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Showing results for "practical".

  1. Introducing the Redesigned AHRQ Patient Safety Network | PSNet

    psnet.ahrq.gov/perspective/introducing-redesigned-ahrq-patient-safety-network
    December 01, 2005 - Introducing the Redesigned AHRQ Patient Safety Network Robert M. Wachter, MD | November 1, 2015  View more articles from the same authors. Citation Text: Wachter R. Introducing the Redesigned AHRQ Patient Safety Network . PSNet [internet]. Rockville (MD): Agency f…

  2. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.335_slideshow.ppt
    December 01, 2014 - PowerPoint Presentation Spotlight A Stroke of Error This presentation is based on the December 2014 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Kevin M. Barrett, MD, MSc, Consultant, Associate Professor of Neurology, Director, Neurohospitalist F…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837324/psn-pdf
    July 08, 2022 - A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries July 8, 2022 https://psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary- cesarean-deliveries Summary   Started in response to rising maternal morbidity and mortality rates in …

  4. The Literature on Health Care Simulation Education: What Does It Show? | PSNet

    psnet.ahrq.gov/perspective/literature-health-care-simulation-education-what-does-it-show
    March 01, 2013 - The Literature on Health Care Simulation Education: What Does It Show? David A. Cook, MD, MHPE | March 1, 2013  Also Read a Conversation View more articles from the same authors. Citation Text: Cook DA. The Literature on Health Care Simulation Education: What Do…

  5. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet

    psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
    February 01, 2007 - Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? Mark L. Graber, MD | February 1, 2007  Also Read a Conversation View more articles from the same authors. Citation Text: Graber ML. Diagnostic Errors in Medicine: What Do Doctors and Umpi…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60215/psn-pdf
    April 08, 2020 - Pain Alleviation Toolkit. April 8, 2020 American Society of Anesthesiologists, American Academy of Orthopaedic Surgeons. March 12, 2020. https://psnet.ahrq.gov/issue/pain-alleviation-toolkit Communication and shared decision-making are fundamental tactics to guide clinical team and patient efforts to minimize the …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34647/psn-pdf
    June 25, 2014 - Complexity science: the challenge of complexity in health care. June 25, 2014 Plsek PE, Greenhalgh T. Complexity science: The challenge of complexity in health care. BMJ. 2001;323(7313):625-628. https://psnet.ahrq.gov/issue/complexity-science-challenge-complexity-health-care This article explores the science of h…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840168/psn-pdf
    January 01, 2023 - The debrief imperative: building teaming competencies and team effectiveness. November 16, 2022 Tannenbaum SI, Greilich PE. The debrief imperative: building teaming competencies and team effectiveness. BMJ Qual Saf. 2023;32(3):125-128. doi:10.1136/bmjqs-2022-015259. https://psnet.ahrq.gov/issue/debrief-imperative-…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45820/psn-pdf
    March 15, 2017 - Development of a pediatric adverse events terminology. March 15, 2017 Gipson DS, Kirkendall E, Gumbs-Petty B, et al. Development of a Pediatric Adverse Events Terminology. Pediatrics. 2017;139(1). doi:10.1542/peds.2016-0985. https://psnet.ahrq.gov/issue/development-pediatric-adverse-events-terminology Taxonomies h…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47722/psn-pdf
    January 23, 2019 - Opening the Door to Change. NHS Safety Culture and the Need for Transformation. January 23, 2019 Newcastle upon Tyne, UK: Care Quality Commission; December 2018. https://psnet.ahrq.gov/issue/opening-door-change-nhs-safety-culture-and-need-transformation The term never events was originally coined to describe rare,…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42955/psn-pdf
    May 11, 2016 - National Patient Safety Alerting System. May 11, 2016 National Health Service England https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system In response to the Francis report, this three-stage reporting system was launched to help National Health Service organizations learn from incidents and incorpo…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46026/psn-pdf
    May 03, 2017 - Key principles in quality and safety in radiology. May 3, 2017 Abujudeh H, Kaewlai R, Shaqdan K, et al. Key Principles in Quality and Safety in Radiology. American Journal of Roentgenology. 2017;208(3). doi:10.2214/ajr.16.16951. https://psnet.ahrq.gov/issue/key-principles-quality-and-safety-radiology This review s…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37798/psn-pdf
    May 21, 2019 - Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. May 21, 2019 Clark SL, Belfort MA, Byrum SL, et al. Improved outcomes, fewer cesarean deliveries, and reduced litigation: results of a new paradigm in patient safety. Am J Obstet Gynecol. 2008;199(2):…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72827/psn-pdf
    March 10, 2021 - Coronavirus Commission for Safety and Quality in Nursing Homes. March 10, 2021 Centers for Medicare and Medicaid Services. McLean, VA: MITRE Corporation; September 2020. https://psnet.ahrq.gov/issue/coronavirus-commission-safety-and-quality-nursing-homes Nursing homes have been confronted with numerous …

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46853/psn-pdf
    February 22, 2019 - Outcomes with overlapping surgery at a large academic medical center. February 22, 2019 Ponce BA, Wills BW, Hudson PW, et al. Outcomes With Overlapping Surgery at a Large Academic Medical Center. Ann Surg. 2019;269(3):465-470. doi:10.1097/SLA.0000000000002701. https://psnet.ahrq.gov/issue/outcomes-overlapping-surg…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35108/psn-pdf
    April 06, 2011 - Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. April 6, 2011 Fertleman M, Barnett N, Patel T. Improving medication management for patients: the effect of a pharmacist on post-admission ward rounds. Qual Saf Health Care. 2005;14(3):207-11. https://psnet.ahrq.…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43552/psn-pdf
    December 16, 2014 - Robotic-assisted surgery: focus on training and credentialing. December 16, 2014 Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101. https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing Research has documented a substantial learning curve for surgeons as they develop sk…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47492/psn-pdf
    August 07, 2019 - Pediatric clinician perspectives on communicating diagnostic uncertainty. August 7, 2019 Meyer AND, Giardina TD, Khanna A, et al. Pediatric clinician perspectives on communicating diagnostic uncertainty. Int J Health Care Qual. 2019;31(9):g107-g112. doi:10.1093/intqhc/mzz061. https://psnet.ahrq.gov/issue/pediatric…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43890/psn-pdf
    April 22, 2015 - Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. April 22, 2015 Al-Mutairi A, Meyer AND, Chang P, et al. Lack of timely follow-up of abnormal imaging results and radiologists' recommendations. J Am Coll Radiol. 2015;12(4):385-389. doi:10.1016/j.jacr.2014.09.031. https://psnet…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40207/psn-pdf
    February 09, 2011 - Building nursing intellectual capital for safe use of information technology: a systematic review. February 9, 2011 Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e3181e15c88. https://psnet.ahrq.gov/…
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