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Total Results: 2,812 records

Showing results for "knowledge".

361. Multifactorial Medication Mishap | PSNet
     psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
     September 01, 2016 - Multiple steps can be taken to prevent these knowledge gaps in the future. … Communication of Drug Information Not only were there issues with knowledge about the drug, but the … Staff Competency and Education Knowledge gaps in the safe use of opioids may have also contributed … According to an opioid knowledge assessment conducted by the Pennsylvania Hospital Engagement Network … Results of the opioid knowledge assessment from the PA Hospital Engagement Network adverse drug event

362. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/48149/psn-pdf
     July 31, 2019 - book draws on the experience of high-risk industries to provide practices and tools that translate knowledge

363. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47860/psn-pdf
     June 30, 2019 - clinician and as a new mother, when health care staff failed to effectively consider patient concerns and knowledge

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73352/psn-pdf
     June 02, 2021 - These sessions focused on generating differential diagnoses and identifying cognitive errors and knowledge

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837759/psn-pdf
     January 01, 2023 - employee-silence-health-care-charting-new-avenues-leadership-and-management https://psnet.ahrq.gov/issue/understanding-knowledge-gaps-whistleblowing-and-speaking-health-care-narrative-reviews

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838185/psn-pdf
     September 28, 2022 - err-system-comparison-methodologies-investigation-adverse-outcomes-healthcare https://psnet.ahrq.gov/issue/causes-errors-clinical-reasoning-cognitive-biases-knowledge-deficits-and-dual-process

367. Staff perceptions of quality of care: an observational study of the NHS Staff Survey in hospitals in England. | PSNet
     psnet.ahrq.gov/issue/staff-perceptions-quality-care-observational-study-nhs-staff-survey-hospitals-england
     May 04, 2017 - February 26, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?

368. Assessing system thinking in senior pharmacy students using the innovative "Horror Room" simulation setting: a cross-sectional survey of a non-technical skill. | PSNet
     psnet.ahrq.gov/issue/assessing-system-thinking-senior-pharmacy-students-using-innovative-horror-room-simulation
     May 01, 2004 - May 15, 2019 Use of medical abbreviations and acronyms: knowledge among medical students … December 4, 2016 Laboratory session to improve first-year pharmacy students' knowledge

369. Adverse respiratory events in anesthesia: a closed claims analysis. | PSNet
     psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
     February 10, 2011 - August 21, 2019 Knowledge retention after simulated crisis: importance of independent … June 23, 2009 Knowledge-based errors in anesthesia: a paired, controlled trial of learning

370. Training health care professionals in root cause analysis: a cross-sectional study of post-training experiences, benefits and attitudes. | PSNet
     psnet.ahrq.gov/issue/training-health-care-professionals-root-cause-analysis-cross-sectional-study-post-training
     February 29, 2012 - Development of a web based tool to assess attitude and knowledge. … of the National Patient Safety Agency’s Root Cause Analysis training programme in England and Wales: knowledge

371. How can specialist investigation agencies inform system-wide learning for patient safety? A qualitative study of perspectives on the early years of the English Healthcare Safety Investigation Branch. | PSNet
     psnet.ahrq.gov/issue/how-can-specialist-investigation-agencies-inform-system-wide-learning-patient-safety
     January 29, 2014 - Citation Related Resources From the Same Author(s) An exploratory study of knowledge … brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

372. Learning from mistakes: factors that influence how students and residents learn from medical errors. | PSNet
     psnet.ahrq.gov/issue/learning-mistakes-factors-influence-how-students-and-residents-learn-medical-errors
     November 15, 2011 - June 18, 2019 Pediatric faculty knowledge and comfort discussing diagnostic errors: a … March 23, 2011 Patient safety knowledge and its determinants in medical trainees.

373. Huddling for high reliability and situation awareness. | PSNet
     psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness
     January 29, 2014 - July 2, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?

374. Successful implementation of standardized multidisciplinary bedside rounds, including daily goals, in a pediatric ICU. | PSNet
     psnet.ahrq.gov/issue/successful-implementation-standardized-multidisciplinary-bedside-rounds-including-daily-goals
     September 03, 2011 - February 12, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?

375. Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons from other parts of the public sector? | PSNet
     psnet.ahrq.gov/issue/developing-critical-approach-patient-and-public-involvement-patient-safety-nhs-learning
     February 20, 2019 - November 21, 2017 Codifying knowledge to improve patient safety: a qualitative study … October 21, 2009 The limits of knowledge management for UK public services modernization

376. Interprofessional care in intensive care settings and the factors that impact it: results from a scoping review of ethnographic studies. | PSNet
     psnet.ahrq.gov/issue/interprofessional-care-intensive-care-settings-and-factors-impact-it-results-scoping-review
     August 15, 2018 - Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge … 29, 2012 Development and evaluation of a 3-day patient safety curriculum to advance knowledge

377. Sign-out snapshot: cross-sectional evaluation of written sign-outs among specialties. | PSNet
     psnet.ahrq.gov/issue/sign-out-snapshot-cross-sectional-evaluation-written-sign-outs-among-specialties
     November 20, 2013 - November 26, 2014 An exploratory study of knowledge brokering in hospital settings: facilitating … knowledge sharing and learning for patient safety?

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/49763/psn-pdf
     June 01, 2016 - thought to lead to decreased productivity due to disruption in operations (1) and the loss of tacit knowledge … Though the overnight drop in medical knowledge is surely important, it's clear that the infusion of … surgical intern in the ICU made significant errors, ones that did not seem to stem from inadequate knowledge … responsibility appropriate for their skill level.(14) Furthermore, these assessments must address knowledge … The drop in experience affects multiple dimensions, including clinical knowledge and local systems literacy

379. Two Pills, Same Drug | PSNet
     psnet.ahrq.gov/web-mm/two-pills-same-drug
     May 27, 2011 - the background may compare entered data with information in electronic medical records or clinical knowledge … and intending for the patient’s previous regimen to be discontinued) but apparently had inadequate knowledge … This tacit knowledge (not explicit but implicitly acquired through the knowledge of the domain) may carry … however, that order entry systems may create possibilities for error if users have incomplete conceptual knowledge

380. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33844/psn-pdf
     October 01, 2017 - higher frequency than other occupational groups.(11) Reasons for Presenteeism: Logistics, Culture, and Knowledge … health care worker presenteeism occurs are complex and include a combination of logistic, cultural, and knowledge-based … and it is not always clear what is "too sick" to work or truly risky for patients.(6) The lack of knowledge … Reducing it will require attention to all drivers of the problem: logistics, culture, and knowledge.