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Showing results for "learned".

4741. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73412/psn-pdf
      August 01, 2022 - As a result of implementation, screening for IPV greatly increased, and healthcare teams learned about

4742. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
      February 01, 2007 - The essential difference is that it treats the physician as the "learned intermediary" (to borrow a phrase … —diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons learned

4743. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40794/psn-pdf
      June 10, 2018 - Telling true stories is an ISMP hallmark: here's why you should tell stories, too. June 10, 2018 ISMP Medication Safety Alert! Acute Care Edition. September 8, 2011;16:1-3. https://psnet.ahrq.gov/issue/telling-true-stories-ismp-hallmark-heres-why-you-should-tell-stories-too This piece describes storytelling as a s…

4744. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36196/psn-pdf
      November 01, 2012 - Myths and realities of the 80-hour work week. November 1, 2012 Schenarts PJ, Schenarts KDA, Rotondo MF. Myths and realities of the 80-hour work week. Curr Surg. 2006;63(4):269-274. https://psnet.ahrq.gov/issue/myths-and-realities-80-hour-work-week The authors reviewed the literature on the impact of resident work-…

4745. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35025/psn-pdf
      September 21, 2005 - A mediation skills model to manage disclosure of errors and adverse events to patients. September 21, 2005 Liebman CB, Hyman CS. A Mediation Skills Model To Manage Disclosure Of Errors And Adverse Events To Patients. Health Aff (Millwood). 2004;23(4):22-32. doi:10.1377/hlthaff.23.4.22. https://psnet.ahrq.gov/issue…

4746. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37536/psn-pdf
      February 01, 2011 - Improving patient safety by taking systems seriously. February 1, 2011 Shortell SM, Singer SJ. Improving patient safety by taking systems seriously. JAMA. 2008;299(4):445-447. doi:10.1001/jama.299.4.445. https://psnet.ahrq.gov/issue/improving-patient-safety-taking-systems-seriously The authors advocate that system…

4747. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36911/psn-pdf
      September 01, 2011 - Managing clinical failure: a complex adaptive system perspective. September 1, 2011 Matthews JI, Thomas PT. Managing clinical failure: a complex adaptive system perspective. Int J Health Care Qual Assur. 2007;20(3):184-194. doi:10.1108/09526860710743336. https://psnet.ahrq.gov/issue/managing-clinical-failure-compl…

4748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41524/psn-pdf
      November 05, 2013 - Creating a culture of safety by coaching clinicians to competence. November 5, 2013 Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. https://psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence …

4749. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47614/psn-pdf
      October 19, 2020 - Patient. October 19, 2020 Canadian Patient Safety Institute; https://psnet.ahrq.gov/issue/patient Patient stories and insights related to medical mishaps can inspire and motivate work to enhance health care safety. This annual podcast series uses patient accounts of medical errors to collaboratively explore solut…

4750. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36359/psn-pdf
      October 26, 2010 - How might acknowledging a medical error promote patient safety? October 26, 2010 Malaty W, Crane S. How might acknowledging a medical error promote patient safety? J Fam Pract. 2006;55(9):775-80. https://psnet.ahrq.gov/issue/how-might-acknowledging-medical-error-promote-patient-safety The authors present a case o…

4751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41387/psn-pdf
      May 18, 2012 - Surfing the Healthcare Tsunami: Bring Your Best Board. May 18, 2012 Austin, TX: Texas Medical Institute for Technology; 2012. https://psnet.ahrq.gov/issue/surfing-healthcare-tsunami-bring-your-best-board The second in a series, this documentary focuses on learning from other high-risk industries and engaging hospi…

4752. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42331/psn-pdf
      June 05, 2013 - Using the ABCs of situational awareness for patient safety. June 5, 2013 Cohen NL. Using the ABCs of situational awareness for patient safety. Nursing (Brux). 2013;43(4):64-5. doi:10.1097/01.NURSE.0000428332.23978.82. https://psnet.ahrq.gov/issue/using-abcs-situational-awareness-patient-safety This commentary exa…

4753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36571/psn-pdf
      January 05, 2017 - The Objective Structured Clinical Examination as an educational tool in patient safety. January 5, 2017 Varkey P, Natt N. The Objective Structured Clinical Examination as an educational tool in patient safety. Jt Comm J Qual Patient Saf. 2007;33(1):48-53. https://psnet.ahrq.gov/issue/objective-structured-clinical-…

4754. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36988/psn-pdf
      February 17, 2011 - An elusive balance — residents' work hours and the continuity of care. February 17, 2011 Okie S. An elusive balance--residents' work hours and the continuity of care. N Engl J Med. 2007;356(26):2665-2667. https://psnet.ahrq.gov/issue/elusive-balance-residents-work-hours-and-continuity-care The author discusses wo…

4755. In Conversation With… Urmimala Sarkar, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-urmimala-sarkar-md-mph
      August 22, 2014 - RW : Are there any other differences that make it hazardous to extrapolate things we've learned from … being partly we've never had the organizational model, partly finances, partly because physicians never learned … Safety in the Outpatient Setting While much of our progress will come from adapting the things we have learned

4756. Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. | PSNet
      psnet.ahrq.gov/issue/excess-cost-and-length-stay-associated-voluntary-patient-safety-event-reports-hospitals
      October 19, 2022 - Study Excess cost and length of stay associated with voluntary patient safety event reports in hospitals. Citation Text: Paradis AR, Stewart VT, Bayley KB, et al. Excess Cost and Length of Stay Associated With Voluntary Patient Safety Event Reports in Hospitals. American Journal of M…

4757. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. | PSNet
      psnet.ahrq.gov/issue/toward-translation-systems-thinking-methods-patient-safety-practice-assessing-validity-net
      April 21, 2021 - Study Toward the translation of systems thinking methods in patient safety practice: assessing the validity of Net-HARMS and AcciMap. Citation Text: Salmon PM, King B, Hulme A, et al. Toward the translation of systems thinking methods in patient safety practice: assessing the validity of…

4758. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. | PSNet
      psnet.ahrq.gov/issue/thematic-reviews-patient-safety-incidents-tool-systems-thinking-quality-improvement-report
      January 15, 2020 - Commentary Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. Citation Text: Machen S. Thematic reviews of patient safety incidents as a tool for systems thinking: a quality improvement report. BMJ Open Qual. 2023;12(2):e002020. doi…

4759. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet
      psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
      November 15, 2023 - Study Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. Citation Text: Tresfon J, van Winsen R, Brunsveld-Reinders AH, et al. Hospital ward incidents through the eyes of nurses - a thick description on the a…

4760. Morbidity and mortality conference in emergency medicine residencies and the culture of safety. | PSNet
      psnet.ahrq.gov/issue/morbidity-and-mortality-conference-emergency-medicine-residencies-and-culture-safety
      November 16, 2022 - Study Morbidity and mortality conference in emergency medicine residencies and the culture of safety. Citation Text: Aaronson E, Wittels KA, Nadel ES, et al. Morbidity and Mortality Conference in Emergency Medicine Residencies and the Culture of Safety. West J Emerg Med. 2015;16(6):810-7…