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Ockenden Report. Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury and Telford Hospital NHS Trust. | PSNet

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April 27, 2022 - Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … Emerging Fndings and Recommendations from the Independent Review of Maternity Services at the Shrewsbury … June 18, 2013 The Life and Death of Elizabeth Dixon: A Catalyst for Change. … – the Report of the Independent Investigation. … The Report of the Independent Medicines and Medical Devices Safety Review.

Patient Safety and Quality. | PSNet

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January 19, 2022 - View more articles from the same authors. … properties of the perinatal missed care survey and missed care during labor and birth. … July 6, 2011 Bringing change-of-shift report to the bedside: a patient- and family-centered … Linking patient safety climate with missed nursing care in labor and delivery units: findings from the … May 8, 2019 The effect of collaboration on obstetric patient safety in three academic

Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. | PSNet

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January 07, 2019 - View more articles from the same authors. … The author discusses the potential of big data, artificial intelligence , and machine learning to enhance … A past PSNet interview with the author, Eric Topol , talked about the role of patients in the new world … November 28, 2018 Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change … Health Care from the Inside Out.

"Managing up" can improve teamwork in the OR. | PSNet

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September 23, 2020 - "Managing up" can improve teamwork in the OR. … Exploring the accuracy of the size and type of group diagnosis: an experimental study. … February 2, 2022 Patient self-medication--a change in hospital practice. … eye of the beholder. … June 16, 2011 The normalization of deviance: what are the perioperative risks?

Healthcare wants to fly as high as the aviation industry. Can it? | PSNet

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April 12, 2023 - Newspaper/Magazine Article Healthcare wants to fly as high as the aviation industry … Citation Text: Healthcare wants to fly as high as the aviation industry. Can it? Twenter P. … View more articles from the same authors. … October 8, 2016 The Expert Panel Report to Texas Health Resources Leadership on the 2014 … ethical and legal consequences of medical errors: insights from the RaDonda Vaught case using the jigsaw

Risk and Event Assessment. | PSNet

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August 12, 2020 - View more articles from the same authors. … November 24, 2010 Bringing change-of-shift report to the bedside: a patient- and family-centered … most of the team and its meetings. … patients admitted through the emergency department. … to a solution: a systematic review of the literature.

Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. | PSNet

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January 27, 2021 - Citation Text: Closing Death’s Door: Legal Innovations to End the Epidemic of Healthcare Harm. … A weave of systemic factors contributes to the persistent presence of error in medicine. … This publication summarizes the development of the patient safety movement and discusses legal and … Copy Citation Related Resources From the Same Author(s) The Cognitive Autopsy … July 7, 2021 The paradoxes of defensive medicine.

Still Not Safe: Patient Safety and the Middle-Managing of American Medicine. | PSNet

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June 26, 2019 - The modern patient safety movement has struggled to achieve the goals set forth in To Err Is Human. … This book surveys the evolution of the collective error reduction effort in health care. … The authors analyze the experience through social, legal, market, psychological and medical practice … change. … The publication provides recommendations to generate the improvement needed do minimize patient harm,

No Place Like Home: Advancing the Safety of Care in the Home. | PSNet

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January 09, 2019 - Book/Report No Place Like Home: Advancing the Safety of Care in the Home. … Citation Text: No Place Like Home: Advancing the Safety of Care in the Home. … The home care setting harbors unique challenges to patient safety. … Safety of Care in the Home. … Life and Death of Elizabeth Dixon: A Catalyst for Change.

Making Medical Devices Safer at Home. | PSNet

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July 31, 2013 - Copy Citation Related Resources From the Same Author(s) Safety Problems With … July 31, 2013 Important change to heparin container labels to clearly state the total … February 15, 2024 FDA 101: How to Use the Consumer Complaint System and MedWatch. … December 16, 2020 Using ventilator splitters during the COVID-19 pandemic--letter to … July 31, 2013 View More See More About The Topic Home Care Patients

My Medicines. | PSNet

psnet.ahrq.gov/issue/my-medicines

January 13, 2016 - April 8, 2020 Testing and Labeling Medical Devices for Safety in the Magnetic Resonance … March 12, 2019 Using ventilator splitters during the COVID-19 pandemic--letter to health … public health notification: unpredictable events in medical equipment due to new daylight savings time change … January 9, 2013 Quick Tips for Buying Medicines Over the Internet. … October 3, 2012 Taking Care of Myself: A Guide for When I Leave the Hospital.

