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Showing results for "responsible".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43240/psn-pdf
    February 21, 2015 - Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. February 21, 2015 Vercler CJ, Buchman SR, Chung KC. Discussing harm-causing errors with patients: an ethics primer for plastic surgeons. Ann Plast Surg. 2015;74(2):140-144. doi:10.1097/SAP.0000000000000217. https://psnet.ahrq.gov/…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836763/psn-pdf
    March 16, 2022 - Maternity Pre-arrival Instructions by 999 Call Handlers. March 16, 2022 Farnborough, UK: Healthcare Safety Investigation Branch; February 2022. https://psnet.ahrq.gov/issue/maternity-pre-arrival-instructions-999-call-handlers Pre-hospital emergency care can be vulnerable to timing, information, and task failures th…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47211/psn-pdf
    November 16, 2018 - A conceptual framework to reduce inpatient preventable deaths. November 16, 2018 Davis DP, Aguilar SA, Lawrence B, et al. A Conceptual Framework to Reduce Inpatient Preventable Deaths. Jt Comm J Qual Patient Saf. 2018;44(7):413-420. doi:10.1016/j.jcjq.2018.01.003. https://psnet.ahrq.gov/issue/conceptual-framework-…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47389/psn-pdf
    November 02, 2018 - What 'just culture' doesn't understand about just punishment. November 2, 2018 Reis-Dennis S. What 'Just Culture' doesn't understand about just punishment. J Med Ethics. 2018;44(11):739-742. doi:10.1136/medethics-2018-104911. https://psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment T…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40237/psn-pdf
    February 23, 2011 - The impact of the medical emergency team on the resuscitation practice of critical care nurses. February 23, 2011 Santiano N, Young L, Baramy LS, et al. The impact of the medical emergency team on the resuscitation practice of critical care nurses. BMJ Qual Saf. 2011;20(2):115-20. doi:10.1136/bmjqs.2008.029876. ht…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865933/psn-pdf
    May 22, 2024 - Utilizing pharmacogenomic testing can improve medication safety and prevent harm. May 22, 2024 ISMP Medication Safety Alert! Acute Care. 2024;29(9):1-4. https://psnet.ahrq.gov/issue/utilizing-pharmacogenomic-testing-can-improve-medication-safety-and- prevent-harm Pharmacogenomics (PGx) refers to the impact of gen…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47645/psn-pdf
    April 17, 2019 - When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer? April 17, 2019 Gordon M. Health Shots. National Public Radio. April 10, 2019. https://psnet.ahrq.gov/issue/when-nurse-prosecuted-fatal-medical-mistake-does-it-make-medicine-safer Punitive responses to medical errors persist despit…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39914/psn-pdf
    October 13, 2010 - Clinical handover of patients arriving by ambulance to the emergency department: a literature review. October 13, 2010 Bost N, Crilly J, Wallis M, et al. Clinical handover of patients arriving by ambulance to the emergency department - a literature review. Int Emerg Nurs. 2010;18(4):210-20. doi:10.1016/j.ienj.2009.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43384/psn-pdf
    June 15, 2017 - Patient involvement in patient safety: a qualitative study of nursing staff and patient perceptions. June 15, 2017 Bishop A, Macdonald M. Patient Involvement in Patient Safety: A Qualitative Study of Nursing Staff and Patient Perceptions. J Patient Saf. 2017;13(2):82-87. doi:10.1097/PTS.0000000000000123. https://p…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61054/psn-pdf
    October 21, 2020 - The optimal use of telehealth to deliver safe patient care. October 21, 2020 Quick Safety. October 6, 2020;55:1-4. https://psnet.ahrq.gov/issue/optimal-use-telehealth-deliver-safe-patient-care Telehealth benefits, barriers, and challenges have become more apparent due to its increased use due to COVID-19 phys…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35766/psn-pdf
    March 02, 2011 - Unexpected hypoglycemia in a critically ill patient. March 2, 2011 Bates DW. Unexpected hypoglycemia in a critically ill patient. Ann Intern Med. 2002;137(2):110-6. https://psnet.ahrq.gov/issue/unexpected-hypoglycemia-critically-ill-patient This case study shares the experiences of a patient who suffered a medicati…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48185/psn-pdf
    August 28, 2019 - Addressing the elephant in the room: a shame resilience seminar for medical students. August 28, 2019 Bynum WE, Adams A, Edelman CE, et al. Addressing the Elephant in the Room: A Shame Resilience Seminar for Medical Students. Acad Med. 2019;94(8):1132-1136. doi:10.1097/ACM.0000000000002646. https://psnet.ahrq.gov/…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48099/psn-pdf
    July 24, 2019 - Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting. July 24, 2019 King L, Peacock G, Crotty M, et al. Consumers' perspectives on their involvement in recognizing and responding to patient deterioration-Developing a model fo…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73605/psn-pdf
    August 18, 2021 - Adverse events in emergency department boarding: a systematic review. August 18, 2021 Rocha HM, Farre AGM, Santana Filho VJ. Adverse events in emergency department boarding: a systematic review. J Nurs Scholarsh. 2021;53(4):458-467. doi:10.1111/jnu.12653. https://psnet.ahrq.gov/issue/adverse-events-emergency-depar…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/862999/psn-pdf
    February 21, 2024 - Health tech hazards: at-home medical devices, AI governance on ECRI's new list. February 21, 2024 Miliard M. Healthcare IT News. February 1, 2024. https://psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list Technologies provide improvements and introduce unique problems to ca…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838180/psn-pdf
    January 01, 2023 - To err is human, but what happens when surgeons err? September 28, 2022 Lin JS, Olutoye OO, Samora JB. To err is human, but what happens when surgeons err? J Pediatr Surg. 2023;58(3):496-502. doi:10.1016/j.jpedsurg.2022.06.019. https://psnet.ahrq.gov/issue/err-human-what-happens-when-surgeons-err Clinicians involv…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47089/psn-pdf
    May 09, 2018 - Leadership Survey: Immunization Against Burnout: Insights Report. May 9, 2018 Swensen S, Strongwater S, Mohta NS. NEJM Catalyst: Insights Report. April 12, 2018. https://psnet.ahrq.gov/issue/leadership-survey-immunization-against-burnout-insights-report Clinician burnout presents challenges to organizational and p…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848091/psn-pdf
    April 26, 2023 - The high cost of retained surgical items. April 26, 2023 Moorehead LD. Outpatient Surgery. April 5, 2023. https://psnet.ahrq.gov/issue/high-cost-retained-surgical-items Retained surgical items (RSIs) are considered “never events” but continue to be a source of patient harm. This article discusses the various facto…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44469/psn-pdf
    September 16, 2015 - Unexpected Death of a Patient During Treatment With Multiple Medications, Tomah VA Medical Center, Tomah, Wisconsin. September 16, 2015 Washington, DC: VA Office of Inspector General. August 6, 2015. Report No. 15-02131-471. https://psnet.ahrq.gov/issue/unexpected-death-patient-during-treatment-multiple-medication…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72559/psn-pdf
    December 09, 2020 - The Life and Death of Elizabeth Dixon: A Catalyst for Change. December 9, 2020 Kirkup B. London, England: Crown Copyright; 2020. ISBN 9781528622714. https://psnet.ahrq.gov/issue/life-and-death-elizabeth-dixon-catalyst-change Missed diagnosis of a dangerous condition in utero, treatment errors, lack of respons…
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