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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855090/psn-pdf
    January 01, 2024 - Supporting nurses in acute and emergency care settings to speak up. November 8, 2023 Clarke-Romain B. Supporting nurses in acute and emergency care settings to speak up. Emerg Nurse. 2024;32(3):16-21. doi:10.7748/en.2023.e2162. https://psnet.ahrq.gov/issue/supporting-nurses-acute-and-emergency-care-settings-speak …

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44794/psn-pdf
    May 21, 2019 - Medical Device Use Error: Root Cause Analysis. May 21, 2019 Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. https://psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis Applying human factors engineering to examine mistakes associated with medical device use can lead …

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34061/psn-pdf
    January 04, 2017 - Patient Safety Leadership WalkRounds. January 4, 2017 Frankel A, Graydon-Baker E, Neppl C, et al. Patient Safety Leadership WalkRounds. Jt Comm J Qual Saf. 2003;29(1). doi:10.1016/s1549-3741(03)29003-1. https://psnet.ahrq.gov/issue/patient-safety-leadership-walkrounds This study shares the concept of an interventi…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46478/psn-pdf
    March 27, 2018 - Promote a culture of safety with good catch reports. March 27, 2018 Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14. https://psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports Near misses or good catches present organizations with learning opportunities. Using data compariso…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47555/psn-pdf
    November 14, 2018 - How one hospital improved patient safety in 10 minutes a day. November 14, 2018 van der Heijde R, Deichmann D. Harv Bus Rev. October 30, 2018. https://psnet.ahrq.gov/issue/how-one-hospital-improved-patient-safety-10-minutes-day Aviation continues to provide inspiration for patient safety innovation. This commentar…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47970/psn-pdf
    May 01, 2019 - Can we import improvements from industry to healthcare? May 1, 2019 Macrae C, Stewart K. Can we import improvements from industry to healthcare? BMJ. 2019;364:l1039. doi:10.1136/bmj.l1039. https://psnet.ahrq.gov/issue/can-we-import-improvements-industry-healthcare Principles from high-risk industries can be appli…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/863221/psn-pdf
    February 28, 2024 - Using artificial intelligence to improve primary care for patients and clinicians. February 28, 2024 Sarkar U, Bates DW. Using artificial intelligence to improve primary care for patients and clinicians. JAMA Intern Med. 2024;184(4):343-344. doi:10.1001/jamainternmed.2023.7965. https://psnet.ahrq.gov/issue/using-a…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47253/psn-pdf
    September 05, 2018 - Curriculum development and implementation of a national interprofessional fellowship in patient safety. September 5, 2018 Watts B, Williams L, Mills PD, et al. Curriculum Development and Implementation of a National Interprofessional Fellowship in Patient Safety. J Patient Saf. 2018;14(3):127-132. doi:10.1097/PTS.…

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46551/psn-pdf
    October 25, 2017 - Inpatient notes: diagnostic excellence starts with an incessant watch. October 25, 2017 Dhaliwal G. Annals for Hospitalists Inpatient Notes - Diagnostic Excellence Starts With an Incessant Watch. Ann Intern Med. 2017;167(8):HO2-HO3. doi:10.7326/m17-2447. https://psnet.ahrq.gov/issue/inpatient-notes-diagnostic-exce…

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45440/psn-pdf
    November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected over time in large organizations. This perspective describ…

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47341/psn-pdf
    August 29, 2018 - AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. August 29, 2018 AORN Position Statement on Criminalization of Human Errors in the Perioperative Setting. AORN J. 2018;108(1):64-65. doi:10.1002/aorn.12292. https://psnet.ahrq.gov/issue/aorn-position-statement-criminalization-h…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851199/psn-pdf
    July 05, 2023 - Understanding the root cause analysis process to increase safety event reporting. July 5, 2023 Dudley KA. Understanding the root cause analysis process to increase safety event reporting. AORN J. 2023;117(6):399-402. doi:10.1002/aorn.13935. https://psnet.ahrq.gov/issue/understanding-root-cause-analysis-process-inc…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43178/psn-pdf
    July 28, 2014 - Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. July 28, 2014 Vincent CA, Burnett S, Carthey J. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining s…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38509/psn-pdf
    April 01, 2009 - Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. April 1, 2009 Pape H-C, Pfeifer R. Restricted duty hours for surgeons and impact on residents quality of life, education, and patient care: a literature review. Patient Saf Surg. 2009;3(1):…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44682/psn-pdf
    March 15, 2016 - On resident duty hour restrictions and neurosurgical training: review of the literature. March 15, 2016 Bina RW, Lemole M, Dumont TM. On resident duty hour restrictions and neurosurgical training: review of the literature. J Neurosurg. 2016;124(3):842-8. doi:10.3171/2015.3.JNS142796. https://psnet.ahrq.gov/issue/r…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44425/psn-pdf
    February 24, 2016 - Dangerous doses. February 24, 2016 Roe S, King K. Chicago Tribune. February 10–13, 2016. https://psnet.ahrq.gov/issue/dangerous-doses Drug interactions can be hazardous to patients, particularly when combined with risk factors such as age and use of medications for chronic conditions. This series of news reports d…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838141/psn-pdf
    September 21, 2022 - New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. September 21, 2022 Lovelace Jr, B. NBC News. September 7, 2022. https://psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors Look-alike sound-alike packaging is a known risk factor in medi…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865974/psn-pdf
    May 29, 2024 - Minimizing bias when using artificial intelligence in critical care medicine. May 29, 2024 Ranard BL, Park S, Jia Y, et al. Minimizing bias when using artificial intelligence in critical care medicine. J Crit Care. 2024;82:154796. doi:10.1016/j.jcrc.2024.154796. https://psnet.ahrq.gov/issue/minimizing-bias-when-us…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44625/psn-pdf
    November 20, 2015 - State-of-the-art usage of simulation in anesthesia: skills and teamwork. November 20, 2015 Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257. https://psnet.ahrq.gov/issue/state-art-usage-simulati…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44888/psn-pdf
    April 06, 2016 - Transforming the morbidity and mortality conference to promote safety and quality in a PICU. April 6, 2016 Cifra CL, Bembea MM, Fackler JC, et al. Transforming the morbidity and mortality conference to promote safety and quality in a PICU. Crit Care Med. 2016;17(1):58-66. doi:10.1097/PCC.0000000000000539. https://…
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