Medical Liability: New Ideals for Making the System Work Better for Patients. | PSNet

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May 18, 2011 - View more articles from the same authors. … May 1, 2015 Examining the Increase in Drug Shortages. … on the labor and delivery unit of a regional perinatal center. … February 1, 2023 The State of VA Health Care. … May 1, 2015 The State of VA Health Care.

‘The Retrievals’ reveals painful experiences of female patients are often ignored. | PSNet

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September 11, 2019 - View more articles from the same authors. … John Cochran Division of the VA St. … in maternal morbidity and mortality in the United States. … August 26, 2020 The role of language barriers on efficacy of rapid response teams. … and childbirth in the United States.

Surgeons must tell patients of double-booked surgeries, new guidelines say. | PSNet

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March 24, 2016 - View more articles from the same authors. … This newspaper article reports on new standards issued by the American College of Surgeons to reduce … Copy Citation Related Resources From the Same Author(s) Clash in the name … July 29, 2020 Addressing the Opioid Crisis in the United States. … May 11, 2016 View More Related Resources Doctors can change opioid

Safety Risk of Air Embolus Associated with Central Venous Catheters Used for Haemodialysis Treatment. | PSNet

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April 05, 2023 - This report describes how unfamiliar equipment and lack of standardized training contributed to the … Community Mental Health Teams. … April 5, 2023 Access to Clinical Information at the Bedside. … May 17, 2023 The Diagnosis of Ectopic Pregnancy. … May 7, 2018 The Design of Everyday Things.

Unverified patient-reported error: a false alarm can have real consequences. | PSNet

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June 05, 2018 - Copy Citation Related Resources From the Same Author(s) Actively caring for … May 7, 2018 Order scanning systems may pull multiple pages through the scanner at the … September 28, 2022 Geriatric medication reconciliation in the home setting. … January 12, 2012 HomeNet: ensuring patient safety with medical device use in the home … August 18, 2010 View More See More About The Topic Home Care Health

Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. | PSNet

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August 02, 2016 - View more articles from the same authors. … The authors review the ethical foundations of safety in the aviation, health care, and occupational and … and Sustaining a Cultural Change in Aviation and Healthcare. … August 2, 2016 Assessing Patient Safety Practices and Outcomes in the U.S. … March 22, 2015 Through the Eyes of the Workforce: Creating Joy, Meaning, and Safer Health

Cleveland Clinic Health System: a comprehensive framework for a health system patient safety initiative. | PSNet

psnet.ahrq.gov/issue/cleveland-clinic-health-system-comprehensive-framework-health-system-patient-safety

January 04, 2017 - View more articles from the same authors. … Copy Citation Related Resources From the Same Author(s) The Fifth Discipline … : The Art & Practice of The Learning Organization. … a review of the literature. … practice: assessing the validity of Net-HARMS and AcciMap.

Peripheral vision: expertise in real world contexts. | PSNet

psnet.ahrq.gov/issue/peripheral-vision-expertise-real-world-contexts

April 24, 2018 - View more articles from the same authors. … The authors describe a five-stage model of acquiring expertise and applying it to diagnostic and surgical … May 15, 2024 The safety of inpatient health care. … teams to improve patients' outcomes. … August 26, 2011 The impact of professionalism on safe surgical care.

Patient Safety Culture Report: Focusing on Indicators. | PSNet

psnet.ahrq.gov/issue/patient-safety-culture-report-focusing-indicators

February 22, 2023 - This report identifies care process and outcome indicators in the European Union and describes how the … : an exploratory qualitative study in an academic tertiary healthcare centre in the Netherlands. … February 9, 2022 Temporal trends in patient safety in the Netherlands: reductions in … preventable adverse events or the end of adverse events as a useful metric? … December 9, 2009 Perspective Organizational Change in the

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