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Showing results for "references".

2041. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44119/psn-pdf
      September 19, 2016 - Risk managers' descriptions of programs to support second victims after adverse events. September 19, 2016 White AA, Brock DM, McCotter PI, et al. Risk managers' descriptions of programs to support second victims after adverse events. J Healthc Risk Manag. 2015;34(4):30-40. doi:10.1002/jhrm.21169. https://psnet.ah…

2042. Hindsight Bias | PSNet
      psnet.ahrq.gov/glossary/hindsight-bias
      September 13, 2021 - Hindsight Bias September 13, 2021 Anonymous (not verified) In a very general sense, hindsight bias relates to the common expression "hindsight is 20/20." This expression captures the tendency for people to regard past events as expected or obvious, even when, in real time, the events perplexed those involved. M…

2043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34687/psn-pdf
      February 10, 2011 - The costs of adverse drug events in hospitalized patients. February 10, 2011 Bates DW, Spell N, Cullen DJ, et al. The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group. JAMA. 1997;277(4):307-11. https://psnet.ahrq.gov/issue/costs-adverse-drug-events-hospitalized-patie…

2044. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47917/psn-pdf
      April 10, 2019 - The opioid crisis: origins, trends, policies, and the roles of pharmacists. April 10, 2019 Chisholm-Burns MA, Spivey CA, Sherwin E, et al. The opioid crisis: Origins, trends, policies, and the roles of pharmacists. Am J Health-Syst Pharm. 2019;76(7):424-435. doi:10.1093/ajhp/zxy089. https://psnet.ahrq.gov/issue/op…

2045. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46891/psn-pdf
      December 21, 2018 - Day of discharge does not impact hospital readmission after major cardiac surgery. December 21, 2018 Sanaiha Y, Ou R, Ramos G, et al. Day of Discharge Does Not Impact Hospital Readmission After Major Cardiac Surgery. Ann Thorac Surg. 2018;106(6):1767-1773. doi:10.1016/j.athoracsur.2018.07.031. https://psnet.ahrq.g…

2046. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73607/psn-pdf
      August 18, 2021 - Victims of severe intimate partner violence are left without advocacy intervention in primary care emergency rooms: a prospective observational study. August 18, 2021 Hackenberg EAM, Sallinen V, Handolin L, et al. Victims of severe intimate partner violence are left without advocacy intervention in primary care em…

2047. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37294/psn-pdf
      May 21, 2013 - Improving Hand-Off Communication. May 21, 2013 Oakbrook Terrace lL: Joint Commission Resources; 2007. ISBN 9781599400907. https://psnet.ahrq.gov/issue/improving-hand-communication The process of transferring primary responsibility for patient care is commonly referred to as a handoff. Handoffs are inherently dange…

2048. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/862130/psn-pdf
      February 07, 2024 - Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers' perceptions. February 7, 2024 Järvisalo P, Haatainen K, Von Bonsdorff M, et al. Interventions to support nurses as second victims of patient safety incidents: a qualitative study of nurse managers'…

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34729/psn-pdf
      October 31, 2016 - Set Phasers on Stun: And Other True Tales of Design, Technology, and Human Error, Second Edition. October 31, 2016 Casey SM. Santa Barbara, CA: Aegean; 1998. ISBN 9780963617880. https://psnet.ahrq.gov/issue/set-phasers-stun-and-other-true-tales-design-technology-and-human-error- second-edition This book introduce…

2050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44949/psn-pdf
      February 01, 2019 - Detecting and treating suicide ideation in all settings. December 23, 2016 Detecting and treating suicide ideation in all settings. Sentinel event alert. 2016;(56):1-7. https://psnet.ahrq.gov/issue/detecting-and-treating-suicide-ideation-all-settings The Joint Commission publishes sentinel event alerts to emphasize…

2051. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72597/psn-pdf
      January 01, 2021 - Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey December 23, 2020 Finney RE, Torbenson VE, Riggan KA, et al. Second victim experiences of nurses in obstetrics and gynaecology: a Second Victim Experience and Support Tool Survey. J Nurs Manag. 202…

2052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34767/psn-pdf
      November 28, 2018 - Why Things Bite Back: Technology and the Revenge of Unintended Consequences. November 28, 2018 Tenner E. New York, NY: Knopf; 1996. ISBN: 0679425632. https://psnet.ahrq.gov/issue/why-things-bite-back-technology-and-revenge-unintended-consequences Tenner’s discussions of medical and nonmedical examples provide an e…

2053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46437/psn-pdf
      April 25, 2018 - The emotional impact of errors or adverse events on healthcare providers in the NICU: the protective role of coworker support. April 25, 2018 Winning AM, Merandi JM, Lewe D, et al. The emotional impact of errors or adverse events on healthcare providers in the NICU: The protective role of coworker support. J Adv N…

2054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841471/psn-pdf
      December 14, 2022 - Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. December 14, 2022 Ahmajärvi K, Isoherranen K, Venermo M. Cohort study of diagnostic delay in the clinical pathway of patients with chronic wounds in the primary care setting. BMJ Open. 2022;12(11):e…

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865342/psn-pdf
      March 27, 2024 - Development and evaluation of I-PASS-to-PICU: a standard electronic template to improve referral communication for inter-facility transfers to the pediatric intensive care unit. March 27, 2024 Parikh NR, Francisco LS, Balikai SC, et al. Development and evaluation of I-PASS-to-PICU: a standard electronic template …

2056. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47187/psn-pdf
      September 05, 2018 - Supporting clinicians after adverse events: development of a clinician peer support program. September 5, 2018 Lane MA, Newman BM, Taylor MZ, et al. Supporting Clinicians After Adverse Events: Development of a Clinician Peer Support Program. J Patient Saf. 2018;14(3):e56-e60. doi:10.1097/PTS.0000000000000508. http…

2057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867036/psn-pdf
      January 01, 2025 - Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks of drug information for patients. October 30, 2024 Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a cross-sectional study on the quality and risks …

2058. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837030/psn-pdf
      May 04, 2022 - Comprehensive evaluation of using computerised provider order-entry system for hospital discharge orders. May 4, 2022 Colombini N, Abbes M, Cherpin A, et al. Comprehensive evaluation of using computerised provider order- entry system for hospital discharge orders. Int J Med Inform. 2022;160:104703. doi:10.1016/j.…

2059. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73114/psn-pdf
      April 07, 2021 - Clinical and financial implications of second-opinion surgical pathology review. April 7, 2021 Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa263. https://psnet.ahrq.gov/issue/…

2060. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50795/psn-pdf
      January 15, 2020 - Diagnostic error in the emergency department: learning from national patient safety incident report analysis. January 15, 2020 Hussain F, Cooper A, Carson-Stevens A, et al. Diagnostic error in the emergency department: learning from national patient safety incident report analysis. BMC Emerg Med. 2019;19(1):77. doi…