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psnet.ahrq.gov/node/73999/psn-pdf
October 27, 2021 - In the preoperative
holding area, the anesthesia team took the patient’s history and performed a brief … The procedure
was discussed with the patient and her daughter, and they agreed to proceed with the same … consultation teams were unremarkable. … By the time the medication has reached the patient, several healthcare personnel
have checked that the … This approach verifies the drug as well as the concentration in the vial.
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psnet.ahrq.gov/node/49636/psn-pdf
October 01, 2011 - presence of a medication
change or recent surgery). … the PT and the ICU team. … arterial pressure less than 65 mm Hg
New administration of a pressor agent or an antiarrhythmic agent
Change … sitting on the edge of the bed. … The activities advance in
accord with the patient's response for the duration of the stay in the ICU
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psnet.ahrq.gov/issue/patient-safety-attitudes-paediatric-trainee-physicians
December 01, 2010 - View more articles from the same authors. … independently for patients, but reported difficulty working within a team environment, in this study that used the … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … February 8, 2023
Resident and nurse perspectives on the use of secure text messaging … October 1, 2007
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Children's Hospitals
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psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-staff
February 22, 2023 - Psychological safety is required for clinicians to ask questions as they adjust to working in new teams … Part 1 of this article examines the cultural qualities enabling safe onboarding of new practitioners … Part 2 discusses the role of simulation to build skills in new staff to ensure medication safety. … Copy Citation
Related Resources From the Same Author(s)
Pump up the volume … May 31, 2023
Safety investigations from across the pond: deep learning from England’s
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psnet.ahrq.gov/issue/patient-safety-nicu-comprehensive-review
September 12, 2016 - Review
Patient safety in the NICU: a comprehensive review. … Patient safety in the NICU: a comprehensive review. … View more articles from the same authors. … Patient safety in the NICU: a comprehensive review. … July 6, 2011
Bringing change-of-shift report to the bedside: a patient- and family-centered
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psnet.ahrq.gov/issue/talking-behind-their-backs-negative-gossip-and-burnout-hospitals
April 17, 2024 - View more articles from the same authors. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … April 24, 2018
Burnout in healthcare: the case for organisational change. … August 3, 2022
The inevitability of physician burnout: implications for interventions … July 23, 2019
Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal
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psnet.ahrq.gov/issue/importance-preparation-doctors-handovers-acute-medical-assessment-unit-hierarchical-task
March 02, 2011 - Study
The importance of preparation for doctors' handovers in an acute medical assessment … The importance of preparation for doctors' handovers in an acute medical assessment unit: a hierarchical … View more articles from the same authors. … of the NOTSS behavior rating system. … July 2, 2014
The limits of checklists: handoff and narrative thinking.
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psnet.ahrq.gov/issue/attitudes-and-experiences-trainees-regarding-disclosing-medical-errors-patients
April 13, 2011 - The attitudes and experiences of trainees regarding disclosing medical errors to patients. … View more articles from the same authors. … January 23, 2008
The emotional impact of medical errors on practicing physicians in the … November 11, 2015
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The good, the bad … January 25, 2023
The REPAIR Project: a prospectus for change toward racial justice in
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psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
October 29, 2014 - View more articles from the same authors. … January 22, 2020
To the point: integrating patient safety education Into the obstetrics … August 17, 2016
The impact of drug shortages on patients with cardiovascular disease: … alerts in hospital CPOE systems to change prescriber behavior and improve patient safety. … July 20, 2016
The systems approach to medicine: controversy and misconceptions.
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psnet.ahrq.gov/issue/iatrogenic-events-resulting-intensive-care-admission-frequency-cause-and-disclosure-patients
September 30, 2010 - View more articles from the same authors. … This prospective observational study from four Boston teaching hospitals reports on the characteristics … of patients admitted to intensive care units as the result of iatrogenic events. … February 17, 2011
Communication factors in the follow-up of abnormal mammograms. … February 24, 2011
Missed and delayed diagnoses in the ambulatory setting: a study of
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psnet.ahrq.gov/issue/doctors-charged-manslaughter-course-medical-practice-1795-2005-literature-review
June 22, 2009 - The authors reviewed the literature to determine how many physicians were charged with manslaughter in … the United Kingdom. … June 8, 2011
The effect of a transitional pharmaceutical care program on the occurrence … June 11, 2014
How can the criminal law support the provision of quality in healthcare … good, the bad, and the improvements.
