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Showing results for "situation".

2341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836812/psn-pdf
      March 30, 2022 - Strategies and Approaches for Investigating Patient Safety Events March 30, 2022 Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. 2022. https://psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events Background This primer provides a broad …

2342. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/854973/psn-pdf
      October 31, 2023 - Digital Health Literacy October 31, 2023 Seidel E, Cortes T, Chong C. Digital Health Literacy. PSNet [internet]. 2023. https://psnet.ahrq.gov/primer/digital-health-literacy Background As more people search for health information online, it is critical that they can obtain accurate health information and access he…

2343. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49429/psn-pdf
      January 01, 2004 - Ruptured Heterotopic Pregnancy January 1, 2004 Cedars MI. Ruptured Heterotopic Pregnancy. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/ruptured-heterotopic-pregnancy The Case A 43-year-old woman, gravida 3 para 2, presented at 16 weeks' gestational age with abdominal pain. Her current pregnancy was the r…

2344. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.25_slideshow.ppt
      July 01, 2003 - PowerPoint Presentation Spotlight Case July 2003 Code Status Confusion webmm.ahrq.gov Source and Credits This presentation is based on the July 2003 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available through the Web site Commentary by: Bernard Lo, MD, Univers…

2345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49800/psn-pdf
      July 01, 2017 - The Hidden Harms of Hand Sanitizer July 1, 2017 Stewart S. The Hidden Harms of Hand Sanitizer. PSNet [internet]. 2017. https://psnet.ahrq.gov/web-mm/hidden-harms-hand-sanitizer The Case A 57-year-old woman with a history of alcohol abuse and severe depression was admitted to the hospital for community-acquired pn…

2346. Spotlight Case July 2008 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.191_slideshow.ppt
      January 01, 2009 - Spotlight Case July 2008 Spotlight Case January 2009 To Transfer or Not to Transfer Source and Credits This presentation is based on the January 2009 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Jesse M. Pines, MD, MBA, MSCE University o…

2347. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL December 22, 2020 Innovation Contact …

2348. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36025/psn-pdf
      March 28, 2011 - Understanding diagnostic errors in medicine: a lesson from aviation. March 28, 2011 Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. https://psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation T…

2349. A Double “Never Event”: Wrong Patient and Wrong Side. | PSNet
      psnet.ahrq.gov/web-mm/double-never-event-wrong-patient-and-wrong-side
      August 20, 2018 - Department of Defense, consists of four core teachable competencies: communication, team leadership, situation … The SBAR or Situation, Background, Assessment, and Recommendation/Request tool represents a useful

2350. Voluntary incident reporting by anaesthetic trainees in an Australian hospital. | PSNet
      psnet.ahrq.gov/issue/voluntary-incident-reporting-anaesthetic-trainees-australian-hospital
      August 17, 2005 - September 6, 2017 Improving situation awareness to reduce unrecognized clinical deterioration

2351. Waking up the next morning: surgeons' emotional reactions to adverse events. | PSNet
      psnet.ahrq.gov/issue/waking-next-morning-surgeons-emotional-reactions-adverse-events
      July 02, 2014 - Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation

2352. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/effect-anonymous-reporting-system-near-miss-and-harmful-medical-error-reporting-pediatric
      September 28, 2010 - August 4, 2010 Safety as a criterion for quality: The Critical Nursing Situation Index

2353. Multidisciplinary obstetric simulated emergency scenarios (MOSES): promoting patient safety in obstetrics with teamwork-focused interprofessional simulations. | PSNet
      psnet.ahrq.gov/issue/multidisciplinary-obstetric-simulated-emergency-scenarios-moses-promoting-patient-safety
      March 25, 2009 - Related Resources From the Same Author(s) Supporting structures for team situation

2354. Intimidation: practitioners speak up about this unresolved problem. | PSNet
      psnet.ahrq.gov/issue/intimidation-practitioners-speak-about-unresolved-problem
      September 26, 2017 - June 12, 2019 Huddling for high reliability and situation awareness.

2355. "Anybody on this list that you're more worried about?" Qualitative analysis exploring the functions of questions during end of shift handoffs. | PSNet
      psnet.ahrq.gov/issue/anybody-list-youre-more-worried-about-qualitative-analysis-exploring-functions-questions
      January 22, 2016 - March 28, 2012 Understanding situation awareness in nursing work: a hybrid concept analysis

2356. Surgical team behaviors and patient outcomes. | PSNet
      psnet.ahrq.gov/issue/surgical-team-behaviors-and-patient-outcomes
      April 08, 2011 - June 16, 2011 Discrepant perceptions of communication, teamwork and situation awareness

2357. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47921/psn-pdf
      June 18, 2019 - Using incident reports to assess communication failures and patient outcomes. June 18, 2019 Umberfield E, Ghaferi AA, Krein SL, et al. Using Incident Reports to Assess Communication Failures and Patient Outcomes. Jt Comm J Qual Patient Saf. 2019;45(6):406-413. doi:10.1016/j.jcjq.2019.02.006. https://psnet.ahrq.gov…

2358. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet
      psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
      December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…

2359. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39528/psn-pdf
      May 19, 2010 - Multidisciplinary team training in a simulation setting for acute obstetric emergencies: a systematic review. May 19, 2010 Merién AER, van de Ven J, Mol BW, et al. Multidisciplinary Team Training in a Simulation Setting for Acute Obstetric Emergencies. Obstetrics & Gynecology. 2010;115(5). doi:10.1097/aog.0b013e318…

2360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - patient-care work; it is interleaved with many other cognitive and psychomotor demands of the clinical situation