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Showing results for "educational".

  1. Patient safety in obstetrics: what aviators, firefighters and others can teach us. | PSNet

    psnet.ahrq.gov/issue/patient-safety-obstetrics-what-aviators-firefighters-and-others-can-teach-us
    January 22, 2017 - Commentary Patient safety in obstetrics: what aviators, firefighters and others can teach us. Citation Text: Guise J-M, Lowe NK, Connell L. Patient Safety in Obstetrics: What Aviators, Firefighters and Others Can Teach Us. Nurs Womens Health. 2008;12(3):208-215. doi:10.1111/j.1751-486x…

  2. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. | PSNet

    psnet.ahrq.gov/issue/preventing-dispensing-errors-alerting-drug-confusions-pharmacy-information-system-survey
    August 19, 2009 - Study Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users. Citation Text: Campmans Z, van Rhijn A, Dull RM, et al. Preventing dispensing errors by alerting for drug confusions in the pharmacy information system-A survey of use…

  3. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. | PSNet

    psnet.ahrq.gov/issue/examining-nature-interprofessional-interventions-designed-promote-patient-safety-narrative
    August 17, 2018 - Review Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Citation Text: Reeves ST, Clark E, Lawton S, et al. Examining the nature of interprofessional interventions designed to promote patient safety: a narrative review. Inter…

  4. A case of the birth and death of a high reliability healthcare organisation. | PSNet

    psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
    June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

  5. Devastatingly human: an analysis of registered nurses' medication error accounts. | PSNet

    psnet.ahrq.gov/issue/devastatingly-human-analysis-registered-nurses-medication-error-accounts
    June 27, 2018 - Study Devastatingly human: an analysis of registered nurses' medication error accounts. Citation Text: Treiber LA, Jones JH. Devastatingly human: an analysis of registered nurses' medication error accounts. Qual Health Res. 2010;20(10):1327-42. doi:10.1177/1049732310372228. Copy Cita…

  6. Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. | PSNet

    psnet.ahrq.gov/issue/frequency-expected-effects-obstacles-and-facilitators-disclosure-patient-safety-incidents
    February 11, 2015 - Review Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review. Citation Text: Ock M, Lim SY, Jo M-W, et al. Frequency, Expected Effects, Obstacles, and Facilitators of Disclosure of Patient Safety Incidents: A Systematic Re…

  7. Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/influences-leadership-organizational-culture-and-hierarchy-raising-concerns-about-patient
    December 04, 2013 - Study Influences of leadership, organizational culture, and hierarchy on raising concerns about patient deterioration: a qualitative study. Citation Text: Vehvilainen E, Charles A, Sainsbury J, et al. Influences of leadership, organizational culture, and hierarchy on raising concerns abo…

  8. User satisfaction with computerized order entry system and its effect on workplace level of stress. | PSNet

    psnet.ahrq.gov/issue/user-satisfaction-computerized-order-entry-system-and-its-effect-workplace-level-stress
    August 27, 2017 - Study User satisfaction with computerized order entry system and its effect on workplace level of stress. Citation Text: Ghahramani N, Lendel I, Haque R, et al. User satisfaction with computerized order entry system and its effect on workplace level of stress. J Med Syst. 2009;33(3):19…

  9. Applying fault tree analysis to the prevention of wrong-site surgery. | PSNet

    psnet.ahrq.gov/issue/applying-fault-tree-analysis-prevention-wrong-site-surgery
    September 09, 2015 - Review Applying fault tree analysis to the prevention of wrong-site surgery. Citation Text: Abecassis ZA, McElroy LM, Patel RM, et al. Applying fault tree analysis to the prevention of wrong-site surgery. J Surg Res. 2015;193(1):88-94. doi:10.1016/j.jss.2014.08.062. Copy Citation F…

  10. A clinical nurse specialist intervention to facilitate safe transfer from ICU. | PSNet

    psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
    January 15, 2014 - Commentary A clinical nurse specialist intervention to facilitate safe transfer from ICU. Citation Text: St-Louis L, Brault D. A clinical nurse specialist intervention to facilitate safe transfer from ICU. Clin Nurse Spec. 2011;25(6):321-6. doi:10.1097/NUR.0b013e318233eaab. Copy Cita…

