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Showing results for "educational".

  1. Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. | PSNet

    psnet.ahrq.gov/issue/three-quarters-preventable-patient-harm-stems-situation-awareness-breakdowns-recognizing-and
    September 11, 2009 - Newspaper/Magazine Article Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the core issue. Citation Text: Three quarters of preventable patient harm stems from situation awareness breakdowns: recognizing and addressing the …

  2. Audit of handover in an ENT unit. | PSNet

    psnet.ahrq.gov/issue/audit-handover-ent-unit
    October 28, 2020 - Study Audit of handover in an ENT unit. Citation Text: Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  3. Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. | PSNet

    psnet.ahrq.gov/issue/global-patient-safety-action-plan-2021-2030-towards-eliminating-avoidable-harm-health-care
    July 14, 2021 - Book/Report Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Citation Text: Global Patient Safety Action Plan 2021-2030: Towards Eliminating Avoidable Harm in Health Care. Geneva, Switzerland: World Health Organization; 2021. ISBN: 978924003…

  4. Optimizing medication safety in the home. | PSNet

    psnet.ahrq.gov/issue/optimizing-medication-safety-home
    August 24, 2015 - Study Optimizing medication safety in the home. Citation Text: LeBlanc RG, Choi J. Optimizing medication safety in the home. Home Healthc Now. 2015;33(6):313-319. doi:10.1097/NHH.0000000000000246. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  5. Implementing Optimal Team-Based Care to Reduce Clinician Burnout. | PSNet

    psnet.ahrq.gov/issue/implementing-optimal-team-based-care-reduce-clinician-burnout
    January 16, 2019 - Book/Report Emerging Classic Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Citation Text: Implementing Optimal Team-Based Care to Reduce Clinician Burnout. Smith CD, Corbridge S, Dopp AL, et al. NAM Perspectives. Washington DC: National Acade…

  6. An organizational learning framework for patient safety. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
    November 28, 2018 - Commentary An organizational learning framework for patient safety. Citation Text: Edwards MT. An Organizational Learning Framework for Patient Safety. Am J Med Qual. 2016;32(2):148-155. doi:10.1177/1062860616632295. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  7. Perinatal high reliability. | PSNet

    psnet.ahrq.gov/issue/perinatal-high-reliability
    September 29, 2010 - Review Perinatal high reliability. Citation Text: Knox E, Simpson KR. Perinatal high reliability. Am J Obstet Gynecol. 2011;204(5):373-377. doi:10.1016/j.ajog.2010.10.900. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  8. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
    June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

  9. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-concord-hospital
    October 19, 2022 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Citation Text: Uhlig PN, Brown J, Nason AK, et al. John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital. Jt Comm J Qual Improv. 2002;28(12):666-672. Copy Citation Format…

  10. Abandon the term "second victim." | PSNet

    psnet.ahrq.gov/issue/abandon-term-second-victim
    October 09, 2024 - Commentary Emerging Classic Abandon the term "second victim." Citation Text: Clarkson MD, Haskell H, Hemmelgarn C, et al. Abandon the term "second victim". BMJ. 2019;364:l1233. doi:10.1136/bmj.l1233. Copy Citation Format: DOI Google Scholar PubMed …

  11. Organizational learning in hospitals: a realist review. | PSNet

    psnet.ahrq.gov/issue/organizational-learning-hospitals-realist-review
    June 19, 2019 - Review Organizational learning in hospitals: a realist review. Citation Text: Lyman B, Jacobs JD, Hammond EL, et al. Organizational learning in hospitals: A realist review. J Adv Nurs. 2019;75(11):2352-2377. doi:10.1111/jan.14091. Copy Citation Format: DOI Google Scholar Bi…

  12. Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). | PSNet

    psnet.ahrq.gov/issue/safety-investigations-across-pond-deep-learning-englands-healthcare-safety-investigation
    May 03, 2023 - Newspaper/Magazine Article Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). Citation Text: Safety investigations from across the pond: deep learning from England’s Healthcare Safety Investigation Branch (HSIB). ISMP M…

  13. Seeing systems in health care organizations. | PSNet

    psnet.ahrq.gov/issue/seeing-systems-health-care-organizations
    January 25, 2023 - Commentary Seeing systems in health care organizations. Citation Text: Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  14. The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. | PSNet

    psnet.ahrq.gov/issue/fifth-discipline-art-practice-learning-organization-revised-updated-edition
    May 12, 2010 - Book/Report Classic The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. Citation Text: The Fifth Discipline: The Art & Practice of The Learning Organization. Revised & Updated Edition. Senge PM. New York, NY: Currenc…

  15. Nursing management of medication errors. | PSNet

    psnet.ahrq.gov/issue/nursing-management-medication-errors
    November 02, 2022 - Study Nursing management of medication errors. Citation Text: Luk LA, Ng WIM, Ko KKS, et al. Nursing management of medication errors. Nurs Ethics. 2008;15(1):28-39. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS…

  16. Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. | PSNet

    psnet.ahrq.gov/issue/maternal-and-infant-health-inequality-new-evidence-linked-administrative-data
    August 23, 2017 - Book/Report Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Citation Text: Maternal and Infant Health Inequality: New Evidence from Linked Administrative Data. Kennedy-Moulton K, Miller S, Persson P, et al. Cambridge, MA: National Bureau of Econo…

  17. HIM functions in healthcare quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/him-functions-healthcare-quality-and-patient-safety
    July 05, 2017 - Commentary HIM functions in healthcare quality and patient safety. Citation Text: Berretoni A, Bochantin F, Brown T, et al. HIM functions in healthcare quality and patient safety. J AHIMA. 2011;82(8):42-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  18. Operational Measurement of Diagnostic Safety: State of the Science. | PSNet

    psnet.ahrq.gov/issue/operational-measurement-diagnostic-safety-state-science
    February 17, 2021 - Book/Report Emerging Classic Operational Measurement of Diagnostic Safety: State of the Science. Citation Text: Operational Measurement of Diagnostic Safety: State of the Science. Singh H, Bradford A, Goeschel C. Rockville, MD: Agency for Healthcare Research and…

  19. Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. | PSNet

    psnet.ahrq.gov/issue/evidence-use-clinical-reasoning-checklists-diagnostic-error-reduction
    October 06, 2021 - Book/Report Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Citation Text: Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error Reduction. Zwaan L, Staal J. Rockville, MD: Agency for Healthcare Research and Quality; September 2020. A…

  20. Improving Usability, Safety and Patient Outcomes With Health Information Technology. | PSNet

    psnet.ahrq.gov/issue/improving-usability-safety-and-patient-outcomes-health-information-technology
    June 15, 2022 - Special or Theme Issue Improving Usability, Safety and Patient Outcomes With Health Information Technology. Citation Text: Improving Usability, Safety and Patient Outcomes With Health Information Technology. Lau F, Bartle-Clar JA, Bliss G, et al, eds. Stud Health Technol Inform. 2019;257…
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