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  1. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. | PSNet

    psnet.ahrq.gov/issue/prevalence-errors-anaphylaxis-kids-peak-multicenter-simulation-based-study
    June 15, 2022 - Study Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. Citation Text: Maa T, Scherzer DJ, Harwayne-Gidansky I, et al. Prevalence of Errors in Anaphylaxis in Kids (PEAK): a multicenter simulation-based study. J Allergy Clin Immunol Pract. 2020;8(4)…

  2. Adverse drug events in a paediatric intensive care unit: a prospective cohort. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-paediatric-intensive-care-unit-prospective-cohort
    April 24, 2018 - Study Adverse drug events in a paediatric intensive care unit: a prospective cohort. Citation Text: Silva DCB, Araujo OR, Arduini RG, et al. Adverse drug events in a paediatric intensive care unit: a prospective cohort. BMJ Open. 2013;3(2):e001868. doi:10.1136/bmjopen-2012-001868. Co…

  3. Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. | PSNet

    psnet.ahrq.gov/issue/developing-and-deploying-patient-safety-program-large-health-care-delivery-system-you-cant
    August 03, 2017 - Commentary Developing and deploying a patient safety program in a large health care delivery system: you can't fix what you don't know about. Citation Text: Bagian JP, Lee C, Gosbee J, et al. Developing and deploying a patient safety program in a large health care delivery system: you ca…

  4. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. | PSNet

    psnet.ahrq.gov/issue/optimal-preoperative-assessment-geriatric-surgical-patient-best-practices-guideline-american
    July 13, 2010 - Commentary Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. Citation Text: Chow WB, Rosenthal RA, Merkow RP, et al. Optim…

  5. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. | PSNet

    psnet.ahrq.gov/issue/epidemiology-and-patient-outcome-after-medical-emergency-team-calls-triggered-atrial
    March 05, 2010 - Study Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Citation Text: Schneider A, Calzavacca P, Jones D, et al. Epidemiology and patient outcome after medical emergency team calls triggered by atrial fibrillation. Resuscitation. 2011…

  6. Engaging the patient and family in the surgical safety process utilizing SafeStart. | PSNet

    psnet.ahrq.gov/issue/engaging-patient-and-family-surgical-safety-process-utilizing-safestart
    October 19, 2022 - Study Engaging the patient and family in the surgical safety process utilizing SafeStart. Citation Text: Elger BM, Esparaz JR, Nierstedt RT, et al. Engaging the patient and family in the surgical safety process utilizing. J Pediatr Surg. 2020;55(4). doi:10.1016/j.jpedsurg.2019.06.012. …

  7. Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. | PSNet

    psnet.ahrq.gov/issue/compendium-strategies-prevent-hais-acute-care-hospitals-2014
    July 02, 2009 - Special or Theme Issue Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Citation Text: Compendium of Strategies to Prevent HAIs in Acute Care Hospitals 2014. Infect Control Hosp Epidemiol. 2014;35(Suppl 2):s1-s178;35:460-463;797-801. Copy Citation …

  8. Preventable closed claims in the AANA Foundation closed malpractice claims database. | PSNet

    psnet.ahrq.gov/issue/preventable-closed-claims-aana-foundation-closed-malpractice-claims-database
    March 11, 2020 - Study Preventable closed claims in the AANA Foundation closed malpractice claims database. Citation Text: Kremer MJ, Hirsch M, Geisz-Everson M, et al. Preventable Closed Claims in the AANA Foundation Closed Malpractice Claims Database. AANA J. 2019;87(6). Copy Citation Format: …

  9. Peer training using cognitive rehearsal to promote a culture of safety in health care. | PSNet

    psnet.ahrq.gov/issue/peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care
    November 16, 2022 - Study Peer training using cognitive rehearsal to promote a culture of safety in health care. Citation Text: Roberts T, Hanna K, Hurley S, et al. Peer Training Using Cognitive Rehearsal to Promote a Culture of Safety in Health Care. Nurse Educ. 2018;43(5):262-266. doi:10.1097/NNE.00000000…

  10. Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. | PSNet

    psnet.ahrq.gov/issue/secure-text-messaging-healthcare-latent-threats-and-opportunities-improve-patient-safety
    October 25, 2023 - Commentary Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. Citation Text: Hagedorn PA, Singh A, Luo B, et al. Secure Text Messaging in Healthcare: Latent Threats and Opportunities to Improve Patient Safety. J Hosp Med. 2020;15(6):378-380.…

  11. Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
    June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…

  12. Learning from the best. | PSNet

    psnet.ahrq.gov/issue/learning-best
    February 22, 2023 - Newspaper/Magazine Article Learning from the best. Citation Text: Grantham D. Learning from the best. Behavioral healthcare. 2010;30(4):22-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  13. Patient Safety Learning. | PSNet

    psnet.ahrq.gov/issue/patient-safety-learning
    January 12, 2022 - Multi-use Website Patient Safety Learning. Citation Text: Patient Safety Learning. Patient Safety Learning. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  14. Learning From Mistakes. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - July 19, 2023 Unlocking Solutions in Imaging: Working Together to Learn from Failings

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  16. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - RW : How has the drive to rethink the content of the curriculum (what learners needed to learn) synced … the health care system around bringing these concepts front and center into the way in which students learn … We want to learn from you, we want to evaluate together, and we want to rapidly disseminate best practices … We're worried they might feel like why did I learn all of that or why did I get invested in all of that … a state we refer to as being a systems citizen.( 6-8 ) For such a paradigm shift, providers need to learn

  17. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  18. Learning Health Systems | PSNet

    psnet.ahrq.gov/issue/learning-health-systems
    December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Shifting the learning curve. | PSNet

    psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…
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