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Showing results for "experiences".

  1. Operating room briefings: working on the same page. | PSNet

    psnet.ahrq.gov/issue/operating-room-briefings-working-same-page
    September 28, 2010 - Commentary Operating room briefings: working on the same page. Citation Text: Makary MA, Holzmueller CG, Thompson DA, et al. Operating room briefings: working on the same page. Jt Comm J Qual Patient Saf. 2006;32(6):351-5. Copy Citation Format: Google Scholar PubMed BibTeX …

  2. Learning mechanisms to limit medication administration errors. | PSNet

    psnet.ahrq.gov/issue/learning-mechanisms-limit-medication-administration-errors
    August 30, 2017 - Study Learning mechanisms to limit medication administration errors. Citation Text: Drach-Zahavy A, Pud D. Learning mechanisms to limit medication administration errors. J Adv Nurs. 2010;66(4). doi:10.1111/j.1365-2648.2010.05294.x. Copy Citation Format: DOI Google Scholar …

  3. A system-based approach to managing patient safety in ambulatory care (and beyond). | PSNet

    psnet.ahrq.gov/issue/system-based-approach-managing-patient-safety-ambulatory-care-and-beyond
    December 09, 2020 - Newspaper/Magazine Article A system-based approach to managing patient safety in ambulatory care (and beyond). Citation Text: A system-based approach to managing patient safety in ambulatory care (and beyond). Burger C, Eaton P, Hess K, et al. Patient Saf Qual Healthc. December 12, 2017.…

  4. Application of AHRQ patient safety indicators to English hospital data. | PSNet

    psnet.ahrq.gov/issue/application-ahrq-patient-safety-indicators-english-hospital-data
    September 20, 2011 - Study Application of AHRQ patient safety indicators to English hospital data. Citation Text: Bottle A, Aylin P. Application of AHRQ patient safety indicators to English hospital data. Qual Saf Health Care. 2009;18(4):303-8. doi:10.1136/qshc.2007.026096. Copy Citation Format: …

  5. Diagnostic performance by medical students working individually or in teams. | PSNet

    psnet.ahrq.gov/issue/diagnostic-performance-medical-students-working-individually-or-teams
    January 26, 2022 - Study Diagnostic performance by medical students working individually or in teams. Citation Text: Hautz WE, Kämmer JE, Schauber SK, et al. Diagnostic performance by medical students working individually or in teams. JAMA. 2015;313(3):303-4. doi:10.1001/jama.2014.15770. Copy Citation …

  6. An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. | PSNet

    psnet.ahrq.gov/issue/innovative-mobile-approach-patient-safety-services-case-taiwan-health-care-provider
    September 27, 2017 - Commentary An innovative mobile approach for patient safety services: the case of a Taiwan health care provider. Citation Text: Chao CC, Jen WY, Hung MC, et al. An innovative mobile approach for patient safety services: The case of a Taiwan health care provider. Technovation. 2007;2…

  7. What about doctors? The impact of medical errors. | PSNet

    psnet.ahrq.gov/issue/what-about-doctors-impact-medical-errors
    January 14, 2015 - Commentary What about doctors? The impact of medical errors. Citation Text: Elwahab SA, Doherty E. What about doctors? The impact of medical errors. Surgeon. 2014;12(6):297-300. doi:10.1016/j.surge.2014.06.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote …

  8. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. | PSNet

    psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
    June 08, 2022 - Newspaper/Magazine Article Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Citation Text: Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…

  9. Facing our mistakes. | PSNet

    psnet.ahrq.gov/issue/facing-our-mistakes
    September 23, 2020 - Commentary Classic Facing our mistakes. Citation Text: Hilfiker D. Facing our mistakes. N Engl J Med. 1984;310(2):118-22. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downlo…

  10. IV medication safety software implementation in a multihospital health system. | PSNet

    psnet.ahrq.gov/issue/iv-medication-safety-software-implementation-multihospital-health-system
    October 17, 2018 - Commentary IV medication safety software implementation in a multihospital health system. Citation Text: Cassano AT. IV Medication Safety Software Implementation in a Multihospital Health System. Hosp Pharm. 2010;41(2):151-156. doi:10.1310/hpj4102-151. Copy Citation Format: …

