-
psnet.ahrq.gov/periodic-issue/periodic-issue-332
March 31, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/periodic-issue/periodic-issue-339
April 27, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/periodic-issue/periodic-issue-338
April 27, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/periodic-issue/periodic-issue-333
March 31, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/periodic-issue/periodic-issue-336
April 27, 2022 - He was seen in clinic one month after that discharge, without family present, and scheduled for outpatient … ’s son and daughter were contacted at various points to re-establish care, but he continued to miss scheduled
-
psnet.ahrq.gov/innovation/duke-pediatric-residency-safety-council
November 16, 2022 - knowledge areas:
A faculty mentor or mentors
Resident leadership
Institutional support
Regularly scheduled … knowledge areas:
A faculty mentor or mentors
Resident leadership
Institutional support
Regularly scheduled
-
psnet.ahrq.gov/node/37953/psn-pdf
July 30, 2008 - The increased incidence of anesthetic adverse events in
late afternoon surgeries.
July 30, 2008
Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J.
2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020.
https://psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-…
-
psnet.ahrq.gov/node/43300/psn-pdf
June 25, 2014 - VA punished critics on staff, doctors assert.
June 25, 2014
Lichtblau E.
https://psnet.ahrq.gov/issue/va-punished-critics-staff-doctors-assert
This newspaper article reports how a "culture of silence" at Veterans Affairs hospitals discouraged staff
from speaking up about safety and quality concerns related to the …
-
psnet.ahrq.gov/node/36131/psn-pdf
September 29, 2010 - Emergent CSCW systems: the resolution and bandwidth
of workplaces.
September 29, 2010
Xiao Y, Seagull J. Emergent CSCW systems: the resolution and bandwidth of workplaces. Int J Med
Inform. 2007;76 Suppl 1:S261-6.
https://psnet.ahrq.gov/issue/emergent-cscw-systems-resolution-and-bandwidth-workplaces
The authors d…
-
psnet.ahrq.gov/node/864855/psn-pdf
March 20, 2024 - Operating room organization and surgical performance: a
systematic review.
March 20, 2024
Pasquer A, Ducarroz S, Lifante JC, et al. Operating room organization and surgical performance: a
systematic review. Patient Saf Surg. 2024;18(1):5. doi:10.1186/s13037-023-00388-3.
https://psnet.ahrq.gov/issue/operating-room-…
-
psnet.ahrq.gov/node/44632/psn-pdf
March 24, 2016 - Clash in the name of care.
March 24, 2016
Abelson J, Saltzman J, Kowalcyzk L, Allen S. Boston Globe. October 26, 2015.
https://psnet.ahrq.gov/issue/clash-name-care
Scheduling concurrent surgeries can have negative effects on staff and patients. This investigative news
article explores the practice of overlapping p…
-
psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - For the case patient, who was chronically taking warfarin, the medical team could have scheduled an earlier … warfarin dose, had new medications started, or experienced medical issues that might affect the INR be scheduled
-
psnet.ahrq.gov/web-mm/missed-patient-assignment-anyone-there
September 01, 2017 - Fortunately, the patient was stable, was scheduled to be discharged in the morning, and had not been … scheduled to receive any medications or tests during that shift.
-
psnet.ahrq.gov/web-mm/renal-failure-due-benign-prostatic-hyperplasia
February 01, 2004 - views on PSA testing, the physician assistant proceeded to order laboratory work including a PSA test, scheduled … mistrust of the provider, the patient elected not to follow up with laboratory work and canceled his scheduled
-
psnet.ahrq.gov/node/73297/psn-pdf
May 19, 2021 - A crisis of undiagnosed cancers is emerging in the
pandemic’s second year.
May 19, 2021
Eldeib D. ProPublica. May 4, 2021.
https://psnet.ahrq.gov/issue/crisis-undiagnosed-cancers-emerging-pandemics-second-year
Concerns continue to emerge regarding the effect of the COVID-19 pandemic has had on the timely
dia…
-
psnet.ahrq.gov/node/39418/psn-pdf
March 31, 2010 - Take Charge of Your Hospital Stay to Avoid Medical
Mistakes.
March 31, 2010
Clarke S, Savard M. Good Morning America. ABC News. March 22, 2010.
https://psnet.ahrq.gov/issue/take-charge-your-hospital-stay-avoid-medical-mistakes
This television interview offers recommendations for patients to keep themselves safe wh…
-
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…
-
psnet.ahrq.gov/node/36039/psn-pdf
March 02, 2011 - The effects of on-duty napping on intern sleep time and
fatigue.
March 2, 2011
Arora V, Dunphy C, Chang VY, et al. The effects of on-duty napping on intern sleep time and fatigue. Ann
Intern Med. 2006;144(11):792-8.
https://psnet.ahrq.gov/issue/effects-duty-napping-intern-sleep-time-and-fatigue
The investigators …
-
psnet.ahrq.gov/issue/involvement-parents-critical-incidents-neonatal-paediatric-intensive-care-unit
January 22, 2016 - Study
Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit.
Citation Text:
Frey B, Ersch J, Bernet V, et al. Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. Qual Saf Health Care. 2009;18(6):446-9. doi:10.11…