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Showing results for "medicines".

5881. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37169/psn-pdf
      October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. October 6, 2011 Singh R, Naughton B, Singh A, et al. The Safety Journal. J Patient Saf. 2007;3(3):135-141. doi:10.1097/0b013e31814258db. https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-s…

5882. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38126/psn-pdf
      December 23, 2012 - The MacArthur Fellows Program: Peter Pronovost. December 23, 2012 The John D. and Catherine T. MacArthur Foundation. https://psnet.ahrq.gov/issue/macarthur-fellows-program-peter-pronovost Through his work, Peter Pronovost, a critical care physician and professor at Johns Hopkins University School of Medicine, has …

5883. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43435/psn-pdf
      August 06, 2014 - Trail of medical missteps in a Peace Corps death. August 6, 2014 Stolberg SG. https://psnet.ahrq.gov/issue/trail-medical-missteps-peace-corps-death Raising concerns about health care provided by the Peace Corps, this newspaper article outlines an investigation into failures, such as cognitive biases and poor judgm…

5884. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37694/psn-pdf
      June 12, 2008 - Incidence, staff awareness and mortality of patients at risk on general wards. June 12, 2008 Fuhrmann L, Lippert A, Perner A, et al. Incidence, staff awareness and mortality of patients at risk on general wards. Resuscitation. 2008;77(3):325-30. doi:10.1016/j.resuscitation.2008.01.009. https://psnet.ahrq.gov/issue…

5885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40936/psn-pdf
      November 16, 2011 - Sir Karl Popper, swans, and the general practitioner. November 16, 2011 Berghmans R, Schouten HC. Sir Karl Popper, swans, and the general practitioner. BMJ. 2011;343:d5469. doi:10.1136/bmj.d5469. https://psnet.ahrq.gov/issue/sir-karl-popper-swans-and-general-practitioner This commentary describes a delayed diagnos…

5886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73431/psn-pdf
      June 23, 2021 - Drive to Deprescribe. June 23, 2021 The Society for Post-Acute and Long-Term Care Medicine. https://psnet.ahrq.gov/issue/drive-deprescribe Polypharmacy is a known challenge to patient safety. This collective program encourages long-term care organizations, physicians, and pharmacists to take part in a learning net…

5887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49764/psn-pdf
      June 01, 2016 - Communication With Consultants June 1, 2016 Cohn SL. Communication With Consultants. PSNet [internet]. 2016. https://psnet.ahrq.gov/web-mm/communication-consultants The Case A 30-year-old pregnant woman presented to the emergency department (ED) with nausea, headaches, and fevers. Her laboratory studies were nota…

5888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49418/psn-pdf
      October 01, 2003 - Charcoal Lavage of the Lungs October 1, 2003 Wigton RS. Charcoal Lavage of the Lungs. PSNet [internet]. 2003. https://psnet.ahrq.gov/web-mm/charcoal-lavage-lungs The Case A 47-year-old man presented to an emergency department (ED) with altered mental status, and was believed to have a probable overdose. He receiv…

5889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49496/psn-pdf
      December 01, 2005 - Discharged Blindly December 1, 2005 Iezzoni LI. Discharged Blindly. PSNet [internet]. 2005. https://psnet.ahrq.gov/web-mm/discharged-blindly The Case An elderly blind man developed a deep vein thrombosis during his hospital stay. At discharge, he was to receive enoxaparin (Lovenox) for self-administration at home…

5890. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74069/psn-pdf
      September 20, 2022 - Diagnostic Excellence. September 20, 2022 JAMA. Nov 2021-Sep 2022.  https://psnet.ahrq.gov/issue/diagnostic-excellence-0 Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…

5891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41809/psn-pdf
      February 28, 2018 - Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. February 28, 2018 Gillon SA, Radford ST. Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. Crit Care Resusc. 2012;14(3):216-20. https://psnet.ahrq.gov/issue/zebra-intensive-care-unit-metacognitive-reflection-m…

5892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837708/psn-pdf
      July 20, 2022 - Without question. July 20, 2022 Liebowitz J. Without Question. N Engl J Med. 2022;386(26):2456-2457. doi:10.1056/nejmp2204361. https://psnet.ahrq.gov/issue/without-question Diagnostic errors caused by premature closure and anchoring bias occur when clinicians rely on initial diagnosis despite receiving subsequent …

5893. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50665/psn-pdf
      November 13, 2019 - The SECOND Trial November 13, 2019 Northwestern University Feinberg School of Medicine https://psnet.ahrq.gov/issue/second-trial Surgical resident well-being is paramount to ensuring safe surgical care and a healthy workforce. This website shares information on the Surgical Education Culture Optimization through t…

5894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45047/psn-pdf
      April 13, 2016 - Is misdiagnosis inevitable? April 13, 2016 Page L. Medscape Business of Medicine. March 28, 2016. https://psnet.ahrq.gov/issue/misdiagnosis-inevitable This news article reports on the prevalence of diagnostic error and describes characteristics that contribute to the problem, including insufficient clinician famil…

5895. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40153/psn-pdf
      November 26, 2014 - The effect of workload reduction on the quality of residents' discharge summaries. November 26, 2014 Coit MH, Katz JT, McMahon GT. The effect of workload reduction on the quality of residents' discharge summaries. J Gen Intern Med. 2011;26(1):28-32. doi:10.1007/s11606-010-1465-z. https://psnet.ahrq.gov/issue/effec…

5896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45287/psn-pdf
      August 03, 2016 - Mistakes We Make in Dialysis. August 3, 2016 Rodby RA, Perazella MA, eds. Semin Dial. 2016;29(4):253-328. https://psnet.ahrq.gov/issue/mistakes-we-make-dialysis Insufficient application of new evidence to inform treatment decisions can hinder safe care delivery. Articles in this special issue explore common renal …

5897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38669/psn-pdf
      November 25, 2009 - A patient safety objective structured clinical examination. November 25, 2009 Singh R, Singh A, Fish R, et al. A patient safety objective structured clinical examination. J Patient Saf. 2009;5(2):55-60. doi:10.1097/PTS.0b013e31819d65c2. https://psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-exami…

5898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867649/psn-pdf
      January 01, 2015 - Improving Pain Management for Hospitalized Medical Patients. January 1, 2015 Society of Hospital Medicine. Improving Pain Management for Hospitalized Medical Patients. https://psnet.ahrq.gov/issue/improving-pain-management-hospitalized-medical-patients Pain management presents complex patient safety concerns. Info…

5899. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39854/psn-pdf
      September 15, 2010 - Medical Malpractice and Errors. September 15, 2010 Health Aff (Millwood). 2010;29(9):1564-1619. https://psnet.ahrq.gov/issue/medical-malpractice-and-errors Articles in this special issue cover liability costs and defensive medicine, the gap in understanding diagnostic error, and the need for effective patient safe…

5900. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73542/psn-pdf
      July 28, 2021 - Diagnostic safety event reporting. July 28, 2021 Carr S. ImproveDx. July 2021;8(4). https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This article describes existing efforts to examine diagnostic error thr…