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Showing results for "learned".

4701. Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet
      psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
      August 31, 2011 - Study Retractions in the medical literature: how many patients are put at risk by flawed research? Citation Text: Steen G. Retractions in the medical literature: how many patients are put at risk by flawed research? J Med Ethics. 2011;37(11):688-92. doi:10.1136/jme.2011.043133. Copy …

4702. How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? | PSNet
      psnet.ahrq.gov/issue/how-can-principles-complexity-science-be-applied-improve-coordination-care-complex-pediatric
      October 19, 2022 - Commentary How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients? Citation Text: Matlow AG, Wright JG, Zimmerman B, et al. How can the principles of complexity science be applied to improve the coordination of care fo…

4703. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34626/psn-pdf
      August 13, 2018 - National Patient Safety Agency (NPSA). August 13, 2018 National Patient Safety Agency. https://psnet.ahrq.gov/issue/national-patient-safety-agency-npsa The National Patient Safety Agency was created in 2001 to coordinate efforts across the United Kingdom in reporting and learning from mistakes and problems. In Apr…

4704. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42508/psn-pdf
      December 18, 2017 - Watson: Beyond Jeopardy! December 18, 2017 Ferrucci D, Levas A, Bagchi S, et al. Watson: Beyond Jeopardy!. Artif Intell. 2012;199-200. doi:10.1016/j.artint.2012.06.009. https://psnet.ahrq.gov/issue/watson-beyond-jeopardy This commentary describes how question answering systems can augment evidence-based decision …

4705. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40398/psn-pdf
      April 27, 2011 - Knowledge for Improvement. April 27, 2011 Batalden P, Davidoff F, eds. BMJ Qual Saf. 2011;20(suppl 1):1-105.   https://psnet.ahrq.gov/issue/knowledge-improvement Articles in this supplement discuss research tactics, cross-disciplinary thinking, and educational strategies, along with how they can contribute to…

4706. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33906/psn-pdf
      October 18, 2017 - Your Medicine, Be Smart, Be Safe. October 18, 2017 Rockville, MD: Agency for Healthcare Research and Quality: 2011. AHRQ publication no. 11-0049-A. https://psnet.ahrq.gov/issue/your-medicine-be-smart-be-safe This Web site assists consumers in learning how to take medications safely. The materials answer common que…

4707. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37110/psn-pdf
      October 06, 2011 - Seeing systems in health care organizations. October 6, 2011 Friedman LH, King JB, Bella D. Seeing systems in health care organizations. Physician Exec. 2007;33(4):20-9. https://psnet.ahrq.gov/issue/seeing-systems-health-care-organizations Using a hypothetical scenario, the authors illustrate how to use the system…

4708. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72539/psn-pdf
      December 02, 2020 - Diagnostic Excellence Video Series December 2, 2020 Oakland, CA: Kaiser Permanente; 2020. https://psnet.ahrq.gov/issue/diagnostic-excellence-video-series Diagnostic reliability is a primary focus of patient safety improvement. This training program targets 17 topics that require attention to address diagnostic err…

4709. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39410/psn-pdf
      March 31, 2010 - Doctors fear work caps for residents may be bad medicine. March 31, 2010 Shapira I. https://psnet.ahrq.gov/issue/doctors-fear-work-caps-residents-may-be-bad-medicine This news piece examines the work week of resident physicians and discusses how further limiting trainees' work hours might reduce their experientia…

4710. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36073/psn-pdf
      September 28, 2010 - Patient safety: through the eyes of your peers. September 28, 2010 Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24. https://psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers The authors present a peer review model for analyzing nursing behavior and…

4711. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36115/psn-pdf
      September 28, 2010 - Safe prescribing: an educational intervention for medical students. September 28, 2010 Garbutt J, DeFer TM, Highstein G, et al. Safe prescribing: an educational intervention for medical students. Teach Learn Med. 2006;18(3):244-50. https://psnet.ahrq.gov/issue/safe-prescribing-educational-intervention-medical-stud…

4712. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42035/psn-pdf
      February 13, 2013 - Using Safety Cases in Industry and Healthcare. February 13, 2013 London, UK: Health Foundation; December 2012. ISBN: 9781906461430.  https://psnet.ahrq.gov/issue/using-safety-cases-industry-and-healthcare This report details how high-risk industries use safety cases to identify, evaluate, address, and monitor …

4713. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38001/psn-pdf
      July 14, 2010 - Safety skills for clinicians: an essential component of patient safety. July 14, 2010 Taylor-Adams S, Brodie A, Vincent CA. Safety Skills for Clinicians. J Patient Saf. 2008;4(3):141-147. doi:10.1097/pts.0b013e3181809631. https://psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety Thi…

4714. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35247/psn-pdf
      December 17, 2008 - Review of the Australian Incident Monitoring System. December 17, 2008 Spigelman AD, Swan J. Review of the Australian incident monitoring system. ANZ J Surg. 2005;75(8):657- 61. https://psnet.ahrq.gov/issue/review-australian-incident-monitoring-system The authors surveyed users of the Australian Incident Monitorin…

4715. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41599/psn-pdf
      August 15, 2012 - The concept of error and malpractice in radiology. August 15, 2012 Pinto A, Brunese L, Pinto F, et al. The concept of error and malpractice in radiology. Semin Ultrasound CT MR. 2012;33(4):275-9. doi:10.1053/j.sult.2012.01.009. https://psnet.ahrq.gov/issue/concept-error-and-malpractice-radiology This commentary di…

4716. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40650/psn-pdf
      July 27, 2011 - Level IV evidence—adverse anecdote and clinical practice. July 27, 2011 Stuebe AM. Level IV evidence--adverse anecdote and clinical practice. N Engl J Med. 2011;365(1):8-9. doi:10.1056/NEJMp1102632. https://psnet.ahrq.gov/issue/level-iv-evidence-adverse-anecdote-and-clinical-practice This perspective describes ho…

4717. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41146/psn-pdf
      February 15, 2012 - Adverse events: root causes and latent factors. February 15, 2012 Karl R, Karl MC. Adverse events: root causes and latent factors. Surg Clin North Am. 2012;92(1):89-100. doi:10.1016/j.suc.2011.12.003. https://psnet.ahrq.gov/issue/adverse-events-root-causes-and-latent-factors This commentary uses scenarios to illus…

4718. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - The authors also presented evidence that it was cost-effective and detailed implementation lessons learned

4719. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

4720. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. November 30, 2007 Wojcieszak D. https://psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions The author, who lost his brother to medical error, reflects on his family's frustrating experience …