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Showing results for "educational".

  1. Interrater agreement with a standard scheme for classifying medication errors. | PSNet

    psnet.ahrq.gov/issue/interrater-agreement-standard-scheme-classifying-medication-errors
    September 30, 2020 - Study Interrater agreement with a standard scheme for classifying medication errors. Citation Text: Forrey RA, Pedersen CA, Schneider PJ. Interrater agreement with a standard scheme for classifying medication errors. Am J Health Syst Pharm. 2007;64(2):175-81. Copy Citation Format…

  2. Health care serial murder: a patient safety orphan. | PSNet

    psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
    July 28, 2014 - Commentary Health care serial murder: a patient safety orphan. Citation Text: Kizer KW, Yorker BC. Health care serial murder: a patient safety orphan. Jt Comm J Qual Saf. 2010;36(4):186-191. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  3. Using the medication error prioritization system to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/using-medication-error-prioritization-system-improve-patient-safety
    May 01, 2020 - Commentary Using the medication error prioritization system to improve patient safety. Citation Text: Polnariev A. Using the Medication Error Prioritization System To Improve Patient Safety. P T. 2016;41(1):54-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3…

  4. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet

    psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
    March 02, 2011 - Commentary Implementing a national strategy for patient safety: lessons from the National Health Service in England. Citation Text: Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…

  5. Leveraging consistent communication tools and organizational values to promote accountability among health care providers. | PSNet

    psnet.ahrq.gov/issue/leveraging-consistent-communication-tools-and-organizational-values-promote-accountability
    January 18, 2023 - Commentary Leveraging consistent communication tools and organizational values to promote accountability among health care providers. Citation Text: Baldwin CA, Krumm AM. Leveraging consistent communication tools and organizational values to promote accountability among health care provi…

  6. Why simulation matters: a systematic review on medical errors occurring during simulated health care. | PSNet

    psnet.ahrq.gov/issue/why-simulation-matters-systematic-review-medical-errors-occurring-during-simulated-health
    September 25, 2019 - Review Why simulation matters: a systematic review on medical errors occurring during simulated health care. Citation Text: Bokka L, Ciuffo F, Clapper TC. Why simulation matters: a systematic review on medical errors occurring during simulated health care. J Patient Saf. 2024;20(2):110-1…

  7. Some unintended effects of teamwork in healthcare. | PSNet

    psnet.ahrq.gov/issue/some-unintended-effects-teamwork-healthcare
    July 02, 2008 - Study Some unintended effects of teamwork in healthcare. Citation Text: Finn R, Learmonth M, Reedy P. Some unintended effects of teamwork in healthcare. Soc Sci Med. 2010;70(8):1148-54. doi:10.1016/j.socscimed.2009.12.025. Copy Citation Format: DOI Google Scholar PubMed B…

  8. Surgical complications: disclosing adverse events and medical errors. | PSNet

    psnet.ahrq.gov/issue/surgical-complications-disclosing-adverse-events-and-medical-errors
    September 23, 2020 - Commentary Surgical complications: disclosing adverse events and medical errors. Citation Text: Wang AS, Eisen DB. Surgical complications: disclosing adverse events and medical errors. J Am Acad Dermatol. 2013;68(1):144-6. doi:10.1016/j.jaad.2012.09.008. Copy Citation Format: …

  9. Understanding and responding to adverse events. | PSNet

    psnet.ahrq.gov/issue/understanding-and-responding-adverse-events
    July 19, 2019 - Commentary Classic Understanding and responding to adverse events. Citation Text: Vincent CA. Understanding and Responding to Adverse Events. New Engl J Med. 2003;348(11):1051-1056. doi:10.1056/nejmhpr020760. Copy Citation Format: DOI Google Scho…

  10. Creating an integrated patient safety team. | PSNet

    psnet.ahrq.gov/issue/creating-integrated-patient-safety-team
    January 04, 2017 - Commentary Classic Creating an integrated patient safety team. Citation Text: Gandhi TK, Graydon-Baker E, Barnes JN, et al. Creating an integrated patient safety team. Jt Comm J Qual Saf. 2003;29(8):383-90. Copy Citation Format: Google Scholar PubM…

