female Fewer vascular risks Nearly always present Present in 50-70% Recent trauma … Medicine Harvard Medical School Boston, MA References Drachman DA, Hart CW.
-
psnet.ahrq.gov/curated-library/value-and-patient-safety
October 30, 2019 - resources that explore the business case for cost effective, efficient and impactful efforts to reduce medical … While the costs of medical error to patients are well appreciated, the direct costs to institutions, … Nudge Unit Supports Physician, Patient Behavioral Changes Towards Medical Decisions that Improve Care … Shah is an Assistant Professor of Obstetrics, Gynecology and Reproductive Biology at Harvard Medical … While the costs of medical error to patients are well appreciated, the direct costs to institutions,
-
psnet.ahrq.gov/web-mm/endotracheal-tube-fallout-patient-severe-obesity-during-eye-surgery
January 29, 2021 - April 24, 2024
WebM&M Cases
Uterine Artery Injury
-
psnet.ahrq.gov/perspective/conversation-connor-wesley-rn-bsn-patient-safety-concerns-and-lgbtq-population
February 01, 2023 - People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … That trauma hinders the ability to sometimes see when people, like clinicians, are asking for the right … all have people we love, we all are beings trying to get through this world with the least amount of trauma … than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma
-
psnet.ahrq.gov/perspective/patient-safety-concerns-and-lgbtq-population
February 01, 2023 - than their heterosexual and cisgender peers. 5 Studies have also found that LGBTQ+ people experience trauma … People may go to a provider because they have an injury or concern, and providers can only focus on their … There is also that trauma of accessing care and feeling that bias and stigma, which can prevent patients … That trauma hinders the ability to sometimes see when people, like clinicians, are asking for the right … all have people we love, we all are beings trying to get through this world with the least amount of trauma
-
psnet.ahrq.gov/node/837959/psn-pdf
August 31, 2022 - Relevant Financial Relationships: As a provider accredited by the Accreditation Council for
Continuing Medical … The Accreditation Council for Continuing Medical
Education (ACCME) defines an ineligible company as … Alternative non-latex products should be substituted for
latex products during medical and surgical … Latex is essential to these plants to heal surface injuries and create immune
responses against invading … Why is latex used in the medical field?
-
psnet.ahrq.gov/web-mm/what-happened-telemetry
January 18, 2012 - She had a mild leukocytosis, evidence of mild acute kidney injury, and a urinalysis positive for infection … or other relationship with the manufacturers of any commercial products discussed in this continuing medical … Hospitals
Health Care Providers
Health Care Executives and Administrators
Cardiology
Medical
-
psnet.ahrq.gov/node/867986/psn-pdf
March 24, 2025 - Chair of Research for the Department of Emergency Medicine at the
University of Massachusetts Chan Medical … I work at UMass Chan Medical School, and I
run the Center for Accelerating Practices to End Suicide … Joint Commission needs to do
everything that they can to prevent suicide or serious intentional self-injury … Ligature points, medical equipment, etc. … The medical center can choose to
send the person to a bed or an area that has reduced risk.