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psnet.ahrq.gov/issue/exploratory-analyses-failure-rescue-measure-evaluation-through-medical-record-review
December 15, 2008 - View more articles from the same authors. … The limitations of the failure to rescue measurement at identifying systemic problems in care delivery … at the time of hospital admission? … Surgical Quality Improvement Program in the private sector: the Patient Safety in Surgery study. … September 12, 2016
The ins and outs of change of shift handoffs between nurses: a communication
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psnet.ahrq.gov/issue/pros-and-cons-ehr-clinical-decision-support-alerts
August 25, 2021 - Newspaper/Magazine Article
The pros and cons of EHR clinical decision support alerts … Citation Text:
The pros and cons of EHR clinical decision support alerts. Jason C. … Linkedin
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Citation
Citation Text:
The … Renal medication-related clinical decision support (CDS) alerts and overrides in the … November 16, 2022
How real-time data can change the patient safety game.
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psnet.ahrq.gov/issue/covid-19-and-healthcare-facilities-decalogue-design-strategies-resilient-hospitals
February 23, 2022 - and Human Factors to Improve Safety
July 30, 2020
How real-time data can change … the patient safety game. … July 15, 2020
Response of practicing chiropractors during the early phase of the COVID … July 1, 2020
How the pandemic is reshaping hospital architecture and design. … May 20, 2020
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See More About The Topic
Hospitals
Engineers
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psnet.ahrq.gov/issue/association-workflow-interruptions-and-hospital-doctors-workload-prospective-observational
March 06, 2013 - Study
The association of workflow interruptions and hospital doctors' workload: a … View more articles from the same authors. … doctors were interrupted in the course of their clinical activities and the effect on overall workload … Difficult Airway Society and the Association of Anaesthetists. … September 26, 2016
Shift change handovers and subsequent interruptions: potential impacts
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psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
August 10, 2022 - View more articles from the same authors. … negative impact such actions may have on the longstanding disclosure movement. … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … August 10, 2022
Data-driven quality improvement, culture change, and the high reliability … October 19, 2022
The role of apology laws in medical malpractice.
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psnet.ahrq.gov/issue/missed-breast-cancers-us-guided-core-needle-biopsy-how-reduce-them
March 25, 2020 - View more articles from the same authors. … The investigators reviewed evidence on ultrasonographic guidance for breast biopsy and provide suggestions … 7 XML Endnote tagged PubMedId RIS
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Related Resources From the … August 7, 2024
Impact of a warning CPOE system on the inappropriate pill splitting of … October 7, 2011
Errors in the MRI evaluation of musculoskeletal tumors and tumorlike
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psnet.ahrq.gov/issue/delayed-or-missed-diagnosis-cervical-spine-injuries
May 05, 2010 - The Journal of Trauma: Injury, Infection, and Critical Care. 2006;61(1). doi:10.1097/01.ta.0000196673.58429.2a … The Journal of Trauma: Injury, Infection, and Critical Care . 2006; 61 (1) . … View more articles from the same authors. … The authors found that misinterpretations, incomplete information, inadequate radiographs, or lack of … September 1, 2016
From the flight deck to the operating room: an initial pilot study
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psnet.ahrq.gov/issue/headline-grabbing-study-brings-attention-back-medical-errors
August 16, 2017 - View more articles from the same authors. … The presence of medical errors in health care is universally recognized, but the estimated number of … October 2, 2019
Reversing the rise in maternal mortality. … : the Safer Dx framework. … July 31, 2012
The competent surgeon: individual accountability in the era of "systems
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psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
September 07, 2021 - Washington, DC: The National Academies Press. … Washington, DC: The National Academies Press. … Primary care is the starting point for safe, equitable health care. … Washington, DC: The National Academies Press. … October 26, 2022
The Lancet Commission on lessons for the future from the COVID-19 pandemic