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Showing results for "understand".

5861. Judy Smetzer Just Culture Champion Scholarships. | PSNet
      psnet.ahrq.gov/issue/judy-smetzer-just-culture-champion-scholarships
      April 18, 2012 - Press Release/Announcement Judy Smetzer Just Culture Champion Scholarships. Citation Text: Institute for Safe Medication Practices. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL …

5862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49709/psn-pdf
      May 01, 2014 - Raise the Bar May 1, 2014 Stotts J, Lyndon A. Raise the Bar. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/raise-bar The Case A 57-year-old man presented to an ambulatory surgery center for excision of a right groin lipoma. The patient was seen and evaluated by an anesthesiologist who was new to the cente…

5863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/849598/psn-pdf
      May 31, 2023 - Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis May 31, 2023 https://psnet.ahrq.gov/innovation/remote-response-team-and-customized-alert-settings-help-improve- management-sepsis Summary Seeking a sustainable process to enhance their hospitals’ response to sepsis, a multidiscip…

5864. Looking for Meds in All the Wrong Places | PSNet
      psnet.ahrq.gov/web-mm/looking-meds-all-wrong-places
      June 16, 2021 - Looking for Meds in All the Wrong Places Citation Text: Manias E. Looking for Meds in All the Wrong Places. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

5865. Comanagement: Who's in Charge? | PSNet
      psnet.ahrq.gov/web-mm/comanagement-whos-charge
      July 01, 2011 - Comanagement: Who's in Charge? Citation Text: Cheng HQ. Comanagement: Who's in Charge?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2012. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

5866. Is It Safe to Be Direct? | PSNet
      psnet.ahrq.gov/web-mm/it-safe-be-direct
      September 30, 2015 - Is It Safe to Be Direct? Citation Text: Kulkarni NS, Williams M. Is It Safe to Be Direct?. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2008. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML En…

5867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49629/psn-pdf
      June 01, 2011 - Say It Again June 1, 2011 Henriksen K, Hall KK. Say It Again. PSNet [internet]. 2011. https://psnet.ahrq.gov/web-mm/say-it-again The Case A 72-year-old man was admitted to the hospital with community-acquired pneumonia and hyponatremia. During his third hospital night, the on-call physician was contacted by the c…

5868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/864868/psn-pdf
      March 27, 2024 - Inpatient Transitions of Care: Challenges and Safety Practices March 27, 2024 Satake A, McElroy V. Inpatient Transitions of Care: Challenges and Safety Practices. PSNet [internet]. 2024. https://psnet.ahrq.gov/primer/inpatient-transitions-care-challenges-and-safety-practices Background Transitions of care occur …

5869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60746/psn-pdf
      July 29, 2020 - Misdiagnosis of a Pelvic Mass versus Pregnancy July 29, 2020 Leiserowitz GS, Herding H. Misdiagnosis of a Pelvic Mass versus Pregnancy. PSNet [internet]. 2020. https://psnet.ahrq.gov/web-mm/misdiagnosis-pelvic-mass-versus-pregnancy The Case A 28-year-old woman arrived at the Emergency Department (ED) complaining o…

5870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46401/psn-pdf
      September 13, 2017 - Understanding middle managers' influence in implementing patient safety culture. September 13, 2017 Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. https://psnet.ahrq.gov/issue/understanding-mid…

5871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41535/psn-pdf
      December 31, 2014 - Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. December 31, 2014 Adelman JS, Kalkut GE, Schechter CB, et al. Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. J Am Med Inform Assoc. 2013;20(2):305-310. doi:10.1136/amiajnl- 201…

5872. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43791/psn-pdf
      December 17, 2014 - Facilitating Patient Understanding of Discharge Instructions: Workshop Summary. December 17, 2014 Alper J, Hernandez LM; Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; December 2014. ISBN: 9780309307383. https:…

5873. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44344/psn-pdf
      July 22, 2015 - Making healthcare safer by understanding, designing and buying better IT. July 22, 2015 Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. https://psnet.ahrq.gov/issue/making-healthcare-s…

5874. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43200/psn-pdf
      May 21, 2014 - How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. May 21, 2014 Schneider EC, ed. Int J Qual Healthc. 2014;26(suppl 1):1-115. https://psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our…

5875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42354/psn-pdf
      January 01, 2014 - Understanding differences in electronic health record (EHR) use: linking individual physicians' perceptions of uncertainty and EHR use patterns in ambulatory care. December 18, 2013 Lanham HJ, Sittig DF, Leykum LK, et al. Understanding differences in electronic health record (EHR) use: linking individual physician…

5876. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37400/psn-pdf
      June 30, 2011 - Errors in cancer diagnosis: current understanding and future directions. June 30, 2011 Singh H, Sethi S, Raber M, et al. Errors in cancer diagnosis: current understanding and future directions. J Clin Oncol. 2007;25(31):5009-18. https://psnet.ahrq.gov/issue/errors-cancer-diagnosis-current-understanding-and-future-…

5877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47254/psn-pdf
      September 19, 2018 - Understanding the knowledge gaps in whistleblowing and speaking up in health care: narrative reviews of the research literature and formal inquiries, a legal analysis and stakeholder interviews. September 19, 2018 Mannion R, Blenkinsopp J, Powell M, et al. Southampton (UK): NIHR Journals Library; August 2018.…

5878. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42797/psn-pdf
      June 10, 2018 - Understanding and managing IV container overfill. June 10, 2018 ISMP Medication Safety Alert! Acute care edition. November 14, 2013;18:1-4. https://psnet.ahrq.gov/issue/understanding-and-managing-iv-container-overfill This newsletter article reports on concerns associated with chemotherapy preparations due to varia…

5879. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40572/psn-pdf
      June 27, 2018 - Understanding care transitions as a patient safety issue. June 27, 2018 Butterfield S; Stegel C; Glock S; Tartaglia D. https://psnet.ahrq.gov/issue/understanding-care-transitions-patient-safety-issue This article describes a regional collaborative to enhance care transitions of Medicare beneficiaries by improving …

5880. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45338/psn-pdf
      July 20, 2016 - Understanding models of error and how they apply in clinical practice. July 20, 2016 Garfield S, Franklin BD. Pharm J. June 14, 2016. https://psnet.ahrq.gov/issue/understanding-models-error-and-how-they-apply-clinical-practice Human error and fallibility are a part of health care delivery that can be exacerbated b…