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Showing results for "discussions".

241. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
     psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
     February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

242. Organizational learning: health care leaders need to design structures and processes that enhance collective learning. | PSNet
     psnet.ahrq.gov/issue/organizational-learning-health-care-leaders-need-design-structures-and-processes-enhance
     November 18, 2020 - Commentary Organizational learning: health care leaders need to design structures and processes that enhance collective learning. Citation Text: Bohmer RM, Edmondson AC. Organizational learning in health care. Health Forum J. 2001;44(2):32-35. Copy Citation Format: Google…

243. Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. | PSNet
     psnet.ahrq.gov/issue/understanding-roles-three-academic-communities-prospective-learning-health-ecosystem
     October 19, 2022 - Study Understanding the roles of three academic communities in a prospective learning health ecosystem for diagnostic excellence. Citation Text: Satterfield K, Rubin JC, Yang D, et al. Understanding the roles of three academic communities in a prospective learning health ecosystem for di…

244. Debrief it all: a tool for inclusion of Safety-II. | PSNet
     psnet.ahrq.gov/issue/debrief-it-all-tool-inclusion-safety-ii
     June 08, 2022 - Study Debrief it all: a tool for inclusion of Safety-II. Citation Text: Bentley SK, McNamara S, Meguerdichian MJ, et al. Debrief it all: a tool for inclusion of Safety-II. Adv Simul (Lond). 2021;6(1):9. doi:10.1186/s41077-021-00163-3. Copy Citation Format: DOI Google Schola…

245. Impact of medical education on patient safety: finding the signal through the noise. | PSNet
     psnet.ahrq.gov/issue/impact-medical-education-patient-safety-finding-signal-through-noise
     December 31, 2018 - Commentary Impact of medical education on patient safety: finding the signal through the noise. Citation Text: Hwang J, Kelz RR. Impact of medical education on patient safety: finding the signal through the noise. BMJ Qual Saf. 2023;32(2):61-64. doi:10.1136/bmjqs-2022-015054. Copy Cita…

246. Training Catalog | PSNet
     psnet.ahrq.gov/training-catalog
     March 03, 2025 - Training Catalog The AHRQ PSNet Training Catalog is an easy to use resource for healthcare professionals across all settings of care and specialties looking for education opportunities to further their knowledge of patient safety practices and principles. Some training opportunities are available as in-person meeting…

247. What Happened to Patient Safety. | PSNet
     psnet.ahrq.gov/issue/what-happened-patient-safety
     August 23, 2007 - Audiovisual What Happened to Patient Safety. Citation Text: What Happened to Patient Safety. Sheridan S. Turn on the Lights. Institute for Healthcare Improvement.  May 2023 Copy Citation Save Save to your library Print Download PDF Share …

248. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. | PSNet
     psnet.ahrq.gov/issue/challenges-making-diagnosis-outpatient-setting-multi-site-survey-primary-care-physicians
     March 11, 2020 - Study Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. Citation Text: Sarkar U, Bonacum D, Strull W, et al. Challenges of making a diagnosis in the outpatient setting: a multi-site survey of primary care physicians. BMJ Qual Sa…

249. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. | PSNet
     psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
     July 16, 2019 - Review Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Citation Text: Ohashi K, Dalleur O, Dykes PC, et al. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. Drug Saf. 2014;37(12):1011-1020. doi:1…

250. Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. | PSNet
     psnet.ahrq.gov/issue/applicability-healthcare-failure-mode-and-effects-analysis-healthcare-epidemiology-evaluation
     October 19, 2022 - Study Applicability of Healthcare Failure Mode and Effects Analysis to healthcare epidemiology: evaluation of the sterilization and use of surgical instruments. Citation Text: Weinstein RA, Linkin DR, Sausman C, et al. Applicability of Healthcare Failure Mode and Effects Analysis to Heal…

251. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. | PSNet
     psnet.ahrq.gov/issue/system-factors-affecting-patient-safety-or-analysis-safety-threats-and-resiliency
     August 31, 2022 - Study System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Citation Text: Adams-McGavin RC, Jung JJ, van Dalen ASHM, et al. System factors affecting patient safety in the OR: an analysis of safety threats and resiliency. Ann Surg. 2021;274(1):…

252. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/867658
     January 26, 2022 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Opioid Stewardship Curated Library Primers Pharmacist's Role in Medication Safety UC Davis PSNet Editorial Team | December, 15 2024 Pharmacists in all settings play a crucial role in medication safety. Opioid Safety UC Davis PSNet Editoria…

253. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. | PSNet
     psnet.ahrq.gov/issue/misdiagnosis-and-failure-diagnose-emergency-care-causes-and-empathy-solution
     August 04, 2021 - Commentary Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Citation Text: Pelaccia T, Messman AM, Kline JA. Misdiagnosis and failure to diagnose in emergency care: causes and empathy as a solution. Patient Edu Couns. 2020;103(8):1650-1656. doi:10…

254. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. | PSNet
     psnet.ahrq.gov/issue/2019-novel-coronavirus-covid-19-pandemic-built-environment-considerations-reduce-transmission
     January 12, 2022 - Commentary 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. Citation Text: Dietz L, Horve PF, Coil DA, et al. 2019 Novel Coronavirus (COVID-19) pandemic: built environment considerations to reduce transmission. mSystems. 2020;5(2):e0024…

255. Medical Error. | PSNet
     psnet.ahrq.gov/issue/medical-error
     August 07, 2018 - Book/Report Medical Error. Citation Text: Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. Copy Citation Save Save to your library Print Download PDF …

256. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33602/psn-pdf
     March 15, 2025 - Individual Clinician Performance Issues March 15, 2025 Individual Clinician Performance Issues. PSNet [internet]. 2019. https://psnet.ahrq.gov/primer/individual-clinician-performance-issues PSNet primers are regularly reviewed and updated by the UC Davis PSNet Editorial Team to ensure that they reflect current res…

257. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/865864
     January 01, 2024 - PSNet Curated Library AHRQ: Agency for Healthcare Research and Quality Diagnostic Error Curated Library Incidence of Diagnostic Errors 25-Year summary of US malpractice claims for diagnostic errors 1986–2010: an analysis from the National Practitioner Data Bank. Tehrani ASS, Lee HW, Mathews SC, et al. BMJ Qua…

258. Clinical Areas | PSNet
     psnet.ahrq.gov/clinical-areas
     March 24, 2025 - Clinical Areas Scroll down to search or browse using Clinical Area if you would like to explore PSNet by the healthcare profession, such as the nurse care or medical specialty, featured in the resources. Latest by Clinical Areas In Conversation with Edwin Boudreaux about S…

259. Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. | PSNet
     psnet.ahrq.gov/issue/report-mid-staffordshire-nhs-foundation-trust-public-inquiry
     November 06, 2015 - Book/Report Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Citation Text: Report of the Mid Staffordshire NHS Foundation Trust: Public Inquiry. Francis R. London, UK: The Stationary Office; 2013. ISBN: 9780102981469.   Copy Citation Sav…

260. Physician Burnout. | PSNet
     psnet.ahrq.gov/issue/physician-burnout
     May 01, 2017 - Book/Report Physician Burnout. Citation Text: Physician Burnout. Rockville, MD: Agency for Healthcare Research and Quality; July 2017. AHRQ Publication No. 17-M018-1-EF. Copy Citation Save Save to your library Print Download PDF Share Faceboo…