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Showing results for "educational".

  1. The top 10 list for a safe and effective sign-out. | PSNet

    psnet.ahrq.gov/issue/top-10-list-safe-and-effective-sign-out
    April 12, 2019 - Commentary The top 10 list for a safe and effective sign-out. Citation Text: Kemp CD, Bath JM, Berger J, et al. The top 10 list for a safe and effective sign-out. Arch Surg. 2008;143(10):1008-10. doi:10.1001/archsurg.143.10.1008. Copy Citation Format: DOI Google Scholar P…

  2. All consumer medication information is not created equal: implications for medication safety. | PSNet

    psnet.ahrq.gov/issue/all-consumer-medication-information-not-created-equal-implications-medication-safety
    June 15, 2022 - Study All consumer medication information is not created equal: implications for medication safety. Citation Text: Monkman H, Kushniruk AW. All Consumer Medication Information Is Not Created Equal: Implications for Medication Safety. Stud Health Technol Inform. 2017;234:233-237. Copy C…

  3. Predictors of misunderstanding pediatric liquid medication instructions. | PSNet

    psnet.ahrq.gov/issue/predictors-misunderstanding-pediatric-liquid-medication-instructions
    December 21, 2017 - Study Predictors of misunderstanding pediatric liquid medication instructions. Citation Text: Bailey SC, Pandit AU, Yin S, et al. Predictors of misunderstanding pediatric liquid medication instructions. Fam Med. 2009;41(10):715-21. Copy Citation Format: Google Scholar Pub…

  4. Quality improvement to decrease specimen mislabeling in transfusion medicine. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-decrease-specimen-mislabeling-transfusion-medicine
    September 11, 2024 - Study Quality improvement to decrease specimen mislabeling in transfusion medicine. Citation Text: Quillen K, Murphy K. Quality improvement to decrease specimen mislabeling in transfusion medicine. Arch Pathol Lab Med. 2006;130(8):1196-1198. Copy Citation Format: Google S…

  5. Hiding in plain sight—resurrecting the power of inspecting the patient. | PSNet

    psnet.ahrq.gov/issue/hiding-plain-sight-resurrecting-power-inspecting-patient
    September 16, 2020 - Commentary Hiding in plain sight—resurrecting the power of inspecting the patient. Citation Text: Gupta S, Saint S, Detsky AS. Hiding in Plain Sight-Resurrecting the Power of Inspecting the Patient. JAMA Intern Med. 2017;177(6):757-758. doi:10.1001/jamainternmed.2017.0634. Copy Citatio…

  6. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. | PSNet

    psnet.ahrq.gov/issue/delays-and-errors-cardiopulmonary-resuscitation-and-defibrillation-pediatric-residents-during
    January 02, 2017 - Study Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests. Citation Text: Hunt EA, Vera K, Diener-West M, et al. Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents…

  7. Framework for direct observation of performance and safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
    November 15, 2023 - Commentary Framework for direct observation of performance and safety in healthcare. Citation Text: Catchpole K, Neyens DM, Abernathy J, et al. Framework for direct observation of performance and safety in healthcare. BMJ Qual Saf. 2017;26(12):1015-1021. doi:10.1136/bmjqs-2016-006407. …

  8. Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. | PSNet

    psnet.ahrq.gov/issue/rapid-response-teams-improve-outcomes-part-1-part-2-and-part-3
    November 30, 2016 - Commentary Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Citation Text: Rapid response teams improve outcomes—Part 1, Part 2, and Part 3. Intensive Care Med. 2016;42(4):591-601. Copy Citation Save Save to your library Print Download…

  9. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-system-innovation-veterans-health-administration
    September 03, 2015 - Commentary John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National Center for Patient Safety. Citation Text: Heget JR, Bagian JP, Lee CZ, et al. John M. Eisenberg Patient Safety Awards. System innovation: Veterans Health Administration National…

  10. Cognitive bias in clinical medicine. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-clinical-medicine
    February 20, 2019 - Commentary Classic Cognitive bias in clinical medicine. Citation Text: O'Sullivan ED, Schofield SJ. Cognitive bias in clinical medicine. J R Coll Physicians Edinb. 2018;48(3):225-232. doi:10.4997/JRCPE.2018.306. Copy Citation Format: DOI Google Sch…

