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Showing results for "learned".

  1. The evolution of procedural competency in internal medicine training. | PSNet

    psnet.ahrq.gov/issue/evolution-procedural-competency-internal-medicine-training
    December 15, 2021 - Commentary The evolution of procedural competency in internal medicine training. Citation Text: Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014. Copy Ci…

  2. Diagnostic heuristics in dermatology—part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/diagnostic-heuristics-dermatology-part-1-and-part-2
    June 24, 2010 - Review Diagnostic heuristics in dermatology—part 1 and part 2. Citation Text: Lowenstein EJ, Sidlow R. Cognitive and visual diagnostic errors in dermatology: part 1 and part 2. J Dermatol. 2018;179(6):1263-1276. doi:10.1111/bjd.16932. Copy Citation Format: DOI Google Schola…

  3. Learning from no-fault treatment injury claims to improve the safety of older patients. | PSNet

    psnet.ahrq.gov/issue/learning-no-fault-treatment-injury-claims-improve-safety-older-patients
    September 27, 2023 - Study Learning from no-fault treatment injury claims to improve the safety of older patients. Citation Text: Wallis KA. Learning from no-fault treatment injury claims to improve the safety of older patients. Ann Fam Med. 2015;13(5):472-4. doi:10.1370/afm.1810. Copy Citation Format:…

  4. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. | PSNet

    psnet.ahrq.gov/issue/defining-landscape-patient-harm-after-osteopathic-manipulative-treatment-synthesis-adverse
    October 19, 2022 - Review Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event model. Citation Text: Unger MD, Barr JN, Brower JA, et al. Defining the landscape of patient harm after osteopathic manipulative treatment: synthesis of an adverse event …

  5. A growth mindset approach to preparing trainees for medical error. | PSNet

    psnet.ahrq.gov/issue/growth-mindset-approach-preparing-trainees-medical-error
    August 19, 2020 - Commentary A growth mindset approach to preparing trainees for medical error. Citation Text: Klein J, Delany C, Fischer MD, et al. A growth mindset approach to preparing trainees for medical error. BMJ Qual Saf. 2017;26(9):771-774. doi:10.1136/bmjqs-2016-006416. Copy Citation Forma…

  6. Residents' intentions and actions after patient safety education. | PSNet

    psnet.ahrq.gov/issue/residents-intentions-and-actions-after-patient-safety-education
    June 08, 2011 - Study Residents' intentions and actions after patient safety education. Citation Text: Jansma JD, Wagner C, Bijnen AB. Residents' intentions and actions after patient safety education. BMC Health Serv Res. 2010;10:350. doi:10.1186/1472-6963-10-350. Copy Citation Format: D…

  7. Implementing a perioperative handoff tool to improve postprocedural patient transfers. | PSNet

    psnet.ahrq.gov/issue/implementing-perioperative-handoff-tool-improve-postprocedural-patient-transfers
    February 29, 2012 - Commentary Implementing a perioperative handoff tool to improve postprocedural patient transfers. Citation Text: Petrovic MA, Martinez EA, Aboumatar HJ. Implementing a perioperative handoff tool to improve postprocedural patient transfers. Jt Comm J Qual Patient Saf. 2012;38(3):135-42. …

  8. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. | PSNet

    psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
    October 21, 2015 - Study Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Citation Text: Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. …

  9. Improving safety in the operating room: a systematic literature review of retained surgical sponges. | PSNet

    psnet.ahrq.gov/issue/improving-safety-operating-room-systematic-literature-review-retained-surgical-sponges
    March 05, 2025 - Review Improving safety in the operating room: a systematic literature review of retained surgical sponges. Citation Text: Wan W, Le T, Riskin L, et al. Improving safety in the operating room: a systematic literature review of retained surgical sponges. Curr Opin Anaesthesiol. 2009;22(…

  10. Teaching medical error apologies: development of a multi-component intervention. | PSNet

    psnet.ahrq.gov/issue/teaching-medical-error-apologies-development-multi-component-intervention
    August 04, 2021 - Study Teaching medical error apologies: development of a multi-component intervention. Citation Text: Gillies RA, Speers SH, Young SE, et al. Teaching medical error apologies: development of a multi-component intervention. Fam Med. 2011;43(6):400-6. Copy Citation Format: …

  11. The effects of safety checklists in medicine: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effects-safety-checklists-medicine-systematic-review
    December 07, 2011 - Review The effects of safety checklists in medicine: a systematic review. Citation Text: Thomassen Ø, Storesund A, Søfteland E, et al. The effects of safety checklists in medicine: a systematic review. Acta Anaesthesiol Scand. 2014;58(1):5-18. doi:10.1111/aas.12207. Copy Citation …

  12. Using implementation safety indicators for CPOE implementation. | PSNet

    psnet.ahrq.gov/issue/using-implementation-safety-indicators-cpoe-implementation
    August 04, 2021 - Study Using implementation safety indicators for CPOE implementation. Citation Text: Weir C, McCarthy CA. Using implementation safety indicators for CPOE implementation. Jt Comm J Qual Saf. 2009;35(1):21-28. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  13. Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. | PSNet

    psnet.ahrq.gov/issue/clinical-and-pathological-disagreement-upon-cause-death-teaching-hospital-analysis-100
    March 09, 2022 - Study Clinical and pathological disagreement upon the cause of death in a teaching hospital: analysis of 100 autopsy cases in a prospective study. Citation Text: Pinto Carvalho FL, Cordeiro JA, Cury PM. Clinical and pathological disagreement upon the cause of death in a teaching hospi…

  14. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. | PSNet

    psnet.ahrq.gov/issue/wristbands-aids-reduce-misidentification-ethnographically-guided-task-analysis
    November 25, 2009 - Study Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Citation Text: Smith A, Casey K, Wilson J, et al. Wristbands as aids to reduce misidentification: an ethnographically guided task analysis. Int J Qual Health Care. 2011;23(5):590-9. doi:10.109…

  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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