-
psnet.ahrq.gov/node/49550/psn-pdf
December 01, 2007 - The human mind generally favors causal explanations over chance, which would lead many to infer a
problem
-
psnet.ahrq.gov/innovation/nudge-unit-supports-physician-patient-behavioral-changes-towards-medical-decisions
July 23, 2024 - range of different care improvement projects, including safety initiatives, with this framework in mind
-
psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - be argued, is even still not being approached correctly.( 5 ) The "big picture" must coalesce in the mind
-
psnet.ahrq.gov/web-mm/delayed-recognition-positive-blood-culture
January 29, 2020 - true positive blood cultures, including listeria, results in higher mortality.( 8 ) With this in mind
-
psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - support future decision-making related to the patient’s medication management. 10 Furthermore, keep in mind
-
psnet.ahrq.gov/web-mm/transfer-or-not-transfer
November 23, 2016 - to know precisely why EMS took this patient to the farther hospital, but two possibilities come to mind
-
psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
August 28, 2024 - Policy and practice in the use of root cause analysis to investigate clinical adverse events: mind the
-
psnet.ahrq.gov/web-mm/transfusion-slip
June 14, 2011 - Transfusion "Slip"
Citation Text:
Kaplan HS. Transfusion "Slip". PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
Copy Citation
Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
-
psnet.ahrq.gov/issue/building-case-medication-reconciliation
June 10, 2018 - Newspaper/Magazine Article
Building a case for medication reconciliation.
Citation Text:
Building a case for medication reconciliation. ISMP Medication Safety Alert! Acute care edition. April 21, 2005.
Copy Citation
Save
Save to your library
Print
Downlo…
-
psnet.ahrq.gov/issue/how-has-current-economy-affected-patient-safety
May 07, 2018 - Newspaper/Magazine Article
How has the current economy affected patient safety?
Citation Text:
How has the current economy affected patient safety? ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
Copy Citation
Save
Save to your library…
-
psnet.ahrq.gov/web-mm/breathe-easy-safe-tracheostomy-management
June 07, 2023 - Breathe Easy: Safe Tracheostomy Management
Citation Text:
Russell MS, Russell MD. Breathe Easy: Safe Tracheostomy Management. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2015.
Copy Citation
Format:
Google Scholar Bib…
-
psnet.ahrq.gov/web-mm/unexpected-drawbacks-electronic-order-sets
December 01, 2017 - Unexpected Drawbacks of Electronic Order Sets
Citation Text:
McGreevey JD. Unexpected Drawbacks of Electronic Order Sets. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2016.
Copy Citation
Format:
Google Scholar BibTeX …
-
psnet.ahrq.gov/node/49664/psn-pdf
January 01, 2013 - Empty Handoff
September 1, 2012
Goldman A, Catchpole K. Empty Handoff. PSNet [internet]. 2012.
https://psnet.ahrq.gov/web-mm/empty-handoff
The Case
A 29-year-old man with "brittle diabetes" was admitted to the surgery service for incision and drainage of a
leg wound. The patient's medical history included chronic…
-
psnet.ahrq.gov/node/33693/psn-pdf
February 01, 2010 - The Role of Graduate Medical Education (GME) in
Improving Patient Safety
February 1, 2010
Baron RB, Vidyarthi A. The Role of Graduate Medical Education (GME) in Improving Patient Safety. PSNet
[internet]. 2010.
https://psnet.ahrq.gov/perspective/role-graduate-medical-education-gme-improving-patient-safety
Perspec…
-
psnet.ahrq.gov/node/60376/psn-pdf
July 30, 2020 - COVID-19: Team and Human Factors to Improve Safety
July 30, 2020
Zipperer L. COVID-19: Team and Human Factors to Improve Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/primer/covid-19-team-and-human-factors-improve-safety
Background
The rapid transmission of COVID-19 has resulted in an international pandem…
-
psnet.ahrq.gov/node/33645/psn-pdf
February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and
Umpires Have in Common?
February 1, 2007
Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? PSNet
[internet]. 2007.
https://psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
Perspectiv…
-
psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - squarely at the intersection of science and art in medicine and involves understanding the physician's mind … So those very egregious cases don't come to mind very readily, and the less harmful errors are much more
-
psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - It is important to keep in mind that these are focused (not comprehensive) ultrasound examinations we … In the long run, there's no question in my mind that appropriately training and assessing practitioners
-
psnet.ahrq.gov/perspective/ems-patient-safety-field
July 28, 2021 - However, all of them have the same goal in mind: to provide the timely care needed by emergency patients … And I happened to be reviewing one of those today, so it's fresh in my mind.
-
psnet.ahrq.gov/web-mm/customer-always-right
January 22, 2014 - noting the top line of the triage form and rapidly directing questions with that chief complaint in mind—as