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Showing results for "providing".

7961. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34753/psn-pdf
      March 28, 2005 - Report on the Medical Insurance Feasibility Study. March 28, 2005 Mills DH. San Francisco, CA: California Medical Association; 1977. https://psnet.ahrq.gov/issue/report-medical-insurance-feasibility-study Escalating professional liability costs prompted this study on the nature of adverse outcomes related to medic…

7962. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35021/psn-pdf
      April 03, 2012 - Health Information Technology Leadership Panel: Final Report. April 3, 2012 Lewin Group: Falls Church, VA; March 2005. https://psnet.ahrq.gov/issue/health-information-technology-leadership-panel-final-report Prepared by the Lewin Group for the Department of Health and Human Services, this 45-page report summarize…

7963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46316/psn-pdf
      August 02, 2017 - Defending a "never event." August 2, 2017 Shepperd JR. Defending a "Never Event". J Healthc Risk Manag. 2017;37(1):17-22. doi:10.1002/jhrm.21277. https://psnet.ahrq.gov/issue/defending-never-event Surgical fires are considered a never event. This commentary provides an overview of surgical fires, explains element…

7964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37576/psn-pdf
      May 24, 2015 - Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. May 24, 2015 Adams M, Bates D, Coffman G, et al. Boston, MA: Massachusetts Technology Collaborative; New England Healthcare Institute; February 2008. https://psnet.ahrq.gov/issue/saving-lives-saving-money…

7965. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47696/psn-pdf
      February 22, 2019 - Operating room fires. February 22, 2019 Jones TS, Black IH, Robinson TN, et al. Operating Room Fires. Anesthesiology. 2019;130(3):492-501. doi:10.1097/ALN.0000000000002598. https://psnet.ahrq.gov/issue/operating-room-fires Surgical fires, though uncommon, can result in serious harm. This review highlights three co…

7966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46673/psn-pdf
      March 21, 2018 - Human factors and simulation in emergency medicine. March 21, 2018 Hayden EM, Wong AH, Ackerman J, et al. Human Factors and Simulation in Emergency Medicine. Acad Emerg Med. 2018;25(2):221-229. doi:10.1111/acem.13315. https://psnet.ahrq.gov/issue/human-factors-and-simulation-emergency-medicine Human factors engine…

7967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36506/psn-pdf
      April 19, 2011 - Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. April 19, 2011 Hearns S, Shirley PJ. Retrieval medicine: a review and guide for UK practitioners. Part 2: safety in patient retrieval systems. Emerg Med J. 2006;23(12):943-7. https://psnet.ahrq.gov/issue/retri…

7968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44040/psn-pdf
      August 02, 2015 - Why physicians err in diagnosis. August 2, 2015 Why physicians err in diagnosis. JAMA. 2015;313(12):1273. doi:10.1001/jama.2014.11660. https://psnet.ahrq.gov/issue/why-physicians-err-diagnosis This previously published commentary provides a historical glimpse into diagnostic error and physician cognition. The piec…

7969. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60719/psn-pdf
      July 22, 2020 - How real-time data can change the patient safety game. July 22, 2020 Diesing G. How real-time data can change the patient safety game. J AHIMA. 2020;July 1. https://psnet.ahrq.gov/issue/how-real-time-data-can-change-patient-safety-game Use of data can improve the response of clinicians to patient concerns and deter…

7970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46593/psn-pdf
      November 08, 2017 - Unreadable barcodes and multiple barcodes on packages can lead to errors. November 8, 2017 ISMP Medication Safety Alert! Acute care edition. October 19, 2017;22:1-3. https://psnet.ahrq.gov/issue/unreadable-barcodes-and-multiple-barcodes-packages-can-lead-errors Barcodes can both enhance and degrade the medication …

7971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44468/psn-pdf
      September 23, 2015 - LINNEAUS Collaboration on Patient Safety in Primary Care. September 23, 2015 Eur J Gen Pract. 2015;(suppl 21):1-77. https://psnet.ahrq.gov/issue/linneaus-collaboration-patient-safety-primary-care Collaborative efforts provide learning opportunities for groups that seek to develop widely implementable improvements…

7972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45659/psn-pdf
      November 16, 2016 - Misdiagnoses: a hidden risk of genetic testing. November 16, 2016 Howard J. CNN. October 31, 2016. https://psnet.ahrq.gov/issue/misdiagnoses-hidden-risk-genetic-testing Although genetic testing can provide proactive assessment for disease, it can also result in unnecessary care. This news article reports on the un…

7973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42066/psn-pdf
      March 11, 2013 - Stakeholder challenges in purchasing medical devices for patient safety. March 11, 2013 Hinrichs S, Dickerson T, Clarkson J. Stakeholder challenges in purchasing medical devices for patient safety. J Patient Saf. 2013;9(1):36-43. doi:10.1097/PTS.0b013e3182773306. https://psnet.ahrq.gov/issue/stakeholder-challenges…

7974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47144/psn-pdf
      June 13, 2018 - Canadian Anesthesia Incident Reporting System. June 13, 2018 Canadian Anaesthesiologists Society. https://psnet.ahrq.gov/issue/canadian-anesthesia-incident-reporting-system Reporting mistakes in anesthesiology practice can motivate and inform error reduction work. This website provides a secure tool for submitting…

7975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46863/psn-pdf
      December 05, 2024 - Safer Together Annual Report. December 5, 2024 Child Health Patient Safety Organization. Washington, DC: Children's Hospital Association. https://psnet.ahrq.gov/issue/perfecting-detection-understanding-source-harm This annual publication provides common cause analyses of incidents submitted to a pediatric patient …

7976. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45086/psn-pdf
      July 02, 2019 - Half-life of a printed handoff document. July 2, 2019 Rosenbluth G, Jacolbia R, Milev D, et al. Half-life of a printed handoff document. BMJ Qual Saf. 2016;25(5):324-8. doi:10.1136/bmjqs-2015-004585. https://psnet.ahrq.gov/issue/half-life-printed-handoff-document Despite advances in handoff practices, printed sign…

7977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45550/psn-pdf
      August 01, 2023 - Leape Ahead Award. August 1, 2023 American Association for Physician Leadership. https://psnet.ahrq.gov/issue/leape-ahead-award Efforts to incorporate respect and patient safety concepts into medical training have been inspired by the work and leadership of Dr. Lucian Leape, founding chairman of the Lucian Leape I…

7978. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35254/psn-pdf
      April 06, 2011 - Adverse events and near miss reporting in the NHS. April 6, 2011 Shaw R. Adverse events and near miss reporting in the NHS. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2004.010553. https://psnet.ahrq.gov/issue/adverse-events-and-near-miss-reporting-nhs This study evaluated the utility of a volu…

7979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44223/psn-pdf
      November 22, 2016 - Patient Safety and Incident Management Toolkit. November 22, 2016 Edmonton, AB: Canadian Patient Safety Institute. June 2015. https://psnet.ahrq.gov/issue/patient-safety-and-incident-management-toolkit Engaging patients and families in safety can uncover concerns and inform improvement efforts. This three- compone…

7980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44502/psn-pdf
      May 07, 2018 - Draft Guidelines for the Safe Communication of Electronic Medication Information. May 7, 2018 Institute for Safe Medication Practices. Acute Care Edition. August 27, 2015;2;1-3,6. https://psnet.ahrq.gov/issue/draft-guidelines-safe-communication-electronic-medication-information How electronic medication-related in…