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psnet.ahrq.gov/perspective/evolution-patient-safety-surgery
August 01, 2017 - The first in the comedy of errors made on this man was made by the medical service. … Forgive and Remember: Managing Medical Failure. 2nd ed. … ten Cate O, Hart D, Ankel F, et al; International Competency-Based Medical Education Collaborators. … Association between implementation of a medical team training program and surgical mortality. … There is probably some technical skills assessment that happens as you're a medical student.
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psnet.ahrq.gov/primer/retained-surgical-items-causation-and-prevention
January 04, 2024 - The patient left the OR to recover in the intensive care unit (ICU), as usual. … Accessed September 17, 2024. [ Available at ] Spartan Medical launches the Melzi sharps finder to help … Avoiding retained surgical items at an academic medical center: sustainability of a surgical quality
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psnet.ahrq.gov/web-mm/what-was-those-platelets
August 28, 2024 - ventilator), given an infusion of dopamine to maintain adequate blood pressure, and transferred to the intensive … Yomtovian, MD VA National Quality Scholar Louis Stokes Cleveland Department of Veterans Affairs Medical
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psnet.ahrq.gov/perspective/using-human-factors-engineering-and-seips-model-advance-patient-safety-care-transitions
November 16, 2022 - Early use of HFE focused on applications like improving the design of medical devices or other equipment … My focus has been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … mentioned technology, usability of health IT, of the EHR, of computerized provider order entry, and of medical
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psnet.ahrq.gov/perspective/conversation-pascale-carayon-phd-and-nicole-werner-phd
November 16, 2022 - My focus has been in primary care, the hospital, ICUs [intensive care units], ED [emergency department … mentioned technology, usability of health IT, of the EHR, of computerized provider order entry, and of medical … Early use of HFE focused on applications like improving the design of medical devices or other equipment
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psnet.ahrq.gov/node/867672/psn-pdf
February 26, 2025 - 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 … 19 Anchoring and premature closure are two of the most common cognitive biases that contribute to
medical … National Hospital Ambulatory Medical Care Survey: 2018 emergency
department summary tables. … Cognitive bias impact on management of
postoperative complications, medical error, and standard of care
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psnet.ahrq.gov/perspective/medias-role-patient-safety
April 27, 2022 - Making medical errors into ‘medical treasures.’ JAMA 1994: 272:1867–8.
2 Millenson ML. … But the people who get medical care tend to be sick and older. … How many people want to tweet out personal medical experiences? … Making medical errors into "medical treasures." JAMA . 1994;272(23):1867-1868.
5 . … Temporal trends in rates of patient harm resulting from medical care.
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psnet.ahrq.gov/sites/default/files/2024-03/final_spotlight_case_not_missing_sepsis_needles_in_viral_haystacks_slides_march_date.pdf
January 01, 2024 - • While sepsis has long been recognized in the medical literature, both its
definition and the criteria … Intensive Care Med. 2020;46(Suppl 1):10-67. [Free full text]
13.
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - In the area of medical imaging , however, AI-powered algorithms have demonstrated a remarkable ability … to read and analyze medical images, potentially increasing diagnostic accuracy and efficiency and reducing … 4 Regulatory bodies and healthcare payment systems have started to recognize the potential of AI in medical … For example, in an intensive care unit, patients who have delirium can wax and wane in their symptoms … We call this confounding by medical intervention, and it further highlights the potential for clinical
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - For example, in an intensive care unit, patients who have delirium can wax and wane in their symptoms … We call this confounding by medical intervention, and it further highlights the potential for clinical … In the area of medical imaging , however, AI-powered algorithms have demonstrated a remarkable ability … to read and analyze medical images, potentially increasing diagnostic accuracy and efficiency and reducing … 4 Regulatory bodies and healthcare payment systems have started to recognize the potential of AI in medical
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psnet.ahrq.gov/sites/default/files/2025-01/spotlight_case_misdiagnosis_of_small_bowel_obstruction_-_slides_-_final.pptx
January 01, 2025 - .19
Anchoring and premature closure are two of the most common cognitive biases that contribute to medical … National Hospital Ambulatory Medical Care Survey: 2018 emergency department summary tables. … Cognitive Bias Impact on Management of Postoperative Complications, Medical Error, and Standard of Care
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psnet.ahrq.gov/perspective/patient-safety-home-dialysis
April 28, 2021 - Morfín serves as the Medical Director for Satellite Health Care and as a member of the Medical Advisory … Board for Nx Stage Medical. … Fresenius Medical Care. September 20, 2017. Accessed February 13, 2020. … of the Medical Advisory Board for Nx Stage Medical. … I am also the medical director at two of the programs, one in Sacramento and one in Folsom.
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psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
July 01, 2012 - I reflect on the interface between patient safety and health information technology (IT)—electronic medical … While that bias was undoubtedly unintentional, it shaped policy in ways that required medical facilities … Generous government subsidies and incentives (plus regulations restricting revenue to medical practices … Failing that, we must impose a common format that permits medical research, enhances efficiency, and … error associated with electronic medical records.
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psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
September 27, 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 “ … 19 Anchoring and premature closure are two of the most common cognitive biases that contribute to medical … National Hospital Ambulatory Medical Care Survey: 2018 emergency department summary tables. … Cognitive bias impact on management of postoperative complications, medical error, and standard of care
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psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
February 01, 2010 - The Role of Graduate Medical Education (GME) in Improving Patient Safety
Arpana R. … Accreditation Council for Graduate Medical Education (ACGME).
13. … General competencies and accreditation in graduate medical education. … Accreditation Council for Graduate Medical Education (ACGME). … Education (LCME) monitors medical schools.
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psnet.ahrq.gov/perspective/conversation-jack-needleman-phd
September 01, 2012 - The medical center we studied for our 2011 New England Journal of Medicine article was a magnet institution … The survey will obtain information on the utilization of NPs, their distribution across medical and surgical … Interdisciplinary Health Workforce Studies Institute for Medicine and Public Health Vanderbilt University Medical
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psnet.ahrq.gov/perspective/conversation-kathleen-sanford-and-sue-schuelke-about-virtual-nursing
August 30, 2023 - Schuelke is an assistant professor at the College of Nursing–Lincoln Division, University of Nebraska Medical … Sue Schuelke: I’m currently an assistant professor at the University of Nebraska Medical Center on the … In the initial VIC model, patient rooms in medical-surgical units at two different community hospitals … interrupted three times. 3 This finding is consistent with other studies on the impact of interruption on medical … Interruptions to intensive care nurses and clinical errors and procedural failures: a controlled study
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psnet.ahrq.gov/perspective/virtual-nursing-improving-patient-care-and-meeting-workforce-challenges
August 30, 2023 - In the initial VIC model, patient rooms in medical-surgical units at two different community hospitals … interrupted three times. 3 This finding is consistent with other studies on the impact of interruption on medical … Interruptions to intensive care nurses and clinical errors and procedural failures: a controlled study … Schuelke is an assistant professor at the College of Nursing–Lincoln Division, University of Nebraska Medical … Sue Schuelke: I’m currently an assistant professor at the University of Nebraska Medical Center on the
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psnet.ahrq.gov/perspective/preparing-health-reform-federal-government-and-nursing-workforce
September 01, 2012 - The survey will obtain information on the utilization of NPs, their distribution across medical and surgical … Interdisciplinary Health Workforce Studies Institute for Medicine and Public Health Vanderbilt University Medical … The medical center we studied for our 2011 New England Journal of Medicine article was a magnet institution
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psnet.ahrq.gov/perspective/conversation-withkatie-boston-leary-about-patient-safety-amid-nursing-workforce
April 24, 2024 - In a study controlling for institutional differences across three sites in an academic medical center