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Showing results for "learned".

  1. Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-clinical-oncology-applying-lessons-normal-accident-theory
    September 27, 2016 - Commentary Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory. Citation Text: Chera BS, Mazur L, Buchanan I, et al. Improving Patient Safety in Clinical Oncology: Applying Lessons From Normal Accident Theory. JAMA Oncol. 2015;1(7):958-64. doi:10.1…

  2. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. | PSNet

    psnet.ahrq.gov/issue/impact-leadership-walkarounds-operational-cultural-and-clinical-outcomes-systematic-review
    October 12, 2022 - Review Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. Citation Text: Foster M, MHA BS, Mazur L. Impact of leadership walkarounds on operational, cultural and clinical outcomes: a systematic review. BMJ Open Qual. 2023;12(4):e002284. …

  3. Physicians' needs in coping with emotional stressors: the case for peer support. | PSNet

    psnet.ahrq.gov/issue/physicians-needs-coping-emotional-stressors-case-peer-support
    September 09, 2008 - Study Physicians' needs in coping with emotional stressors: the case for peer support. Citation Text: Hu Y-Y, Fix ML, Hevelone ND, et al. Physicians' needs in coping with emotional stressors: the case for peer support. Arch Surg. 2012;147(3):212-217. doi:10.1001/archsurg.2011.312. Copy…

  4. Are amended surgical pathology reports getting to the correct responsible care provider? | PSNet

    psnet.ahrq.gov/issue/are-amended-surgical-pathology-reports-getting-correct-responsible-care-provider
    September 04, 2024 - Study Are amended surgical pathology reports getting to the correct responsible care provider? Citation Text: Parkash V, Domfeh A, Cohen P, et al. Are amended surgical pathology reports getting to the correct responsible care provider? Am J Clin Pathol. 2014;142(1):58-63. doi:10.1309/AJC…

  5. Residents' perspective on the impact of the 80-hour workweek policy. | PSNet

    psnet.ahrq.gov/issue/residents-perspective-impact-80-hour-workweek-policy
    November 16, 2022 - Study Residents' perspective on the impact of the 80-hour workweek policy. Citation Text: Woods SE, Zabat E, Talen MR, et al. Residents' perspective on the impact of the 80-hour workweek policy. Teach Learn Med. 2008;20(2):131-5. doi:10.1080/10401330801991584. Copy Citation Forma…

  6. Advancing measurement of patient safety culture. | PSNet

    psnet.ahrq.gov/issue/advancing-measurement-patient-safety-culture
    February 14, 2015 - Study Advancing measurement of patient safety culture. Citation Text: Ginsburg LR, Gilin D, Tregunno D, et al. Advancing measurement of patient safety culture. Health Serv Res. 2009;44(1):205-24. doi:10.1111/j.1475-6773.2008.00908.x. Copy Citation Format: DOI Google Schol…

  7. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. | PSNet

    psnet.ahrq.gov/issue/nurses-response-parents-speaking-efforts-ensure-their-hospitalized-childs-safety-attribution
    May 13, 2020 - Study Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attribution theory perspective. Citation Text: Bsharat S, Drach-Zahavy A. Nurses' response to parents' 'speaking-up' efforts to ensure their hospitalized child's safety: an attributio…

  8. Exploring how nursing schools handle student errors and near misses. | PSNet

    psnet.ahrq.gov/issue/exploring-how-nursing-schools-handle-student-errors-and-near-misses
    May 28, 2014 - Study Exploring how nursing schools handle student errors and near misses. Citation Text: Disch J, Barnsteiner J, Connor S, et al. CE: Original Research: Exploring How Nursing Schools Handle Student Errors and Near Misses. Am J Nurs. 2017;117(10):24-31. doi:10.1097/01.NAJ.0000525849.3553…

  9. Market-based control mechanisms for patient safety. | PSNet

    psnet.ahrq.gov/issue/market-based-control-mechanisms-patient-safety
    June 30, 2010 - Commentary Market-based control mechanisms for patient safety. Citation Text: Coiera E, Braithwaite J. Market-based control mechanisms for patient safety. Qual Saf Health Care. 2009;18(2):99-103. doi:10.1136/qshc.2007.025833. Copy Citation Format: DOI Google Scholar PubMe…

  10. Errors as allies: error management training in health professions education. | PSNet

    psnet.ahrq.gov/issue/errors-allies-error-management-training-health-professions-education
    January 22, 2016 - Commentary Errors as allies: error management training in health professions education. Citation Text: King A, Holder MG, Ahmed RA. Errors as allies: error management training in health professions education. BMJ Qual Saf. 2013;22(6):516-9. doi:10.1136/bmjqs-2012-000945. Copy Citatio…

  11. Consumer perceptions of safety in hospitals. | PSNet

    psnet.ahrq.gov/issue/consumer-perceptions-safety-hospitals
    June 15, 2011 - Study Consumer perceptions of safety in hospitals. Citation Text: Evans S, Berry JG, Smith B, et al. Consumer perceptions of safety in hospitals. BMC Public Health. 2006;6:41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged P…

  12. The relationship between safety climate and safety performance: a review. | PSNet

    psnet.ahrq.gov/issue/relationship-between-safety-climate-and-safety-performance-review
    February 03, 2021 - Review The relationship between safety climate and safety performance: a review. Citation Text: Syed-Yahya SNN, Idris MA, Noblet AJ. The relationship between safety climate and safety performance: a review. J Safety Res. 2022;83:105-118. doi:10.1016/j.jsr.2022.08.008. Copy Citation …

  13. Registered nurses' judgments of the classification and risk level of patient care errors. | PSNet

    psnet.ahrq.gov/issue/registered-nurses-judgments-classification-and-risk-level-patient-care-errors
    August 24, 2022 - Study Registered nurses' judgments of the classification and risk level of patient care errors. Citation Text: Chipps E, Wills CE, Tanda R, et al. Registered nurses' judgments of the classification and risk level of patient care errors. J Nurs Care Qual. 2011;26(4):302-310. doi:10.1097…

  14. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. | PSNet

    psnet.ahrq.gov/issue/prioritising-recommendations-following-analyses-adverse-events-healthcare-systematic-review
    April 20, 2022 - Review Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. Citation Text: Bos K, van der Laan MJ, Dongelmans DA. Prioritising recommendations following analyses of adverse events in healthcare: a systematic review. BMJ Open Qual. 2020;9(4…

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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