  11. Health information technology and patient safety: evidence from panel data. | PSNet

    psnet.ahrq.gov/issue/health-information-technology-and-patient-safety-evidence-panel-data
    February 23, 2011 - Study Health information technology and patient safety: evidence from panel data. Citation Text: Parente ST, McCullough JS. Health information technology and patient safety: evidence from panel data. Health Aff (Millwood). 2009;28(2):357-360. doi:10.1377/hlthaff.28.2.357. Copy Citation…

  12. Improving patient safety: effects of a safety program on performance and culture in a department of radiology. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-effects-safety-program-performance-and-culture-department-radiology
    May 12, 2010 - Study Improving patient safety: effects of a safety program on performance and culture in a department of radiology. Citation Text: Donnelly LF, Dickerson JM, Goodfriend MA, et al. Improving patient safety: effects of a safety program on performance and culture in a department of radiolo…

  13. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. | PSNet

    psnet.ahrq.gov/issue/diagnostic-challenges-primary-care-identifying-and-avoiding-cognitive-bias
    November 03, 2021 - Commentary Diagnostic challenges in primary care: identifying and avoiding cognitive bias. Citation Text: Rosen PD, Klenzak S, Baptista S. Diagnostic challenges in primary care: identifying and avoiding cognitive bias. J Fam Pract. 2022;71(3):124-132. doi:10.12788/jfp.0380. Copy Citati…

  14. Clinician-directed performance improvement: moving beyond externally mandated metrics. | PSNet

    psnet.ahrq.gov/issue/clinician-directed-performance-improvement-moving-beyond-externally-mandated-metrics
    July 10, 2008 - Commentary Clinician-directed performance improvement: moving beyond externally mandated metrics. Citation Text: Goitein L. Clinician-directed performance improvement: moving beyond externally mandated metrics. Health Aff (Millwood). 2020;39(2). doi:10.1377/hlthaff.2019.00505. Copy Cit…

  15. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-advisory-fentanyl-counterfeit-prescription-medications-contain-fentanyl-and
    September 18, 2024 - Organizational Policy/Guidelines Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fentanyl and patient safety. Citation Text: Jewell ML, Jewell HL, Singer R, et al. Patient Safety Advisory: fentanyl counterfeit prescription medications that contain fent…

  16. Leadership style and patient safety: implications for nurse managers. | PSNet

    psnet.ahrq.gov/issue/leadership-style-and-patient-safety-implications-nurse-managers
    September 21, 2022 - Study Leadership style and patient safety: implications for nurse managers. Citation Text: Merrill KC. Leadership style and patient safety: implications for nurse managers. J Nurs Adm. 2015;45(6):319-324. doi:10.1097/NNA.0000000000000207. Copy Citation Format: DOI Google Sc…

  17. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. | PSNet

    psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Citation Text: Lee JH, Han H, Ock M, et al. Impact of a clinical decision support system for high-alert medications on the prevention of prescription errors. Int J Med …

  18. Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. | PSNet

    psnet.ahrq.gov/issue/potential-errors-and-their-prevention-operating-room-teamwork-experienced-finnish-british-and
    February 07, 2024 - Study Potential errors and their prevention in operating room teamwork as experienced by Finnish, British and American nurses. Citation Text: Silén-Lipponen M, Tossavainen K, Turunen H, et al. Potential errors and their prevention in operating room teamwork as experienced by Finnish, B…

  19. Characteristics and trends of medical diagnostic errors in the United States. | PSNet

    psnet.ahrq.gov/issue/characteristics-and-trends-medical-diagnostic-errors-united-states
    December 14, 2022 - Study Characteristics and trends of medical diagnostic errors in the United States. Citation Text: Ao HS, Matthews T. Characteristics and trends of medical diagnostic errors in the United States. Patient Safety. 2024;6(1):123603. doi:10.33940/001c.123603. Copy Citation Format: …

  20. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. | PSNet

    psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
    April 21, 2021 - Study Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Citation Text: Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…
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