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Showing results for "learned".

  1. The Measurement and Monitoring of Safety. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety
    October 01, 2024 - Book/Report The Measurement and Monitoring of Safety. Citation Text: The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. Copy Citation Save Save to your library Prin…

  2. Medical Device Use Error: Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
    January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

  3. Deaths in Acute Hospitals: Caring to the End? | PSNet

    psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
    March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

  4. Patient safety: threats and solutions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
    January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  5. The ethical imperative to think about thinking. | PSNet

    psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
    June 27, 2018 - Commentary The ethical imperative to think about thinking. Citation Text: Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. Copy Citation …

  6. The ongoing quality improvement journey: next stop, high reliability. | PSNet

    psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
    January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

  7. Intrathecal chemotherapy: potential for medication error. | PSNet

    psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
    February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  8. Improving diagnosis: adding context to cognition. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
    July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

  9. Bringing the equity lens to patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
    September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …

  10. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. | PSNet

    psnet.ahrq.gov/issue/ensuring-medication-safety-consumers-ethnic-minority-backgrounds-need-address-unconscious
    July 29, 2020 - Commentary Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscious bias within health systems. Citation Text: Chauhan A, Walpola RL. Ensuring medication safety for consumers from ethnic minority backgrounds: the need to address unconscio…

  11. Events that inspired change: the importance of sharing what happened to stop it from happening again. | PSNet

    psnet.ahrq.gov/issue/events-inspired-change-importance-sharing-what-happened-stop-it-happening-again
    August 07, 2024 - Commentary Events that inspired change: the importance of sharing what happened to stop it from happening again. Citation Text: Myers E, Allen C. Events that inspired change: the importance of sharing what happened to stop it from happening again. Patient Saf. 2023;5(1):62-63. doi:10.339…

  12. Can we import improvements from industry to healthcare? | PSNet

    psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare
    October 30, 2010 - Commentary Can we import improvements from industry to healthcare? Citation Text: Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML E…

  13. The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. | PSNet

    psnet.ahrq.gov/issue/economics-patient-safety-primary-and-ambulatory-care-flying-blind
    April 12, 2017 - Book/Report Emerging Classic The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Citation Text: The Economics of Patient Safety in Primary and Ambulatory Care: Flying Blind. Slawomirski L, Auraaen A, Klazinga N. Paris, France: Organisat…

  14. What to do with healthcare incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/what-do-healthcare-incident-reporting-systems
    November 12, 2014 - Review What to do with healthcare incident reporting systems. Citation Text: Pham JC, Girard T, Pronovost PJ. What to do with healthcare Incident Reporting Systems. J Public Health Res. 2013;2(3). doi:10.4081/jphr.2013.e27. Copy Citation Format: DOI Google Scholar BibTeX E…

  15. Variation in caregiver perceptions of teamwork climate in labor and delivery units. | PSNet

    psnet.ahrq.gov/issue/variation-caregiver-perceptions-teamwork-climate-labor-and-delivery-units
    August 04, 2021 - Study Variation in caregiver perceptions of teamwork climate in labor and delivery units. Citation Text: Sexton JB, Holzmueller CG, Pronovost PJ, et al. Variation in caregiver perceptions of teamwork climate in labor and delivery units. J Perinatol. 2006;26(8):463-70. Copy Citation …

  16. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. | PSNet

    psnet.ahrq.gov/issue/medical-trainees-formal-and-informal-incident-reporting-across-five-hospital-academic-medical
    May 10, 2016 - Study Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Citation Text: Logio LS, Ramanujam R. Medical trainees' formal and informal incident reporting across a five-hospital academic medical center. Jt Comm J Qual Patient Saf. 2010;3…

  17. Patient safety initiatives in obstetrics: a rapid review. | PSNet

    psnet.ahrq.gov/issue/patient-safety-initiatives-obstetrics-rapid-review
    September 23, 2020 - Review Patient safety initiatives in obstetrics: a rapid review. Citation Text: Antony J, Zarin W, Pham B', et al. Patient safety initiatives in obstetrics: a rapid review. BMJ Open. 2018;8(7):e020170. doi:10.1136/bmjopen-2017-020170. Copy Citation Format: DOI Google Schola…

  18. Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. | PSNet

    psnet.ahrq.gov/issue/errors-associated-oxytocin-use-multi-organization-analysis-ismp-and-ismp-canada
    February 23, 2022 - Newspaper/Magazine Article Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. Citation Text: Errors associated with oxytocin use: a multi-organization analysis by ISMP and ISMP Canada. ISMP Medication Safety Alert! Acute care edition. Februar…

  19. Making healthcare safer by understanding, designing and buying better IT. | PSNet

    psnet.ahrq.gov/issue/making-healthcare-safer-understanding-designing-and-buying-better-it
    February 20, 2019 - Commentary Making healthcare safer by understanding, designing and buying better IT. Citation Text: Thimbleby H, Lewis A, Williams J. Making healthcare safer by understanding, designing and buying better IT. Clin Med (Lond). 2015;15(3):258-62. doi:10.7861/clinmedicine.15-3-258. Copy Ci…

  20. Five strategies for clinicians to advance diagnostic excellence. | PSNet

    psnet.ahrq.gov/issue/five-strategies-clinicians-advance-diagnostic-excellence
    June 22, 2022 - Commentary Five strategies for clinicians to advance diagnostic excellence. Citation Text: Singh H, Connor DM, Dhaliwal G. Five strategies for clinicians to advance diagnostic excellence. BMJ. 2022;376:e068044. doi:10.1136/bmj-2021-068044. Copy Citation Format: DOI Google S…
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