  11. During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. | PSNet

    psnet.ahrq.gov/issue/during-pandemic-aspire-identify-and-prevent-medication-errors-and-avoid-blaming-attitudes
    September 07, 2022 - Newspaper/Magazine Article During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. Citation Text: During the pandemic, aspire to identify and prevent medication errors and to avoid blaming attitudes. ISMP Medication Safety Alert! Acute care e…

  12. Incorporating indications into medication ordering—time to enter the age of reason. | PSNet

    psnet.ahrq.gov/issue/incorporating-indications-medication-ordering-time-enter-age-reason
    June 05, 2018 - Commentary Incorporating indications into medication ordering—time to enter the age of reason. Citation Text: Schiff G, Seoane-Vazquez E, Wright A. Incorporating Indications into Medication Ordering--Time to Enter the Age of Reason. N Engl J Med. 2016;375(4):306-9. doi:10.1056/NEJMp16039…

  13. Disclosing medical mistakes: a communication management plan for physicians. | PSNet

    psnet.ahrq.gov/issue/disclosing-medical-mistakes-communication-management-plan-physicians
    November 16, 2022 - Commentary Disclosing medical mistakes: a communication management plan for physicians. Citation Text: Petronio S, Torke A, Bosslet G, et al. Disclosing medical mistakes: a communication management plan for physicians. Perm J. 2013;17(2):73-9. doi:10.7812/TPP/12-106. Copy Citation …

  14. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. | PSNet

    psnet.ahrq.gov/issue/medical-error-care-unrepresented-disclosure-and-apology-vulnerable-patient-population
    March 13, 2024 - Commentary Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. Citation Text: Byju AS, Mayo K. Medical error in the care of the unrepresented: disclosure and apology for a vulnerable patient population. J Med Ethics. 2019;45(12):821…

  15. What have we learned about interventions to reduce medical errors? | PSNet

    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? Citation Text: Woodward HI, Mytton OT, Lemer C, et al. What have we learned about interventions to reduce medical errors? Annu Rev Public Health. 2010;31:479-97 1 p following 497. doi:10.1146/annurev.publhealth.0…

  16. Task uncertainty and communication during nursing shift handovers. | PSNet

    psnet.ahrq.gov/issue/task-uncertainty-and-communication-during-nursing-shift-handovers
    August 20, 2018 - Study Task uncertainty and communication during nursing shift handovers. Citation Text: Mayor E, Bangerter A, Aribot M. Task uncertainty and communication during nursing shift handovers. J Adv Nurs. 2012;68(9):1956-66. doi:10.1111/j.1365-2648.2011.05880.x. Copy Citation Format: …

  17. A leadership initiative to improve communication and enhance safety. | PSNet

    psnet.ahrq.gov/issue/leadership-initiative-improve-communication-and-enhance-safety
    March 11, 2009 - Commentary A leadership initiative to improve communication and enhance safety. Citation Text: Donahue M, Miller M, Smith L, et al. A Leadership Initiative to Improve Communication and Enhance Safety. American Journal of Medical Quality. 2011;26(3). doi:10.1177/1062860610387410. Copy…

  18. Using an advanced practice nursing model for a rapid response team. | PSNet

    psnet.ahrq.gov/issue/using-advanced-practice-nursing-model-rapid-response-team
    August 18, 2021 - Commentary Using an advanced practice nursing model for a rapid response team. Citation Text: Benson L, Mitchell C, Link M, et al. Using an advanced practice nursing model for a rapid response team. Jt Comm J Qual Patient Saf. 2008;34(12):743-7. Copy Citation Format: Google…

  19. Debriefing medical teams: 12 evidence-based best practices and tips. | PSNet

    psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-practices-and-tips
    February 15, 2011 - Commentary Debriefing medical teams: 12 evidence-based best practices and tips. Citation Text: Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. Copy Citation Format: Google…

  20. An effectiveness analysis of healthcare systems using a systems theoretic approach. | PSNet

    psnet.ahrq.gov/issue/effectiveness-analysis-healthcare-systems-using-systems-theoretic-approach
    August 10, 2022 - Study An effectiveness analysis of healthcare systems using a systems theoretic approach. Citation Text: Chuang S, Inder K. An effectiveness analysis of healthcare systems using a systems theoretic approach. BMC Health Serv Res. 2009;9:195. doi:10.1186/1472-6963-9-195. Copy Citation …
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