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Showing results for "practical".

7921. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50876/psn-pdf
      April 22, 2021 - Veterans Accountability Improvement Act. April 22, 2021 SB 1307, 117th Congress: 2021. https://psnet.ahrq.gov/issue/veterans-accountability-improvement-act Reporting clinicians who exhibit practice behaviors that are detrimental to safety is challenged by system and cultural norms. This legislation aims to strengt…

7922. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50606/psn-pdf
      October 30, 2019 - One doctor. 25 deaths. How could it have happened? October 30, 2019 Healy J, Farr I, Feiger L, Duffy C. New York Times. October 11, 2019. https://psnet.ahrq.gov/issue/one-doctor-25-deaths-how-could-it-have-happened Systemic failures persistently undermine processes meant to keep patients safe. This news story discu…

7923. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43389/psn-pdf
      July 30, 2014 - Simulation based adverse event reporting system: development and feasibility. July 30, 2014 Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. https://psnet.ahrq.gov/issue/simulation-based-adverse-event-repor…

7924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34573/psn-pdf
      August 16, 2017 - Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents. August 16, 2017 Halbach JL; Sullivan L; New York Medical College https://psnet.ahrq.gov/issue/medical-errors-and-patient-safety-curriculum-guide-teaching-medical-students- and-family This curriculum…

7925. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865882/psn-pdf
      May 15, 2024 - Kentucky first state to decriminalize medical errors. May 15, 2024 Robertson R. MedPage Today. April 30, 2024. https://psnet.ahrq.gov/issue/kentucky-first-state-decriminalize-medical-errors Criminalization of medical error can have a chilling effect on the transparency needed to inform improvement. This news artic…

7926. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43202/psn-pdf
      September 11, 2023 - ISMP Survey on High-Alert Medications in Acute Care Settings. September 11, 2023 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2023. https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings Experience from the sharp end helps to inform safety improvement initiatives. The…

7927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41603/psn-pdf
      August 22, 2012 - Nurse–pharmacist collaboration on medication reconciliation prevents potential harm. August 22, 2012 Feldman LS, Costa LL, Feroli R, et al. Nurse-pharmacist collaboration on medication reconciliation prevents potential harm. J Hosp Med. 2012;7(5):396-401. doi:10.1002/jhm.1921. https://psnet.ahrq.gov/issue/nurse-ph…

7928. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36745/psn-pdf
      March 10, 2011 - Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. March 10, 2011 Cohen T, Blatter B, Almeida C, et al. Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds. J Am Med Inform Assoc. 2007;14(3):312-9. https://ps…

7929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39182/psn-pdf
      May 22, 2019 - ACOG Committee Opinion No. 447: patient safety in obstetrics and gynecology. May 22, 2019 Improvement AC of O and GCC on PS and Q. ACOG Committee Opinion No. 447: Patient safety in obstetrics and gynecology. Obstet Gynecol. 2009;114(6):1424-7. doi:10.1097/AOG.0b013e3181c6f90e. https://psnet.ahrq.gov/issue/acog-com…

7930. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45153/psn-pdf
      May 18, 2016 - Structuring feedback and debriefing to achieve mastery learning goals. May 18, 2016 Eppich W, Hunt EA, Duval-Arnould JM, et al. Structuring feedback and debriefing to achieve mastery learning goals. Acad Med. 2015;90(11):1501-8. doi:10.1097/ACM.0000000000000934. https://psnet.ahrq.gov/issue/structuring-feedback-an…

7931. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40115/psn-pdf
      January 05, 2011 - Infection control hazards and near misses reported by nursing students. January 5, 2011 Geller NF, Bakken S, Currie LM, et al. Infection control hazards and near misses reported by nursing students. Am J Infect Control. 2010;38(10):811-6. doi:10.1016/j.ajic.2010.06.001. https://psnet.ahrq.gov/issue/infection-contr…

7932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41495/psn-pdf
      December 21, 2014 - The relationship between electronic health records and malpractice claims. December 21, 2014 Quinn MA, Kats AM, Kleinman K, et al. The relationship between electronic health records and malpractice claims. Arch Intern Med. 2012;172(15):1187-9. doi:10.1001/archinternmed.2012.2371. https://psnet.ahrq.gov/issue/relat…

7933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42345/psn-pdf
      June 12, 2013 - With money at risk, hospitals push staff to wash hands. June 12, 2013 Armellino D, Hussain E, Schilling ME, et al. Using High-Technology to Enforce Low-Technology Safety Measures: The Use of Third-party Remote Video Auditing and Real-time Feedback in Healthcare. Clinical Infectious Diseases. 2011;54(1). doi:10.1093…

7934. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73380/psn-pdf
      June 09, 2021 - Wrong Site Surgery–Wrong Tooth Extraction. June 9, 2021 Farnborough, UK: Healthcare Safety Investigation Branch; April 2021. https://psnet.ahrq.gov/issue/wrong-site-surgery-wrong-tooth-extraction Wrong-site surgery in dentistry is a frequent and persistent never event. This report examines a case of pediatric wron…

7935. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46855/psn-pdf
      February 21, 2018 - Leadership and vision for a culture of safety. February 21, 2018 Gandhi TK. NEJM Catalyst. February 8, 2018. https://psnet.ahrq.gov/issue/leadership-and-vision-culture-safety Leadership has an important role in establishing a culture of safety in health care organizations. This commentary describes key skills requ…

7936. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44110/psn-pdf
      May 13, 2015 - Simulation in Anaesthesia and Surgery. May 13, 2015 Hahnenkamp K, Breuer G, eds. Best Pract Res Clin Anaesthesiol. 2015;29(1):1-96. https://psnet.ahrq.gov/issue/simulation-anaesthesia-and-surgery In the last decade, simulation has emerged as an educational strategy for teaching clinical skills. Articles in this sp…

7937. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45793/psn-pdf
      July 19, 2024 - SHOT Annual Report. July 19, 2024 S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. https://psnet.ahrq.gov/issue/shot-annual-report-2019 Although errors in the blood transfusion process are rare, they can be harmful. This annual report provides an anal…

7938. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853627/psn-pdf
      September 20, 2023 - Understanding And Addressing Pre-Hospital Diagnostic Delays. September 20, 2023 Health Affairs Forefront; May-September 2023. https://psnet.ahrq.gov/issue/understanding-and-addressing-pre-hospital-diagnostic-delays Diagnostic delays stem from both human and process failures. This series of articles examines how s…

7939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46553/psn-pdf
      October 25, 2017 - Telehealth. October 25, 2017 Tuckson R, Edmunds M, Hodgkins ML. Telehealth. N Engl J Med. 2017;377(16):1585-1592. doi:10.1056/NEJMsr1503323. https://psnet.ahrq.gov/issue/telehealth Telemedicine can improve patient experience and access to health care. This commentary reviews the current state of telehealth practi…

7940. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73872/psn-pdf
      September 22, 2021 - Parenteral nutrition safety. September 22, 2021 Mirtallo JM, Ayers P. Pharmacy Practice News. September 7, 2021;48(9):17-20. https://psnet.ahrq.gov/issue/parenteral-nutrition-safety Parenteral nutrition (PN) processes contain various steps that are prone to errors resulting in patient harm. This article discusses …