  11. Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. | PSNet

    psnet.ahrq.gov/issue/implementing-obstetric-emergency-team-response-system-overcoming-barriers-and-sustaining
    January 16, 2010 - Study Implementing an obstetric emergency team response system: overcoming barriers and sustaining response dose. Citation Text: Richardson MG, Domaradzki KA, McWeeney DT. Implementing an Obstetric Emergency Team Response System: Overcoming Barriers and Sustaining Response Dose. Jt Comm …

  12. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. | PSNet

    psnet.ahrq.gov/issue/redesigning-morbidity-and-mortality-program-university-affiliated-pediatric-anesthesia
    March 27, 2024 - Commentary Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Citation Text: McDonnell C, Laxer RM, Roy L. Redesigning a morbidity and mortality program in a university-affiliated pediatric anesthesia department. Jt Comm J Qual Pat…

  13. Researchers' roles in patient safety improvement. | PSNet

    psnet.ahrq.gov/issue/researchers-roles-patient-safety-improvement
    December 01, 2010 - Commentary Researchers' roles in patient safety improvement. Citation Text: Pietikäinen E, Reiman T, Heikkilä J, et al. Researchers' Roles in Patient Safety Improvement. J Patient Saf. 2016;12(1):25-33. doi:10.1097/PTS.0000000000000096. Copy Citation Format: DOI Google Scho…

  14. First year nursing students' viewpoints about compromised clinical safety. | PSNet

    psnet.ahrq.gov/issue/first-year-nursing-students-viewpoints-about-compromised-clinical-safety
    July 15, 2020 - Study First year nursing students' viewpoints about compromised clinical safety. Citation Text: Killam LA, Mossey S, Montgomery P, et al. First year nursing students' viewpoints about compromised clinical safety. Nurse Educ Today. 2013;33(5):475-80. doi:10.1016/j.nedt.2012.05.010. Co…

  15. Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
    June 17, 2014 - Fact Sheet/FAQs Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions. Citation Text: Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…

  16. Hospitals often ignore policies on using qualified medical interpreters. | PSNet

    psnet.ahrq.gov/issue/hospitals-often-ignore-policies-using-qualified-medical-interpreters
    April 22, 2016 - Newspaper/Magazine Article Hospitals often ignore policies on using qualified medical interpreters. Citation Text: Rice S. Language liabilities. To avoid errors, hospitals urged to use qualified interpreters for patients with limited English. Modern healthcare. 2014;44(35):16-8, 20. Co…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38000/psn-pdf
    August 03, 2009 - The competitive imperative of learning. August 3, 2009 Edmondson A. The competitive imperative of learning. Harv Bus Rev. 2008;86(7-8):60-7, 160. https://psnet.ahrq.gov/issue/competitive-imperative-learning This article draws on experience analyzing team behavior in hospitals to discuss how learning processes can …

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40879/psn-pdf
    May 27, 2015 - Optimizing patient safety during hemodialysis. May 27, 2015 Himmelfarb J. Optimizing patient safety during hemodialysis. JAMA. 2011;306(15):1707-8. doi:10.1001/jama.2011.1507. https://psnet.ahrq.gov/issue/optimizing-patient-safety-during-hemodialysis This editorial discusses hemodialysis safety in the context of a…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33973/psn-pdf
    December 03, 2007 - To err is human; the need for trauma support is, too. December 3, 2007 Kenney LK, van Pelt RA. Patient Safety Quality Healthcare. January/February 2005. https://psnet.ahrq.gov/issue/err-human-need-trauma-support-too This article relates the story of an adverse event from the perspective of both patient and physicia…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38991/psn-pdf
    September 30, 2009 - Why don't doctors wash their hands more? September 30, 2009 Chen PW. https://psnet.ahrq.gov/issue/why-dont-doctors-wash-their-hands-more The author uses personal experience to explain how sterile technique is strict in the operating room. The column highlights the Joint Commission effort to improve hand hygiene co…
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