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Total Results: 5,205 records

Showing results for "suggested".

421. Triple Handoff | PSNet
     psnet.ahrq.gov/web-mm/triple-handoff
     March 01, 2004 - The nurse suggested a stat x-ray be done in light of the recent surgery. … signout.( 1,2,11,12 ) Many strategies, proven successful in non-health care industries ( 13 ), have been suggested

422. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
     psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
     August 01, 2009 - misplaced small-bore feeding tubes reported to the Pennsylvania Patient Safety Authority in 2011-2013 suggested … [Free full text ] Training suggested when changing brands of enteral feeding tubes.

423. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73113/psn-pdf
     April 07, 2021 - Analysis of results from event investigations in industrial and patient safety contexts. April 7, 2021 Harms-Ringdahl L. Analysis of results from event investigations in industrial and patient safety contexts. Safety. 2021;7(1):19. doi:10.3390/safety7010019. https://psnet.ahrq.gov/issue/analysis-results-event-inve…

424. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838135/psn-pdf
     January 01, 2023 - The fallacy of a single diagnosis. September 21, 2022 Redelmeier DA, Shafir E. The fallacy of a single diagnosis. Med Decis Making. 2023;43(2):183-190. doi:10.1177/0272989x221121343. https://psnet.ahrq.gov/issue/fallacy-single-diagnosis Premature closure occurs when clinicians accept a diagnosis before it has been…

425. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74097/psn-pdf
     November 24, 2021 - Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. November 24, 2021 De Cassai A, Negro S, Geraldini F, et al. Inattentional blindness in anesthesiology: a gorilla is worth one thousand words. PLoS One. 2021;16(9):e0257508. doi:10.1371/journal.pone.0257508. https://psnet.ahrq.gov/iss…

426. Spotlight Case [MONTH] 2003 (ppt file)
     psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.64_slideshow.ppt
     June 01, 2004 - He suggested that the boy still receive the Hepatitis B vaccine.

427. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33798/psn-pdf
     January 01, 2015 - They suggested that rather than attempting to create a just culture that balances a systems approach

428. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74863/psn-pdf
     February 23, 2022 - Factors associated with missed nursing care and nurse- assessed quality of care during the COVID-19 pandemic. February 23, 2022 Labrague LJ, Santos JAA, Fronda DC. Factors associated with missed nursing care and nurse?assessed quality of care during the COVID?19 pandemic. J Nurs Manag. 2022;30(1):62-70. doi:10.1111…

429. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. | PSNet
     psnet.ahrq.gov/issue/spike-people-dying-home-suggests-coronavirus-deaths-houston-may-be-higher-reported
     January 30, 2019 - Newspaper/Magazine Article A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. Citation Text: Ornstein C, Hixenbaugh M. A spike in people dying at home suggests coronavirus deaths in Houston may be higher than reported. ProPublica and NBC N…

430. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60325/psn-pdf
     May 13, 2020 - Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature. May 13, 2020 Sinnott C, Georgiadis A, Park J, et al. Impacts of operational failures on primary care physicians' work: a critical interpretive synthesis of the literature. Ann Fam Med. 2020;18(2):…

431. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/842772/psn-pdf
     January 18, 2023 - Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. January 18, 2023 Westbrook JI, Li L, Raban MZ, et al. Short- and long-term effects of an electronic medication management system on paediatric prescribing errors. NPJ Digit Med. 2022;5(1):179. doi:10.1038/s4…

432. Equity in Patient Safety | PSNet
     psnet.ahrq.gov/perspective/equity-patient-safety
     September 24, 2024 - The students suggested additional cultural competency training. … These commentators have suggested that the future utility of AI is complex, but at minimum, as regulation

433. In Conversation With… Sidney Dekker, MA, MSc, PhD | PSNet
     psnet.ahrq.gov/perspective/conversation-sidney-dekker-ma-msc-phd
     February 26, 2025 - Going back to what you suggested: that the current energy or motivation for hospital administrations … Some data recently came out that suggested as much, which is a bit concerning.

434. Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. | PSNet
     psnet.ahrq.gov/issue/patient-safety-incident-reporting-and-learning-guidelines-implemented-health-care
     January 08, 2025 - Review Patient safety incident reporting and learning guidelines implemented by health care professionals in specialized care units: scoping review. Citation Text: Gqaleni TM, Mkhize SW, Chironda G. Patient safety incident reporting and learning guidelines implemented by health care prof…

435. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47014/psn-pdf
     July 02, 2019 - Multisource evaluation of surgeon behavior is associated with malpractice claims. July 2, 2019 Lagoo J, Berry WR, Miller K, et al. Multisource Evaluation of Surgeon Behavior Is Associated With Malpractice Claims. Ann Surg. 2019;270(1):84-90. doi:10.1097/SLA.0000000000002742. https://psnet.ahrq.gov/issue/multisourc…

436. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48173/psn-pdf
     August 28, 2019 - Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. August 28, 2019 Koo A,…

437. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866846/psn-pdf
     September 24, 2024 - Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement September 24, 2024 Stockmeier CA, Thomas E, Mossburg S, et al. Zero Harm: Striving to Reduce Preventable Harms – Point, Counterpoint, and Areas of Agreement. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/zero…

438. Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. | PSNet
     psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
     April 05, 2013 - Study Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. …

439. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49813/psn-pdf
     January 01, 2018 - with a POLST form, and 45% stated the orders changed treatment decisions.(12) Another study in Oregon suggested … encouraging studies about the impact of POLST forms in Oregon, a more recent study of 230 EMTs in New York suggested

440. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36856/psn-pdf
     August 31, 2011 - Hospital workload and adverse events. August 31, 2011 Weissman JS, Rothschild JM, Bendavid E, et al. Hospital workload and adverse events. Med Care. 2007;45(5):448-55. https://psnet.ahrq.gov/issue/hospital-workload-and-adverse-events Past research suggests a relationship between nursing workload and quality of car…