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4661. ASHRM Patient Safety Portal. | PSNet
      psnet.ahrq.gov/issue/ashrm-patient-safety-portal
      September 27, 2016 - Multi-use Website ASHRM Patient Safety Portal. Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL March 21, 2012 This Web site provides access to educational resources for risk ma…

4662. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73352/psn-pdf
      June 02, 2021 - Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. June 2, 2021 Sinha P, Pischel L, Sofair AN. Improving diagnosis by feedback and deliberate practice: one-on-one coaching for diagnostic maturation. Diagnosis (Berl). 2021;8(2):157-160. doi:10.1515/dx-2020-0129. …

4663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41515/psn-pdf
      July 02, 2014 - Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. July 2, 2014 Shea JA, Willett LL, Borman KR, et al. Anticipated consequences of the 2011 duty hours standards: views of internal medicine and surgery program directors. Acad Med. 2012;87(7):895-903.…

4664. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/853624/psn-pdf
      September 20, 2023 - Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning education during GP training? September 20, 2023 van Sassen C, Mamede S, Bos M, et al. Do malpractice claim clinical case vignettes enhance diagnostic accuracy and acceptance in clinical reasoning educatio…

4665. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837810/psn-pdf
      August 10, 2022 - Society for Maternal-Fetal Medicine Special Statement: cognitive bias and medical error in obstetrics-challenges and opportunities. August 10, 2022 Atallah F, Hamm RF, Davidson CM, et al. Society for Maternal-Fetal Medicine Special Statement: Cognitive bias and medical error in obstetrics-challenges and opportunit…

4666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42800/psn-pdf
      July 03, 2016 - Why do doctors make mistakes? A study of the role of salient distracting clinical features. July 3, 2016 Mamede S, Van Gog T, Van den Berge K, et al. Why do doctors make mistakes? A study of the role of salient distracting clinical features. Acad Med. 2014;89(1):114-20. doi:10.1097/ACM.0000000000000077. https://ps…

4667. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43188/psn-pdf
      May 21, 2014 - Training induces cognitive bias: the case of a simulation- based emergency airway curriculum. May 21, 2014 Park C, Stojiljkovic L, Milicic B, et al. Training induces cognitive bias: the case of a simulation-based emergency airway curriculum. Simul Healthc. 2014;9(2):85-93. doi:10.1097/SIH.0b013e3182a90304. https:/…

4668. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46707/psn-pdf
      October 13, 2018 - Medication errors involving nursing students: a systematic review. October 13, 2018 Asensi-Vicente J, Jiménez-Ruiz I, Vizcaya-Moreno F. Medication Errors Involving Nursing Students: A Systematic Review. Nurse Educ. 2018;43(5):E1-E5. doi:10.1097/NNE.0000000000000481. https://psnet.ahrq.gov/issue/medication-errors-i…

4669. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43963/psn-pdf
      September 09, 2015 - Color-coded prefilled medication syringes decrease time to delivery and dosing error in simulated emergency department pediatric resuscitations. September 9, 2015 Moreira ME, Hernandez C, Stevens AD, et al. Color-Coded Prefilled Medication Syringes Decrease Time to Delivery and Dosing Error in Simulated Emergency …

4670. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47990/psn-pdf
      June 18, 2019 - The admission conference call: a novel approach to optimizing pediatric emergency department to admitting floor communication. June 18, 2019 Hendrickson MA, Schempf EN, Furnival RA, et al. The Admission Conference Call: A Novel Approach to Optimizing Pediatric Emergency Department to Admitting Floor Communication.…

4671. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33931/psn-pdf
      June 23, 2015 - An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. June 23, 2015 Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Anesthesiology. 1984;60(…

4672. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40691/psn-pdf
      November 07, 2011 - Do we know what foundation year doctors think about patient safety incident reporting? Development of a web based tool to assess attitude and knowledge. November 7, 2011 Robson J, de Wet C, McKay J, et al. Do we know what foundation year doctors think about patient safety incident reporting? Development of a Web b…

4673. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - Root cause analysis and actions for the prevention of medical errors: quality improvement and resident … June 1, 2011 Management of anesthesia equipment failure: a simulation-based resident

4674. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - Sanjay Saint : When I was a house officer at UCSF, I spent my last year as a chief resident at the VA … where a nurse went around after 48 hours and put a note on the medical record reminding the intern or resident

4675. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841467/psn-pdf
      December 14, 2022 - The resident physician on duty spoke at length with the nurse, but she refused to start the drip and … The resident ordered hourly opioid bolus doses instead; however, the patient did not receive enough

4676. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60066/psn-pdf
      March 25, 2020 - taken immediately to the resuscitation room and was assessed by the Emergency Medicine attending and resident … Professor Residency Program Director Department of Emergency Medicine UC Davis Health Rita Chang, MD Resident

4677. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
      March 27, 2024 - I was talking to one of the residents a few months ago and the resident says, "I just got Rushakoffed … And he creates a note in the chart that looks like a consult, an unbidden consult that the resident comes

4678. Some Patients Can't Wait: Improving Timeliness of Emergency Department Care | PSNet
      psnet.ahrq.gov/web-mm/some-patients-cant-wait-improving-timeliness-emergency-department-care
      November 25, 2020 - taken immediately to the resuscitation room and was assessed by the Emergency Medicine attending and resident … Residency Program Director Department of Emergency Medicine UC Davis Health Rita Chang, MD Resident

4679. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36476/psn-pdf
      December 14, 2009 - 10 Patient Safety Tips for Hospitals. December 14, 2009 Rockville, MD: Agency for Healthcare Research and Quality; December 2009. AHRQ Publication No. 10- M008. https://psnet.ahrq.gov/issue/10-patient-safety-tips-hospitals This tip sheet provides 10 practical steps hospitals can undertake to improve patient safety…

4680. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60794/psn-pdf
      August 12, 2020 - Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. August 12, 2020 Sivashanker K, Mendu ML, Wickner PG, et al. Communication with patients and families regarding health care-associated exposure to coronavirus 2019: a checkli…