  11. Teaching but not learning: how medical residency programs handle errors. | PSNet

    psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
    December 18, 2008 - Study Teaching but not learning: how medical residency programs handle errors. Citation Text: Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. Copy Citation Format: DOI Go…

  12. Risks related to patient bed safety. | PSNet

    psnet.ahrq.gov/issue/risks-related-patient-bed-safety
    July 19, 2023 - Commentary Risks related to patient bed safety. Citation Text: Sharkey JE, Van Leuven K, Radovich P. Risks related to patient bed safety. J Nurs Care Qual. 2012;27(4):346-51. doi:10.1097/NCQ.0b013e318264744b. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…

  13. Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. | PSNet

    psnet.ahrq.gov/issue/distributed-cognition-and-role-nurses-diagnostic-safety-emergency-department
    April 13, 2011 - Book/Report Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Citation Text: Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department. Manojlovich M, Krein SL, Kronick SL, et al. Rockville, MD: Agency for H…

  14. The relationship between response time and diagnostic accuracy. | PSNet

    psnet.ahrq.gov/issue/relationship-between-response-time-and-diagnostic-accuracy
    February 06, 2014 - Study The relationship between response time and diagnostic accuracy. Citation Text: Sherbino J, Dore KL, Wood TJ, et al. The relationship between response time and diagnostic accuracy. Acad Med. 2012;87(6):785-791. doi:10.1097/ACM.0b013e318253acbd. Copy Citation Format: DO…

  15. "Saying sorry": some strategies for effective apology within the workplace. | PSNet

    psnet.ahrq.gov/issue/saying-sorry-some-strategies-effective-apology-within-workplace
    August 11, 2021 - Commentary "Saying sorry": some strategies for effective apology within the workplace. Citation Text: Cleary M, Lees D, Lopez V. "Saying sorry": some strategies for effective apology within the workplace. Issues Ment Health Nurs. 2018;39(11):980-982. doi:10.1080/01612840.2018.1507571. …

  16. Organizational culture as a source of high reliability. | PSNet

    psnet.ahrq.gov/issue/organizational-culture-source-high-reliability
    December 03, 2018 - Commentary Classic Organizational culture as a source of high reliability. Citation Text: Weick KE. Organizational Culture as a Source of High Reliability. Calif Manage Rev. 2012;29(2):112-127. doi:10.2307/41165243. Copy Citation Format: DOI Google…

  17. Nursing 2006 Patient-safety survey report. | PSNet

    psnet.ahrq.gov/issue/nursing-2006-patient-safety-survey-report
    March 01, 2023 - Study Nursing 2006 Patient-safety survey report. Citation Text: Manno M, Hogan P, Heberlein V, et al. Nursing 2006. Patient-safety survey report. Nursing (Brux). 2006;36(5):54-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  18. The anatomy of health care team training and the state of practice: a critical review. | PSNet

    psnet.ahrq.gov/issue/anatomy-health-care-team-training-and-state-practice-critical-review
    March 21, 2017 - Review The anatomy of health care team training and the state of practice: a critical review. Citation Text: Weaver SJ, Lyons R, DiazGranados D, et al. The anatomy of health care team training and the state of practice: a critical review. Acad Med. 2010;85(11):1746-60. doi:10.1097/ACM.0b…

  19. AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. | PSNet

    psnet.ahrq.gov/issue/ahrq-safety-program-intensive-care-units-preventing-clabsi-and-cauti-final-report
    April 06, 2022 - Book/Report AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Citation Text: AHRQ Safety Program for Intensive Care Units: Preventing CLABSI and CAUTI: Final Report. Molefe A, Hung L, Hayes K, et al. Rockville MD: Agency for healthcare Research and …

  20. Systematic review: effects of resident work hours on patient safety. | PSNet

    psnet.ahrq.gov/issue/systematic-review-effects-resident-work-hours-patient-safety
    February 03, 2011 - Review Systematic review: effects of resident work hours on patient safety. Citation Text: Fletcher KE, Davis SQ, Underwood W, et al. Systematic review: effects of resident work hours on patient safety. Ann Intern Med. 2004;141(11):851-857. Copy Citation Format: Google Sc…
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