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Showing results for "surgeons".

2721. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-419
      November 29, 2023 - December 6, 2023 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, report…

2722. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49654/psn-pdf
      June 01, 2012 - Transfer Troubles June 1, 2012 Hains IM. Transfer Troubles. PSNet [internet]. 2012. https://psnet.ahrq.gov/web-mm/transfer-troubles Case Objectives Recognize that transfer of patients between hospitals is common. Understand the frequency of errors and adverse events in the transfer of patients between hospitals. …

2723. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49829/psn-pdf
      May 01, 2018 - Root Cause Analysis Gone Wrong May 1, 2018 Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong The Case A 42-year-old man with history of end-stage renal disease on hemodialysis was awaiting a kidney transplant. A suitabl…

2724. Root Cause Analysis Gone Wrong | PSNet
      psnet.ahrq.gov/web-mm/root-cause-analysis-gone-wrong
      August 28, 2024 - Root Cause Analysis Gone Wrong Citation Text: Peerally MF, Dixon-Woods M. Root Cause Analysis Gone Wrong. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML E…

2725. Too Tight Control | PSNet
      psnet.ahrq.gov/web-mm/too-tight-control
      March 20, 2013 - SPOTLIGHT CASE Too Tight Control Citation Text: Rubin HR, Fajtova VT. Too Tight Control. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote…

2726. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists | PSNet
      psnet.ahrq.gov/web-mm/sepsis-resulting-delays-treatment-and-miscommunication-among-specialists
      February 26, 2025 - Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists Citation Text: Shi L, Noren E. Sepsis Resulting from Delays in Treatment and Miscommunication among Specialists. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Se…

2727. Leadership: an effective human factor during COVID-19. | PSNet
      psnet.ahrq.gov/issue/leadership-effective-human-factor-during-covid-19
      March 31, 2021 - Commentary Leadership: an effective human factor during COVID-19. Citation Text: Dhahri AA, Refson J. Leadership: an effective human factor during COVID-19. BMJ Leader. 2021;5:203-205. doi:10.1136/leader-2020-000384. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

2728. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet
      psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
      October 29, 2017 - Commentary Abbreviation use decreases effective clinical communication and can compromise patient safety. Citation Text: Parry D, Odedra A, Fagbohun M, et al. Abbreviation use decreases effective clinical communication and can compromise patient safety. Br J Oral Maxillofac Surg. 2023;61…

2729. Emergency department crowding and risk of preventable medical errors. | PSNet
      psnet.ahrq.gov/issue/emergency-department-crowding-and-risk-preventable-medical-errors
      November 23, 2011 - Study Emergency department crowding and risk of preventable medical errors. Citation Text: Epstein SK, Huckins DS, Liu SW, et al. Emergency department crowding and risk of preventable medical errors. Intern Emerg Med. 2012;7(2):173-180. doi:10.1007/s11739-011-0702-8. Copy Citation …

2730. Periodic resuscitation cart checks and nurse situational awareness: an observational study. | PSNet
      psnet.ahrq.gov/issue/periodic-resuscitation-cart-checks-and-nurse-situational-awareness-observational-study
      March 18, 2020 - Study Periodic resuscitation cart checks and nurse situational awareness: an observational study. Citation Text: Aljuaid J, Al-Moteri M. Periodic resuscitation cart checks and nurse situational awareness: an observational study. J Emerg Nurs. 2022;48(2):189-201. doi:10.1016/j.jen.2021.12…

2731. An observational study of changes to long-term medication after admission to an intensive care unit. | PSNet
      psnet.ahrq.gov/issue/observational-study-changes-long-term-medication-after-admission-intensive-care-unit
      January 06, 2018 - Study An observational study of changes to long-term medication after admission to an intensive care unit. Citation Text: Campbell AJ, Bloomfield R, Noble DW. An observational study of changes to long-term medication after admission to an intensive care unit. Anaesthesia. 2006;61(11):1…

