Results

Total Results: over 10,000 records

Showing results for "learned".

3781. ‘Ladder’-based safety culture assessments inversely predict safety outcomes. | PSNet
      psnet.ahrq.gov/issue/ladder-based-safety-culture-assessments-inversely-predict-safety-outcomes
      January 22, 2025 - Commentary ‘Ladder’-based safety culture assessments inversely predict safety outcomes. Citation Text: Boskeljon‐Horst L, Sillem S, Dekker SWA. ‘Ladder’‐based safety culture assessments inversely predict safety outcomes. J Contingencies Crisis Manag. 2022;31(3):372-391. doi:10.1111/1468-…

3782. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). | PSNet
      psnet.ahrq.gov/issue/challenges-and-opportunities-prevent-transfusion-errors-qualitative-evaluation-safer
      March 20, 2019 - Study Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST). Citation Text: Heddle NM, Fung MK, Hervig T, et al. Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUES…

3783. An improvement approach to integrate teaching teams in the reporting of safety events. | PSNet
      psnet.ahrq.gov/issue/improvement-approach-integrate-teaching-teams-reporting-safety-events
      September 23, 2020 - Study An improvement approach to integrate teaching teams in the reporting of safety events. Citation Text: Dunbar AE, Cupit M, Vath RJ, et al. An Improvement Approach to Integrate Teaching Teams in the Reporting of Safety Events. Pediatrics. 2017;139(2). doi:10.1542/peds.2015-3807. Co…

3784. Making residents part of the safety culture: improving error reporting and reducing harms. | PSNet
      psnet.ahrq.gov/issue/making-residents-part-safety-culture-improving-error-reporting-and-reducing-harms
      April 24, 2018 - Commentary Making residents part of the safety culture: improving error reporting and reducing harms. Citation Text: Fox MD, Bump GM, Butler GA, et al. Making Residents Part of the Safety Culture: Improving Error Reporting and Reducing Harms. J Patient Saf. 2021;17(5):e373-e378. doi:10.1…

3785. Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? | PSNet
      psnet.ahrq.gov/issue/graduate-medical-educations-new-focus-resident-engagement-quality-and-safety-will-it
      July 14, 2021 - Commentary Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals? Citation Text: Myers JS, Nash DB. Graduate Medical Education’s New Focus on Resident Engagement in Quality and Safety. Acad Med. 2014;89(10…

3786. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. | PSNet
      psnet.ahrq.gov/issue/safer-healthcare-home-detecting-correcting-and-learning-incidents-involving-infusion-devices
      October 18, 2018 - Study Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. Citation Text: Lyons I, Blandford A. Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices. App Ergon. 2018;67(Feb):104-114. doi:…

3787. How house officers cope with their mistakes. | PSNet
      psnet.ahrq.gov/issue/how-house-officers-cope-their-mistakes
      June 26, 2015 - Study Classic How house officers cope with their mistakes. Citation Text: Wu AW, Folkman S, McPhee SJ, et al. How house officers cope with their mistakes. West J Med. 1993;159(5):565-569. Copy Citation Format: Google Scholar PubMed BibTeX EndNote…

3788. Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. | PSNet
      psnet.ahrq.gov/issue/patient-initiated-second-opinions-systematic-review-characteristics-and-impact-diagnosis
      May 29, 2015 - Review Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Citation Text: Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…

3789. Using incident reporting to improve patient safety: a conceptual model. | PSNet
      psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
      June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

3790. Designing safety interventions for specific contexts: results from a literature review. | PSNet
      psnet.ahrq.gov/issue/designing-safety-interventions-specific-contexts-results-literature-review
      June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

3791. Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. | PSNet
      psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
      May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

3792. Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet
      psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
      September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

3793. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet
      psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
      February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

3794. Design of hospital errors and omissions activities that include patient-specific medication related problems. | PSNet
      psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related
      June 01, 2022 - Study Design of hospital errors and omissions activities that include patient-specific medication related problems. Citation Text: Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. …

3795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34735/psn-pdf
      June 16, 2014 - goals to create unified reporting mechanisms, support an open learning culture, ensure that lessons learned

3796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37478/psn-pdf
      February 22, 2011 - adversedrugevent https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

3797. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45490/psn-pdf
      September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

3798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34849/psn-pdf
      May 14, 2012 - improving-patient-safety-five-years-after-iom-report https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

3799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45350/psn-pdf
      October 21, 2016 - This report discusses the need to ensure that lessons learned in military trauma care are acted on and

3800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47505/psn-pdf
      March 19, 2019 - A past PSNet perspective explored insights learned from experience with the AHRQ-supported teamwork