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  1. Operational failures and interruptions in hospital nursing. | PSNet

    psnet.ahrq.gov/issue/operational-failures-and-interruptions-hospital-nursing
    November 03, 2021 - Study Operational failures and interruptions in hospital nursing. Citation Text: Tucker AL, Spear SJ. Operational failures and interruptions in hospital nursing. Health Serv Res. 2006;41(3 Pt 1):643-662. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndN…

  2. Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. | PSNet

    psnet.ahrq.gov/issue/efficacy-educational-video-game-versus-traditional-educational-apps-improving-physician
    August 04, 2021 - Study Efficacy of educational video game versus traditional educational apps at improving physician decision making in trauma triage: randomized controlled trial. Citation Text: Mohan D, Farris C, Fischhoff B, et al. Efficacy of educational video game versus traditional educational apps …

  3. Exploration of factors associated with reported medication administration errors in North Carolina public school districts. | PSNet

    psnet.ahrq.gov/issue/exploration-factors-associated-reported-medication-administration-errors-north-carolina
    September 20, 2012 - Study Exploration of factors associated with reported medication administration errors in North Carolina public school districts. Citation Text: Best NC, Nichols AO, Pierre-Louis B, et al. Exploration of factors associated with reported medication administration errors in North Carolina …

  4. Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. | PSNet

    psnet.ahrq.gov/issue/initial-assessment-patient-handoff-accredited-general-surgery-residency-programs-united
    October 19, 2022 - Study Initial assessment of patient handoff in accredited general surgery residency programs in the United States and Canada: a cross-sectional survey. Citation Text: Saleem AM, Paulus JK, Vassiliou MC, et al. Initial assessment of patient handoff in accredited general surgery residency …

  5. Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). | PSNet

    psnet.ahrq.gov/issue/improving-resident-engagement-quality-improvement-and-patient-safety-initiatives-bedside
    December 21, 2017 - Study Improving resident engagement in quality improvement and patient safety initiatives at the bedside: the Advocate for Clinical Education (ACE). Citation Text: Schleyer AM, Best JA, McIntyre LK, et al. Improving resident engagement in quality improvement and patient safety initiati…

  6. A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. | PSNet

    psnet.ahrq.gov/issue/quality-improvement-initiative-using-peer-audit-and-feedback-improve-compliance-surgical
    March 24, 2021 - Study A quality improvement initiative using peer audit and feedback to improve compliance with the surgical safety checklist. Citation Text: Fridrich A, Imhof A, Staender S, et al. A quality improvement initiative using peer audit and feedback to improve compliance. Int J Qual Health C…

  7. Organizational climate determinants of resident safety culture in nursing homes. | PSNet

    psnet.ahrq.gov/issue/organizational-climate-determinants-resident-safety-culture-nursing-homes
    June 24, 2020 - Study Organizational climate determinants of resident safety culture in nursing homes. Citation Text: Arnetz JE, Zhdanova LS, Elsouhag D, et al. Organizational climate determinants of resident safety culture in nursing homes. Gerontologist. 2011;51(6):739-49. doi:10.1093/geront/gnr053.…

  8. Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. | PSNet

    psnet.ahrq.gov/issue/hospitalization-and-death-associated-potentially-inappropriate-medication-prescriptions-among
    August 04, 2021 - Study Hospitalization and death associated with potentially inappropriate medication prescriptions among elderly nursing home residents. Citation Text: Lau DT, Kasper JD, Potter DEB, et al. Hospitalization and death associated with potentially inappropriate medication prescriptions among…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42924/psn-pdf
    April 24, 2014 - training programs include formal curricula in error disclosure, most residents and medical students learn

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - fear-punitive-response-hospital-errors-lingers https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - There is a growing recognition that surgeons must learn these nontechnical skills during training in

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - framework would substantially improve our ability to not only identify contributing factors but also learn

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47208/psn-pdf
    July 19, 2018 - Hospitals share their data through SPS and have an opportunity to learn from one another.

  14. A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

    psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
    July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

  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. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Learn how diagnoses emerge from subconscious processing and the inherent biases that can lead to errors … Learn de-biasing approaches that might prevent these errors? … Learn the principles of reflective practice. … Anything that allows you to learn from your own mistakes or those of others will increase the chances

  17. Stanford cuts liability premiums with cash offers after errors. | PSNet

    psnet.ahrq.gov/issue/stanford-cuts-liability-premiums-cash-offers-after-errors
    August 24, 2011 - November 10, 2010 Patient safety: what can medicine learn from aviation?

  18. "I'm sorry": Why is that so hard for doctors to say? | PSNet

    psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?

  19. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-5
    February 22, 2006 - February 12, 2019 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

  20. Top 10 ways to improve patient safety now. | PSNet

    psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?
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