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Showing results for "learned".

  1. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. | PSNet

    psnet.ahrq.gov/issue/surgical-leadership-culture-safety-inter-professional-study-metrics-and-tools-improving
    September 14, 2022 - Study Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for improving clinical practice. Citation Text: Gogalniceanu P, Kunduzi B, Ruckley C, et al. Surgical leadership in a culture of safety: an inter-professional study of metrics and tools for…

  2. Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. | PSNet

    psnet.ahrq.gov/issue/pharmacist-led-admission-medication-reconciliation-and-after-implementation-electronic
    January 15, 2025 - Study Pharmacist-led admission medication reconciliation before and after the implementation of an electronic medication management system. Citation Text: Sardaneh AA, Burke R, Ritchie A, et al. Pharmacist-led admission medication reconciliation before and after the implementation of an …

  3. How differences between manager and clinician perceptions of safety culture impact hospital processes of care. | PSNet

    psnet.ahrq.gov/issue/how-differences-between-manager-and-clinician-perceptions-safety-culture-impact-hospital
    December 21, 2018 - Study How differences between manager and clinician perceptions of safety culture impact hospital processes of care. Citation Text: Richter J, Mazurenko O, Kazley AS, et al. How Differences Between Manager and Clinician Perceptions of Safety Culture Impact Hospital Processes of Care. J P…

  4. Reaching the summit of discharge summaries: a quality improvement project. | PSNet

    psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
    March 17, 2021 - Study Reaching the summit of discharge summaries: a quality improvement project. Citation Text: Richmond RT, McFadzean IJ, Vallabhaneni P. Reaching the summit of discharge summaries: a quality improvement project. BMJ Open Qual. 2021;10(1):e001142. doi:10.1136/bmjoq-2020-001142. Copy C…

  5. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. | PSNet

    psnet.ahrq.gov/issue/organisational-strategies-implement-hospital-pressure-ulcer-prevention-programmes-findings
    June 02, 2021 - Study Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national survey. Citation Text: Soban LM, Kim L, Yuan AH, et al. Organisational strategies to implement hospital pressure ulcer prevention programmes: findings from a national surv…

  6. Clinical oversight: conceptualizing the relationship between supervision and safety. | PSNet

    psnet.ahrq.gov/issue/clinical-oversight-conceptualizing-relationship-between-supervision-and-safety
    June 23, 2010 - Study Clinical oversight: conceptualizing the relationship between supervision and safety. Citation Text: Kennedy TJT, Lingard LA, Baker R, et al. Clinical oversight: conceptualizing the relationship between supervision and safety. J Gen Intern Med. 2007;22(8):1080-5. Copy Citation …

  7. Novel telephone-based interactive voice response system for incident reporting. | PSNet

    psnet.ahrq.gov/issue/novel-telephone-based-interactive-voice-response-system-incident-reporting
    September 08, 2021 - Study Novel telephone-based interactive voice response system for incident reporting. Citation Text: McNiven B, Brown AD. Novel telephone-based interactive voice response system for incident reporting. Jt Comm J Qual Patient Saf. 2021;47(12):809-813. doi:10.1016/j.jcjq.2021.09.010. Cop…

  8. Internal reporting system to improve a pharmacy's medication distribution process. | PSNet

    psnet.ahrq.gov/issue/internal-reporting-system-improve-pharmacys-medication-distribution-process
    October 31, 2017 - Study Internal reporting system to improve a pharmacy's medication distribution process. Citation Text: Rickrode GA, Williams-Lowe ME, Rippe JL, et al. Internal reporting system to improve a pharmacy's medication distribution process. Am J Health Syst Pharm. 2007;64(11):1197-202. Cop…

  9. Efficacy of an incident-reporting system in cellular pathology: a practical experience. | PSNet

    psnet.ahrq.gov/issue/efficacy-incident-reporting-system-cellular-pathology-practical-experience
    August 21, 2024 - Study Efficacy of an incident-reporting system in cellular pathology: a practical experience. Citation Text: Rakha EA, Clark D, Chohan BS, et al. Efficacy of an incident-reporting system in cellular pathology: a practical experience. J Clin Pathol. 2012;65(7):643-8. doi:10.1136/jclinpa…

