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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36882/psn-pdf
    February 24, 2011 - Resident perceptions of the impact of work hour limitations. February 24, 2011 Lin GA, Beck DC, Stewart AL, et al. Resident perceptions of the impact of work hour limitations. J Gen Intern Med. 2007;22(7):969-75. https://psnet.ahrq.gov/issue/resident-perceptions-impact-work-hour-limitations The investigators surv…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38198/psn-pdf
    May 05, 2018 - ISMP's second QuarterWatch report shows sharp increase in reports of serious adverse drug events. May 5, 2018 ISMP Medication Safety Alert! Acute Care Edition. October 23, 2008;13:1-3. https://psnet.ahrq.gov/issue/ismps-second-quarterwatch-report-shows-sharp-increase-reports-serious- adverse-drug-events This news…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74119/psn-pdf
    November 24, 2021 - When we're all responsible for a patient's death, no one is. November 24, 2021 Prasad V, Medpage Today. November 16, 2021. https://psnet.ahrq.gov/issue/when-were-all-responsible-patients-death-no-one The issue of system versus individual accountability can challenge the orientation of safety improvement effo…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34051/psn-pdf
    March 07, 2005 - A call to excellence. March 7, 2005 Clancy CM, Scully T. A call to excellence. Health Aff (Millwood). 2003;22(2):113-5. https://psnet.ahrq.gov/issue/call-excellence This commentary, written by leadership from the Agency for Healthcare and Research Quality (AHRQ) and the Centers for Medicare and Medicaid Services (…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42586/psn-pdf
    September 11, 2013 - A hazard of impatient medicine. September 11, 2013 Gunderman R, Lynch J, Harrell H. The Atlantic. September 3, 2013. https://psnet.ahrq.gov/issue/hazard-impatient-medicine This magazine article reports on the unique tension between efficiency mandates and patient-centered care through the example of a cancer patie…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38619/psn-pdf
    May 07, 2018 - Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter. May 7, 2018 ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2. https://psnet.ahrq.gov/issue/failed-check-system-chemotherapy-leads-pharmacists-no-contest-plea- involuntary-manslaughter …

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60998/psn-pdf
    October 07, 2020 - The slow, troubling death of the autopsy. October 7, 2020 Ashworth S. Elemental. September 22, 2020. https://psnet.ahrq.gov/issue/slow-troubling-death-autopsy The rate of autopsies – the “gold standard” of death investigation – are decreasing worldwide. This commentary highlights the lost opportunities for ho…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35426/psn-pdf
    September 15, 2009 - Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. September 15, 2009 Harris DM, Wu C-C. Medical malpractice in the People's Republic of China: the 2002 Regulation on the Handling of Medical Accidents. J Law Med Ethics. 2005;33(3):456-77. https://psnet.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45478/psn-pdf
    October 26, 2016 - Core principles of quality improvement and patient safety. October 26, 2016 Bartman T, McClead RE. Core Principles of Quality Improvement and Patient Safety. Pediatr Rev. 2016;37(10):407-417. https://psnet.ahrq.gov/issue/core-principles-quality-improvement-and-patient-safety This review discusses key patient safet…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34899/psn-pdf
    February 15, 2010 - Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. February 15, 2010 Raab SS, Nakhleh RE, Ruby SG. Patient safety in anatomic pathology: measuring discrepancy frequencies and causes. Arch Pathol Lab Med. 2005;129(4):459-466. https://psnet.ahrq.gov/issue/patient-safety-anatomic-path…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35946/psn-pdf
    July 26, 2010 - A review of educational philosophies as applied to radiation safety training at medical institutions. July 26, 2010 Dauer LT, St Germain J. A review of educational philosophies as applied to radiation safety training at medical institutions. Health Phys. 2006;90(5 Suppl):S67-72. https://psnet.ahrq.gov/issue/review…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60042/psn-pdf
    March 11, 2020 - At Walgreens, complaints of medication errors go missing. March 11, 2020 Gabler E. New York Times. February 23, 2020. https://psnet.ahrq.gov/issue/walgreens-complaints-medication-errors-go-missing Response to reported safety concerns is a primary indicator of an organizational commitment to reducing and lear…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37638/psn-pdf
    May 24, 2015 - Work hours regulations for house staff in psychiatry: bad or good for residency training? May 24, 2015 Rasminsky S, Lomonaco A, Auchincloss E. Work Hours Regulations for House Staff in Psychiatry: Bad or Good for Residency Training? Academic Psychiatry. 2008;32(1). doi:10.1176/appi.ap.32.1.54. https://psnet.ahrq.g…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35962/psn-pdf
    April 18, 2011 - Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. April 18, 2011 Smith AF, Goodwin D, Mort M, et al. Adverse events in anaesthetic practice: qualitative study of definition, discussion and reporting. Br J Anaesth. 2006;96(6):715-21. https://psnet.ahrq.gov/issue/adve…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74849/psn-pdf
    February 16, 2022 - Healthcare Systems Ergonomics and Patient Safety Triennial Conference. February 16, 2022 Delft University of Technology. Faculty Industrial Design Engineering. Delft, The Netherlands, November 2- 4, 2022 https://psnet.ahrq.gov/issue/healthcare-systems-ergonomics-and-patient-safety-triennial-conference Learning fr…

  16. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet

    psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
    November 23, 2016 - Study Getting the board on board: engaging hospital boards in quality and patient safety. Citation Text: Joshi MS, Hines S. Getting the board on board: Engaging hospital boards in quality and patient safety. Jt Comm J Qual Patient Saf. 2006;32(4):179-87. Copy Citation Format: …

  17. Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. | PSNet

    psnet.ahrq.gov/issue/patient-safety-related-hospital-deaths-england-thematic-analysis-incidents-reported-national
    October 31, 2014 - Study Patient-safety–related hospital deaths in England: thematic analysis of incidents reported to a national database, 2010–2012. Citation Text: Donaldson LJ, Panesar S, Darzi A. Patient-safety-related hospital deaths in England: thematic analysis of incidents reported to a national da…

  18. Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. | PSNet

    psnet.ahrq.gov/issue/using-simulation-augment-root-cause-analysis-patient-safety-incidents-tertiary-care-womens
    January 22, 2025 - Study Using simulation to augment root cause analysis for patient safety incidents at a tertiary care women's and children's hospital: a qualitative feasibility study. Citation Text: Burchell D, MacPhee S, Sinclair D, et al. Using simulation to augment root cause analysis for patient saf…

  19. Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. | PSNet

    psnet.ahrq.gov/issue/natural-language-processing-and-its-implications-future-medication-safety-narrative-review
    December 21, 2014 - Review Emerging Classic Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges. Citation Text: Wong A, Plasek JM, Montecalvo SP, et al. Natural Language Processing and Its Implic…

  20. Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. | PSNet

    psnet.ahrq.gov/issue/methodological-approaches-analyzing-medication-error-reports-patient-safety-reporting-systems
    May 11, 2022 - Review Methodological approaches for analyzing medication error reports in patient safety reporting systems: a scoping review. Citation Text: Tchijevitch O, Hansen SM-B, Hallas J, et al. Methodological approaches for analyzing medication error reports in patient safety reporting systems:…
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