2732. 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 - Study Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. Citation Text: Grant MJC, Larsen G. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care …

2733. Cost-effective enhancement of claims data to improve comparisons of patient safety. | PSNet
      psnet.ahrq.gov/issue/cost-effective-enhancement-claims-data-improve-comparisons-patient-safety
      December 21, 2014 - Study Cost-effective enhancement of claims data to improve comparisons of patient safety. Citation Text: Jordan HS, Pine M, Elixhauser A, et al. Cost-Effective Enhancement of Claims Data to Improve Comparisons of Patient Safety. J Patient Saf. 2008;3(2). doi:10.1097/01.jps.0000242988.0…

2734. Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. | PSNet
      psnet.ahrq.gov/issue/impact-critical-event-checklists-anaesthetist-performance-simulated-operating-theatre
      August 16, 2017 - Study Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies. Citation Text: Siddiqui A, Ng E, Burrows C, et al. Impact of Critical Event Checklists on Anaesthetist Performance in Simulated Operating Theatre Emergencies. Cureus. 2019;11…

2735. Safety of overlapping inpatient orthopaedic surgery: a multicenter study. | PSNet
      psnet.ahrq.gov/issue/safety-overlapping-inpatient-orthopaedic-surgery-multicenter-study
      April 24, 2018 - Study Safety of overlapping inpatient orthopaedic surgery: a multicenter study. Citation Text: Dy CJ, Osei DA, Maak TG, et al. Safety of Overlapping Inpatient Orthopaedic Surgery: A Multicenter Study. J Bone Joint Surg Am. 2018;100(22):1902-1911. doi:10.2106/JBJS.17.01625. Copy Citatio…

2736. Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. | PSNet
      psnet.ahrq.gov/issue/prejudice-perceptions-physicians-influence-race-and-gender-evaluations-medical-errors
      March 27, 2019 - Study Prejudice in perceptions of physicians?: The influence of race and gender on evaluations of medical errors. Citation Text: Brown D, Martinez LR, Hebl MMR. Prejudice in Perceptions of Physicians?: The Influence of Race and Gender on Evaluations of Medical Errors. J Gen Intern Med. 2…

2737. Safety of using a computerized rounding and sign-out system to reduce resident duty hours. | PSNet
      psnet.ahrq.gov/issue/safety-using-computerized-rounding-and-sign-out-system-reduce-resident-duty-hours
      June 23, 2009 - Study Safety of using a computerized rounding and sign-out system to reduce resident duty hours. Citation Text: Van Eaton EG, McDonough K, Lober WB, et al. Safety of Using a Computerized Rounding and Sign-Out System to Reduce Resident Duty Hours. Academic Medicine. 2010;85(7). doi:10.1…

2738. Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. | PSNet
      psnet.ahrq.gov/issue/factors-associated-adverse-events-resulting-medical-errors-emergency-department-two-work
      July 02, 2019 - Study Factors associated with adverse events resulting from medical errors in the emergency department: two work better than one. Citation Text: Freund Y, Goulet H, Bokobza J, et al. Factors associated with adverse events resulting from medical errors in the emergency department: two w…

2739. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. | PSNet
      psnet.ahrq.gov/issue/prospective-risk-analysis-and-incident-reporting-better-pharmaceutical-care-paediatric
      June 27, 2011 - Study Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital discharge. Citation Text: Kaestli L-Z, Cingria L, Fonzo-Christe C, et al. Prospective risk analysis and incident reporting for better pharmaceutical care at paediatric hospital di…

2740. Human-simulation-based learning to prevent medication error: a systematic review. | PSNet
      psnet.ahrq.gov/issue/human-simulation-based-learning-prevent-medication-error-systematic-review
      February 01, 2012 - Review Human-simulation-based learning to prevent medication error: a systematic review. Citation Text: Sarfati L, Ranchon F, Vantard N, et al. Human-simulation-based learning to prevent medication error: A systematic review. J Eval Clin Pract. 2019;25(1):11-20. doi:10.1111/jep.12883. …