  10. Walking the plank: an experimental paradigm to investigate safety voice. | PSNet

    psnet.ahrq.gov/issue/walking-plank-experimental-paradigm-investigate-safety-voice
    January 18, 2023 - Study Walking the plank: an experimental paradigm to investigate safety voice. Citation Text: Noort MC, Reader TW, Gillespie A. Walking the Plank: An Experimental Paradigm to Investigate Safety Voice. Front Psychol. 2019;10:668. doi:10.3389/fpsyg.2019.00668. Copy Citation Format: …

  11. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet

    psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
    January 12, 2022 - Review A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. Citation Text: Ariaga A, Balzan D, Falzon S, et al. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. Expert Rev Clin Pharmac…

  12. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? | PSNet

    psnet.ahrq.gov/issue/do-emergency-physicians-attribute-drug-related-emergency-department-visits-medication-related
    April 22, 2011 - Study Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Citation Text: Hohl CM, Zed PJ, Brubacher JR, et al. Do emergency physicians attribute drug-related emergency department visits to medication-related problems? Ann Emerg Med…

  13. The perfect storm: exam of a medical error and factors contributing to its possible escalation. | PSNet

    psnet.ahrq.gov/issue/perfect-storm-exam-medical-error-and-factors-contributing-its-possible-escalation
    October 20, 2021 - Commentary The perfect storm: exam of a medical error and factors contributing to its possible escalation. Citation Text: Walters GK. The perfect storm: exam of a medical error and factors contributing to its possible escalation. J Patient Saf. 2021;17(4):e264-e267. doi:10.1097/pts.00000…

  14. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/validation-second-victim-experience-and-support-tool-revised-neonatal-intensive-care-unit
    September 24, 2017 - Study Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. Citation Text: Winning AM, Merandi J, Rausch JR, et al. Validation of the second victim experience and support tool-revised in the neonatal intensive care unit. J Patient Saf. 2…

  15. Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. | PSNet

    psnet.ahrq.gov/issue/quality-indicators-implementation-safety-promotion-towards-valid-and-reliable-global
    February 03, 2010 - Study Quality indicators for implementation of safety promotion: towards valid and reliable global certification of local programmes. Citation Text: Timpka T, Nordqvist C, Festin K, et al. Quality indicators for implementation of safety promotion: towards valid and reliable global cert…

  16. An organization-specific and modifiable inpatient safety composite measure. | PSNet

    psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
    June 14, 2023 - Commentary An organization-specific and modifiable inpatient safety composite measure. Citation Text: Smith PK, Amster A. An Organization-Specific and Modifiable Inpatient Safety Composite Measure. Jt Comm J Qual Patient Saf. 2019;45(4):304-314. doi:10.1016/j.jcjq.2018.11.005. Copy Cit…

  17. How prevalent are hazardous attitudes among orthopaedic surgeons? | PSNet

    psnet.ahrq.gov/issue/how-prevalent-are-hazardous-attitudes-among-orthopaedic-surgeons
    March 14, 2018 - Study How prevalent are hazardous attitudes among orthopaedic surgeons? Citation Text: Bruinsma WE, Becker SJE, Guitton TG, et al. How prevalent are hazardous attitudes among orthopaedic surgeons? Clin Orthop Relat Res. 2015;473(5):1582-9. doi:10.1007/s11999-014-3966-2. Copy Citation …

  18. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. | PSNet

    psnet.ahrq.gov/issue/risk-adjusted-cumulative-sum-early-detection-hospitals-excess-perioperative-mortality
    August 14, 2019 - Study Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. Citation Text: Chen VW, Chidi AP, Dong Y, et al. Risk-adjusted cumulative sum for early detection of hospitals with excess perioperative mortality. JAMA Surg. 2023;158(11):1176. doi:1…

  19. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. | PSNet

    psnet.ahrq.gov/issue/risk-adverse-drug-events-neonates-treated-opioids-and-effect-bar-code-assisted-medication
    May 21, 2009 - Study Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Risk of adverse drug events in neonates treated with opioids and the effect of a bar-cod…

  20. Laboratory testing in general practice: a patient safety blind spot. | PSNet

    psnet.ahrq.gov/issue/laboratory-testing-general-practice-patient-safety-blind-spot
    July 29, 2015 - Commentary Laboratory testing in general practice: a patient safety blind spot. Citation Text: Elder NC. Laboratory testing in general practice: a patient safety blind spot. BMJ Qual Saf. 2015;24(11):667-70. doi:10.1136/bmjqs-2015-004644. Copy Citation Format: DOI Google Sc…
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