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Showing results for "practical".

8341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46444/psn-pdf
      December 19, 2017 - Nil per os orders for imaging: a teachable moment. December 19, 2017 Wickerham AL, Schultz EJ, Lewine EB. Nil per Os Orders for Imaging: A Teachable Moment. JAMA Intern Med. 2017;177(11):1670-1671. doi:10.1001/jamainternmed.2017.3943. https://psnet.ahrq.gov/issue/nil-os-orders-imaging-teachable-moment Patients are…

8342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838175/psn-pdf
      September 28, 2022 - Modes of failure in venous thromboembolism prophylaxis. September 28, 2022 Richie CD, Castle JT, Davis GA, et al. Modes of failure in venous thromboembolism prophylaxis. Angiology. 2022;73(8):712-715. doi:10.1177/00033197221083724. https://psnet.ahrq.gov/issue/modes-failure-venous-thromboembolism-prophylaxis Hosp…

8343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836790/psn-pdf
      March 23, 2022 - Human Factors In Healthcare. March 23, 2022 Keebler JR, Salas E, Rosen MA, et al. eds. Hum Factors. 2022;64(1):5-258. https://psnet.ahrq.gov/issue/human-factors-healthcare Human factors concepts are central to improvement in high-risk industries and efforts are emerging to enfold them into health care organization…

8344. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47458/psn-pdf
      January 01, 2019 - Systems science: a primer on high reliability. November 26, 2018 Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. https://psnet.ahrq.gov/issue/systems-science-primer-high-reliability High-reliability organizations have d…

8345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/855103/psn-pdf
      November 08, 2023 - Adverse Events. November 8, 2023 United States Office of the Inspector General: 2010-2023. https://psnet.ahrq.gov/issue/adverse-events-0 Large-scale data analysis provides insights to generate evidence-based improvement action. This collection of reports provides access to investigations of the impact of heal…

8346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42166/psn-pdf
      June 10, 2018 - Drawn curtains, muted alarms, and diverted attention lead to tragedy in the postanesthesia care unit. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. March 21, 2013;18:1-3. https://psnet.ahrq.gov/issue/drawn-curtains-muted-alarms-and-diverted-attention-lead-tragedy- postanesthesia-care-unit This n…

8347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73167/psn-pdf
      April 21, 2021 - Patient safety functions of state medical boards in the United States. April 21, 2021 Roy CG. Yale J Biol Med. 2021;94(1):165-173.  https://psnet.ahrq.gov/issue/patient-safety-functions-state-medical-boards-united-states Delivery of safe care hinges on the competency of medical professionals. This article out…

8348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41780/psn-pdf
      April 10, 2019 - Health care professionals as second victims after adverse events: a systematic review. April 10, 2019 Seys D, Wu AW, Gerven EV, et al. Health Care Professionals as Second Victims after Adverse Events. Eval Health Prof. 2012;36(2). doi:10.1177/0163278712458918. https://psnet.ahrq.gov/issue/health-care-professionals…

8349. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46512/psn-pdf
      August 17, 2018 - The problem with using patient complaints for improvement. August 17, 2018 de Vos MS, Hamming JF, van de Mheen PJM-. The problem with using patient complaints for improvement. BMJ Qual Saf. 2018;27(9):758-762. doi:10.1136/bmjqs-2017-007463. https://psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement …

8350. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/764413/psn-pdf
      March 02, 2022 - Telemedicine: Ensuring Safe, Equitable, Person-Centered Virtual Care. March 2, 2022 Perry AF, Federico F, Huebner J. Boston, MA: Institute for Healthcare Improvement; 2021.  https://psnet.ahrq.gov/issue/telemedicine-ensuring-safe-equitable-person-centered-virtual-care The emergence of telemedicine during…

8351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44885/psn-pdf
      April 22, 2016 - Changing the "working while sick" culture. April 22, 2016 Tanksley AL, Wolfson RK, Arora V. Changing the "Working While Sick" Culture: Promoting Fitness for Duty in Health Care. JAMA. 2016;315(6):603-4. doi:10.1001/jama.2016.0094. https://psnet.ahrq.gov/issue/changing-working-while-sick-culture Clinicians often fe…

8352. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847060/psn-pdf
      January 01, 2001 - The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? January 1, 2001 Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop on Human Error, Safety and Systems Development. Linköping Sweden: Linköping University; 2001. https://psnet.ahrq.gov/issu…

8353. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838192/psn-pdf
      September 28, 2022 - When medical error becomes personal, activism becomes painful. September 28, 2022 Millenson M. Forbes. September 16, 2022. https://psnet.ahrq.gov/issue/when-medical-error-becomes-personal-activism-becomes-painful Unnecessary medication infusions indicate weaknesses in medication service processes. While no harm w…

8354. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47220/psn-pdf
      September 12, 2018 - Strategically Advancing Patient and Family Advisory Councils in New York State Hospitals. September 12, 2018 Bethesda, MD: Institute for Patient- and Family-Centered Care; June 2018. https://psnet.ahrq.gov/issue/strategically-advancing-patient-and-family-advisory-councils-new-york-state- hospitals Hospital patien…

8355. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35650/psn-pdf
      June 25, 2010 - Am I safe here? Improving patients' perceptions of safety in hospitals. June 25, 2010 Wolosin RJ, Vercler L, Matthews JL. Am I safe here?: improving patients' perceptions of safety in hospitals. J Nurs Care Qual. 2006;21(1):30-40. https://psnet.ahrq.gov/issue/am-i-safe-here-improving-patients-perceptions-safety-ho…

8356. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47332/psn-pdf
      November 02, 2018 - Interventions for postsurgical opioid prescribing: a systematic review. November 2, 2018 Wick EC, Sehgal NL. A Learning Health System Approach to the Opioid Crisis. JAMA Surg. 2018;153(10):948-954. doi:10.1001/jamasurg.2018.2731. https://psnet.ahrq.gov/issue/interventions-postsurgical-opioid-prescribing-systematic…

8357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836727/psn-pdf
      March 09, 2022 - A family and hospital's journey and commitment to improving diagnostic safety. March 9, 2022 Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091. https://psnet.ahrq.gov/issue/family-an…

8358. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46534/psn-pdf
      January 31, 2018 - Safety considerations in learning new procedures: a survey of surgeons. January 31, 2018 Jaffe TA, Hasday SJ, Knol M, et al. Safety considerations in learning new procedures: a survey of surgeons. J Surg Res. 2017;218:361-366. doi:10.1016/j.jss.2017.06.058. https://psnet.ahrq.gov/issue/safety-considerations-learni…

8359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35501/psn-pdf
      June 15, 2011 - Ethical issues in patient safety. June 15, 2011 Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. https://psnet.ahrq.gov/issue/ethical-issues-patient-safety This commentary, written by patient safety expert Lucian Leape, begins with a retrospective view on the birth of patient safety…

8360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35690/psn-pdf
      July 12, 2010 - Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative. July 12, 2010 Hansen LB, Fernald D, Araya-Guerra R, et al. Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies …