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Showing results for "providing".

7521. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848105/psn-pdf
      April 26, 2023 - GoodDx.org April 26, 2023 GoodDx. https://psnet.ahrq.gov/issue/gooddxorg Effective feedback is an important component of individual, team and organizational learning in order to achieve safe diagnosis. GoodDx.org houses a variety of diagnostic performance feedback resources for use by clinicians, patient safety p…

7522. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43674/psn-pdf
      November 12, 2014 - Living with cancer: not talking about medical mistakes. November 12, 2014 Gubar S. https://psnet.ahrq.gov/issue/living-cancer-not-talking-about-medical-mistakes This newspaper article describes how surgical complications, health care–associated infections, and ineffective patient–provider communication contributed…

7523. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39049/psn-pdf
      January 16, 2010 - Approaching the evidence basis for aviation-derived teamwork training in medicine. January 16, 2010 Zeltser M, Nash DB. Approaching the evidence basis for aviation-derived teamwork training in medicine. Am J Med Qual. 2010;25(1):13-23. doi:10.1177/1062860609345664. https://psnet.ahrq.gov/issue/approaching-evidence…

7524. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44906/psn-pdf
      February 17, 2016 - Hospitals find a way to say, 'I'm sorry.' February 17, 2016 Landro L. https://psnet.ahrq.gov/issue/hospitals-find-way-say-im-sorry Communication and resolution strategies that emphasize early disclosure after a medical error can enhance patient safety. This newspaper article reports on communication and resolution…

7525. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39191/psn-pdf
      February 08, 2011 - Leadership in Healthcare Organizations: A Guide to Joint Commission Leadership Standards. February 8, 2011 Schyve PM. San Diego, CA: Governance Institute; 2009. https://psnet.ahrq.gov/issue/leadership-healthcare-organizations-guide-joint-commission-leadership- standards This white paper provides comprehensive inf…

7526. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37951/psn-pdf
      May 26, 2011 - The Leapfrog Group's CPOE standard and evaluation tool. May 26, 2011 Metzger JB, Welebob E, Turisco F, et al. Patient Saf Qual Healthc. July/August 2008;5:22-25. https://psnet.ahrq.gov/issue/leapfrog-groups-cpoe-standard-and-evaluation-tool This article describes an evaluation tool designed for…

7527. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34622/psn-pdf
      March 17, 2011 - National Confidential Enquiry into Patient Outcome and Death. March 17, 2011 National Confidential Enquiry into Patient Outcome and Death; NCEPOD https://psnet.ahrq.gov/issue/national-confidential-enquiry-patient-outcome-and-death Launched under the title National Confidential Enquiry into Perioperative Deaths (NC…

7528. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40046/psn-pdf
      June 15, 2012 - Applying HFMEA to prevent chemotherapy errors. June 15, 2012 Cheng C-H, Chou C-J, Wang P-C, et al. Applying HFMEA to prevent chemotherapy errors. J Med Syst. 2012;36(3):1543-51. doi:10.1007/s10916-010-9616-7. https://psnet.ahrq.gov/issue/applying-hfmea-prevent-chemotherapy-errors This study provides a practical ex…

7529. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38610/psn-pdf
      May 06, 2009 - Medication errors resulting from computer entry by nonprescribers.   May 6, 2009 Santell JP, Kowiatek JG, Weber RJ, et al. Medication errors resulting from computer entry by nonprescribers. Am J Health Syst Pharm. 2009;66(9):843-53. doi:10.2146/ajhp080208. https://psnet.ahrq.gov/issue/medication-errors-resulting-c…

7530. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41460/psn-pdf
      June 13, 2012 - Help your patient "get" what you just said: a health literacy guide. June 13, 2012 Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196. https://psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide This commentar…

7531. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37749/psn-pdf
      July 16, 2018 - Practice advisory for the prevention and management of operating room fires.  July 16, 2018 Fires AS of ATF on OR, Caplan RA, Barker SJ, et al. Practice advisory for the prevention and management of operating room fires. Anesthesiology. 2008;108(5):786-801; quiz 971-2. doi:10.1097/01.anes.0000299343.87119.a9. htt…

7532. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36454/psn-pdf
      January 31, 2019 - Front Line of Defense: The Role of Nurses in Preventing Sentinel Events. Third Edition. January 31, 2019 Oakbrook, IL: Joint Commission Resources; 2018. ISBN: 9781635850611. https://psnet.ahrq.gov/issue/front-line-defense-role-nurses-preventing-sentinel-events-third-edition Nurses have an important role in ensurin…

7533. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40860/psn-pdf
      March 02, 2012 - Patient safety issues in advanced practice nursing students' care settings. March 2, 2012 Schnall R, Cook S, John RM, et al. Patient Safety Issues in Advanced Practice Nursing Students? Care Settings. J Nurs Care Qual. 2011;27(2). doi:10.1097/ncq.0b013e3182310d27. https://psnet.ahrq.gov/issue/patient-safety-issues…

7534. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47678/psn-pdf
      December 19, 2018 - When mistakes happen. December 19, 2018 Beck DL. ASH Clinical News. December 1, 2018. https://psnet.ahrq.gov/issue/when-mistakes-happen This article provides an overview of efforts to understand and improve patient safety and covers topics such as the epidemiology of error, its impact on the individuals involved, …

7535. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36175/psn-pdf
      September 29, 2010 - Discovering healthcare cognition: the use of cognitive artifacts to reveal cognitive work. September 29, 2010 Nemeth CP, O’Connor M, Klock PA, et al. Discovering Healthcare Cognition: The Use of Cognitive Artifacts to Reveal Cognitive Work. Organization Studies. 2006;27(7). doi:10.1177/0170840606065708. https://ps…

7536. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34718/psn-pdf
      August 05, 2008 - How can we save the next victim? August 5, 2008 Belkin L https://psnet.ahrq.gov/issue/how-can-we-save-next-victim In this article, Belkin examines how the medical field has recently shifted away from blaming individuals for medical error toward a model that searches for systems problems and solutions for preventio…

7537. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43338/psn-pdf
      July 09, 2014 - In military care, a pattern of errors but not scrutiny. July 9, 2014 LaFraniere S, Lehren AW. New York Times. June 28, 2014. https://psnet.ahrq.gov/issue/military-care-pattern-errors-not-scrutiny Reporting on serious lapses in the care provided by the military health system, this newspaper article highlights how s…

7538. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36883/psn-pdf
      August 31, 2011 - Voluntary review of quality of care peer review for patient safety. August 31, 2011 Stumpf PG. Voluntary review of quality of care peer review for patient safety. Best Pract Res Clin Obstet Gynaecol. 2007;21(4):557-64. https://psnet.ahrq.gov/issue/voluntary-review-quality-care-peer-review-patient-safety The autho…

7539. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34628/psn-pdf
      May 01, 2020 - Patient Safety and Quality Healthcare. November 30, 2016 Middleton, MA: HealthLeaders Media. ISSN: 1553-6637. https://psnet.ahrq.gov/issue/patient-safety-and-quality-healthcare Beginning with its inaugural issue in August 2004 and ending in May 2020, Patient Safety and Quality Healthcare (PSQH) published bi-monthl…

7540. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35226/psn-pdf
      June 16, 2010 - Medical errors: mandatory reporting, voluntary reporting, or both? June 16, 2010 Grepperud S. Medical Errors: Mandatory Reporting, Voluntary Reporting, or Both? European Journal of Law and Economics. 2005;20(1). doi:10.1007/s10657-005-1019-8. https://psnet.ahrq.gov/issue/medical-errors-mandatory-reporting-voluntar…