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Showing results for "medicines".

5861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37683/psn-pdf
      May 02, 2018 - There's more to the 60 Minutes story on heparin errors. May 2, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 27, 2008;13:1-2. https://psnet.ahrq.gov/issue/theres-more-60-minutes-story-heparin-errors Commenting on a recent news segment, this article calls attention to additional human factors and syst…

5862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34606/psn-pdf
      July 06, 2011 - Operating at the sharp end: the complexity of human error. July 6, 2011 Cook RI, Woods DD. Chapter In: Bogner MS, ed. Human Error in Medicine. Hillsdale NJ: Lawrence Erlbaum Associates, Inc; 2004. https://psnet.ahrq.gov/issue/operating-sharp-end-complexity-human-error The authors provide an introduction to system…

5863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39172/psn-pdf
      December 09, 2009 - Advancing Patient Safety: A Decade of Evidence, Design, and Implementation. December 9, 2009 Rockville, MD; Agency for Healthcare Research and Quality; November 2009. AHRQ Publication No. 09(10)-0084. https://psnet.ahrq.gov/issue/advancing-patient-safety-decade-evidence-design-and-implementation This publication …

5864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37418/psn-pdf
      October 01, 2024 - Systems Analysis of Critical Incidents: the London Protocol. October 1, 2024 Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024. https://psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol This revised report docu…

5865. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40574/psn-pdf
      November 28, 2016 - Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis. November 28, 2016 Boodman SG. Washington Post. June 13, 2011:E1. https://psnet.ahrq.gov/issue/medical-mystery-alcoholism-didnt-cause-mans-diabetes-and-cirrhosis This newspaper article reveals how biases and lack of trust in the patient/family p…

5866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38134/psn-pdf
      December 30, 2008 - Developing expert medical teams: toward an evidence- based approach. December 30, 2008 Fernandez R, Vozenilek JA, Hegarty CB, et al. Developing expert medical teams: toward an evidence- based approach. Acad Emerg Med. 2008;15(11):1025-36. doi:10.1111/j.1553-2712.2008.00232.x. https://psnet.ahrq.gov/issue/developin…

5867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41060/psn-pdf
      September 06, 2013 - Flaws in clinical reasoning: a common cause of diagnostic error. September 6, 2013 Wellbery C. Flaws in clinical reasoning: a common cause of diagnostic error. Am Fam Physician. 2011;84(9):1042-8. https://psnet.ahrq.gov/issue/flaws-clinical-reasoning-common-cause-diagnostic-error Through an illustrative case repo…

5868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41671/psn-pdf
      September 12, 2012 - Quality indicators to detect pre-analytical errors in laboratory testing. September 12, 2012 Plebani M. Quality indicators to detect pre-analytical errors in laboratory testing. Clin Biochem Rev. 2012;33(3):85-8. https://psnet.ahrq.gov/issue/quality-indicators-detect-pre-analytical-errors-laboratory-testing This …

5869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60345/psn-pdf
      May 20, 2020 - COVID-19 — a reminder to reason May 20, 2020 Zagury-Orly I, Schwartzstein RM. COVID-19 — A Reminder to Reason. N Engl J Med. 2020;383(3):e12. doi:10.1056/nejmp2009405. https://psnet.ahrq.gov/issue/covid-19-reminder-reason This article discusses the challenges of clinical decision-making and the influence of cognit…

5870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39087/psn-pdf
      November 11, 2009 - Error tracking in a clinical biochemistry laboratory. November 11, 2009 Szecsi PB, Ødum L. Error tracking in a clinical biochemistry laboratory. Clin Chem Lab Med. 2009;47(10). doi:10.1515/cclm.2009.272. https://psnet.ahrq.gov/issue/error-tracking-clinical-biochemistry-laboratory This study analyzed nearly 1200 la…

5871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40870/psn-pdf
      October 19, 2011 - The Richard and Hinda Rosenthal Lecture 2011: New Frontiers in Patient Safety. October 19, 2011 Institute of Medicine. Washington, DC: The National Academies Press; 2011. ISBN: 9780309218030. https://psnet.ahrq.gov/issue/richard-and-hinda-rosenthal-lecture-2011-new-frontiers-patient-safety This lecture features Ka…

5872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35676/psn-pdf
      June 25, 2010 - Implementation of patient centeredness to enhance patient safety. June 25, 2010 Berntsen KJ. Implementation of patient centeredness to enhance patient safety. J Nurs Care Qual. 2006;21(1):15-19. https://psnet.ahrq.gov/issue/implementation-patient-centeredness-enhance-patient-safety The author reviews the six aims…

5873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42941/psn-pdf
      February 12, 2014 - Risk and Safety Management in Infertility and Assisted Reproductive Technology. February 12, 2014 Fertil Steril. 2013;100:1497-1523.  https://psnet.ahrq.gov/issue/risk-and-safety-management-infertility-and-assisted-reproductive-technology Introduction of assisted reproductive technology has led to new risks i…

5874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37819/psn-pdf
      April 14, 2010 - Standardizing Medication Labels: Confusing Patients Less, Workshop Summary. April 14, 2010 Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008. https://psnet.ahrq.gov/issue/standardizing-medica…

5875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/851202/psn-pdf
      November 29, 2023 - Unequal Treatment Revisited: A Workshop Series. November 29, 2023 Committee on Unequal Treatment. Washington DC: National Academies of Sciences, Engineering and Medicine; 2023-2024. https://psnet.ahrq.gov/issue/unequal-treatment-revisited-workshop-series Health disparities and unequal care contribute to patient an…

5876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42543/psn-pdf
      September 29, 2017 - Advancing the research agenda for diagnostic error reduction. September 29, 2017 Zwaan L, Schiff G, Singh H. Advancing the research agenda for diagnostic error reduction. BMJ Qual Saf. 2013;22(Suppl 2):ii52-ii57. doi:10.1136/bmjqs-2012-001624. https://psnet.ahrq.gov/issue/advancing-research-agenda-diagnostic-error…

5877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42665/psn-pdf
      October 16, 2013 - The consequences of the hindsight bias in medical decision making. October 16, 2013 Arkes HR. The Consequences of the Hindsight Bias in Medical Decision Making. Curr Direct Psychol Sci. 2013;22(5):356-360. doi:10.1177/0963721413489988. https://psnet.ahrq.gov/issue/consequences-hindsight-bias-medical-decision-makin…

5878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37806/psn-pdf
      July 14, 2010 - Impact of patient safety mandates on medical education in the United States. July 14, 2010 Kane JM, Brannen ML, Kern E. Impact of Patient Safety Mandates on Medical Education in the United States. J Patient Saf. 2008;4(2):93-97. doi:10.1097/pts.0b013e318173f7b5. https://psnet.ahrq.gov/issue/impact-patient-safety-m…

5879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36321/psn-pdf
      October 26, 2010 - Ethical and practical aspects of disclosing adverse events in the emergency department. October 26, 2010 Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. https://psnet.ahrq.gov/issue/ethical-and-pract…

5880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36762/psn-pdf
      August 10, 2011 - Weekend versus weekday admission and mortality from myocardial infarction. August 10, 2011 Kostis WJ, Demissie K, Marcella SW, et al. Weekend versus Weekday Admission and Mortality from Myocardial Infarction. New England Journal of Medicine. 2007;356(11). doi:10.1056/nejmoa063355. https://psnet.ahrq.gov/issue/week…