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Showing results for "learned".

  1. From mindless to mindful practice—cognitive bias and clinical decision making. | PSNet

    psnet.ahrq.gov/issue/mindless-mindful-practice-cognitive-bias-and-clinical-decision-making
    November 23, 2016 - Commentary From mindless to mindful practice—cognitive bias and clinical decision making. Citation Text: Croskerry P. From mindless to mindful practice--cognitive bias and clinical decision making. N Engl J Med. 2013;368(26):2445-2448. doi:10.1056/NEJMp1303712. Copy Citation Form…

  2. The systems approach to medicine: controversy and misconceptions. | PSNet

    psnet.ahrq.gov/issue/systems-approach-medicine-controversy-and-misconceptions
    June 24, 2020 - Commentary The systems approach to medicine: controversy and misconceptions. Citation Text: Dekker SWA, Leveson NG. The systems approach to medicine: controversy and misconceptions. BMJ Qual Saf. 2015;24(1):7-9. doi:10.1136/bmjqs-2014-003106. Copy Citation Format: DOI Googl…

  3. Discharge from Mental Health Care: Making it Safe and Patient-centred. | PSNet

    psnet.ahrq.gov/issue/discharge-mental-health-care-making-it-safe-and-patient-centred
    October 07, 2020 - Book/Report Discharge from Mental Health Care: Making it Safe and Patient-centred. Citation Text: Discharge from Mental Health Care: Making it Safe and Patient-centred. Manchester, UK: Parliamentary and Health Service Ombudsman; March 2024. Copy Citation Save Sa…

  4. A piece of my mind. I'm sorry. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-im-sorry
    November 22, 2017 - Commentary A piece of my mind. I'm sorry. Citation Text: Kahn JS. A PIECE OF MY MIND. I'm Sorry. JAMA. 2015;313(24):2427-8. doi:10.1001/jama.2014.6507. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  5. Survey results from pharmacists provide support to enhance the organizational response to codes. | PSNet

    psnet.ahrq.gov/issue/survey-results-pharmacists-provide-support-enhance-organizational-response-codes
    November 02, 2022 - Newspaper/Magazine Article Survey results from pharmacists provide support to enhance the organizational response to codes. Citation Text: Survey results from pharmacists provide support to enhance the organizational response to codes. ISMP Medication Safety Alert! Acute care edition. Oc…

  6. Preventing errors when preparing and administering medications via enteral feeding tubes. | PSNet

    psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
    November 30, 2016 - Newspaper/Magazine Article Preventing errors when preparing and administering medications via enteral feeding tubes. Citation Text: Preventing errors when preparing and administering medications via enteral feeding tubes. ISMP Medication Safety Alert! Acute care edition. November 17, 202…

  7. I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. | PSNet

    psnet.ahrq.gov/issue/im-er-doctor-heres-what-i-found-when-i-asked-chatgpt-diagnose-my-patients
    November 06, 2012 - Newspaper/Magazine Article I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Citation Text: I’m an ER doctor: here’s what I found when I asked ChatGPT to diagnose my patients. Tamayo-Sarver J. Fast Company. March 13, 2023. Copy Citation …

  8. FDA urged to move faster to fix pulse oximeters for darker-skinned patients. | PSNet

    psnet.ahrq.gov/issue/fda-urged-move-faster-fix-pulse-oximeters-darker-skinned-patients
    September 21, 2016 - Newspaper/Magazine Article FDA urged to move faster to fix pulse oximeters for darker-skinned patients. Citation Text: FDA urged to move faster to fix pulse oximeters for darker-skinned patients. McFarling UL. STAT. February 2, 2024. Copy Citation Save Save to y…

  9. Safety considerations for IMRT. | PSNet

    psnet.ahrq.gov/issue/safety-considerations-imrt
    March 17, 2021 - Organizational Policy/Guidelines Safety considerations for IMRT. Citation Text: Safety considerations for IMRT. Moran JM, Dempsey M, Eisbruch A, et al. Pract Radiat Oncol. 2011;1(suppl 1):1-33.   Copy Citation Save Save to your library Print D…

  10. Causes of near misses: perceptions of perioperative nurses. | PSNet

    psnet.ahrq.gov/issue/causes-near-misses-perceptions-perioperative-nurses
    October 07, 2020 - Study Causes of near misses: perceptions of perioperative nurses. Citation Text: Cohoon B. Causes of near misses: perceptions of perioperative nurses. AORN J. 2011;93(5):551-65. doi:10.1016/j.aorn.2010.02.017. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote…

  11. Defining the technical skills of teamwork in surgery. | PSNet

    psnet.ahrq.gov/issue/defining-technical-skills-teamwork-surgery
    October 26, 2010 - Commentary Defining the technical skills of teamwork in surgery. Citation Text: Healey A, Undre S, Vincent C. Defining the technical skills of teamwork in surgery. Qual Saf Health Care. 2006;15(4):231-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  12. Ferrari's Formula One handovers and handovers from surgery to intensive care. | PSNet

    psnet.ahrq.gov/issue/ferraris-formula-one-handovers-and-handovers-surgery-intensive-care
    December 23, 2020 - Newspaper/Magazine Article Ferrari's Formula One handovers and handovers from surgery to intensive care. Citation Text: Ferrari's Formula One handovers and handovers from surgery to intensive care. Sower VE; Duffy JA; Kohers G; ASQ; American Society for Quality. Copy Citation …

  13. Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
    November 29, 2009 - Book/Report Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety. Citation Text: Opportunities and Recommendations for State–Federal Coordination to Improve Health System Performance: A Focus on Patient Safety.…

  14. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

    psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

  15. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
    January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  16. One system's journey in creating a disclosure and apology program. | PSNet

    psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
    May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

  17. Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet

    psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
    January 27, 2021 - Newspaper/Magazine Article Pump up the volume: tips for increasing error reporting and decreasing patient harm. Citation Text: Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…

  18. Tolerance of uncertainty and the practice of emergency medicine. | PSNet

    psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
    May 25, 2022 - Commentary Tolerance of uncertainty and the practice of emergency medicine. Citation Text: Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015. Copy Citation …

  19. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  20. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…
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