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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44027/psn-pdf
    April 15, 2015 - Hospital credentialing and privileging of surgeons: a potential safety blind spot. April 15, 2015 Pradarelli J, Campbell D, Dimick JB. Hospital credentialing and privileging of surgeons: a potential safety blind spot. JAMA. 2015;313(13):1313-4. doi:10.1001/jama.2015.1943. https://psnet.ahrq.gov/issue/hospital-cred…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73968/psn-pdf
    October 13, 2021 - Institution of just culture physician peer review in an academic medical center. October 13, 2021 Volkar JK, Phrampus P, English D, et al. Institution of just culture physician peer review in an academic medical center. J Patient Saf. 2021;17(7):e689-e693. doi:10.1097/pts.0000000000000449. https://psnet.ahrq.gov/i…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45278/psn-pdf
    September 07, 2016 - Medication double-checking procedures in clinical practice: a cross-sectional survey of oncology nurses' experiences. September 7, 2016 Schwappach DLB, Pfeiffer Y, Taxis K. Medication double-checking procedures in clinical practice: a cross- sectional survey of oncology nurses' experiences. BMJ Open. 2016;6(6). do…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73250/psn-pdf
    May 12, 2021 - Adverse events associated with home blood transfusion: a retrospective cohort study. May 12, 2021 Sharp R, Turner L, Altschwager J, et al. Adverse events associated with home blood transfusion: a retrospective cohort study. J Clin Nurs. 2021;30(11-12):1751-1759. doi:10.1111/jocn.15734. https://psnet.ahrq.gov/issue…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43423/psn-pdf
    August 12, 2014 - Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. August 12, 2014 Jones A, Kelly D. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. BMJ Qual Saf. 2014;23(9):709-13. doi:10.1136/bmjqs-2013-002718. https://psnet.a…

  6. Check the Wristband | PSNet

    psnet.ahrq.gov/web-mm/check-wristband
    August 03, 2009 - As the nurse recalled, “I learned a serious lesson, which I certainly had been taught in nursing school

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49450/psn-pdf
    June 01, 2004 - psnet.ahrq.gov//#references component of quality improvement.(10) The father might have been less angry had he learned

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49591/psn-pdf
    October 01, 2009 - I also learned that this work depended on having strong collaboration with physician leaders and so

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33841/psn-pdf
    September 01, 2017 - We've learned that even really well-designed software can be made very challenging for clinicians when

  10. In Conversation With... James P. Bagian, MD, PE | PSNet

    psnet.ahrq.gov/perspective/conversation-james-p-bagian-md-pe
    February 26, 2025 - We spoke with him about the RCA2 report and what we have learned about root cause analysis in health

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867010/psn-pdf
    October 23, 2024 - Patient safety culture in hospital settings across continents: a systematic review. October 23, 2024 Alabdullah H, Karwowski W. Patient safety culture in hospital settings across continents: a systematic review. Appl Sci. 2024;14(18):8496. doi:10.3390/app14188496. https://psnet.ahrq.gov/issue/patient-safety-cultur…

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47015/psn-pdf
    May 09, 2018 - How DeKalb Medical fixed drug safety problems after fatal error. May 9, 2018 Porter S. HealthLeaders Media. April 26, 2018. https://psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error Overreliance on technology can result in harmful medication mistakes. Reporting on a 10-fold medic…

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867396/psn-pdf
    December 18, 2024 - Mental Health Inpatient Settings: Creating Conditions for the Delivery of Safe and Therapeutic Care to Adults. December 18, 2024 Mental Health Inpatient Settings: Creating Conditions For The Delivery Of Safe And Therapeutic Care To Adults. Health Services Safety Investigations Body; October 2024. https://psnet.ahr…

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850173/psn-pdf
    June 07, 2023 - A national safety board made transportation safer and could do the same for health care, advocates say. June 7, 2023 Jaklevic MC. CNN. May 30, 2023. https://psnet.ahrq.gov/issue/national-safety-board-made-transportation-safer-and-could-do-same-health- care-advocates-say Patient safety has long drawn from aviation…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50451/psn-pdf
    October 09, 2019 - Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation October 9, 2019 Parker H, Farrell O, Bethune R, et al. Pharmacist-led, video-stimulated feedback to reduce prescribing errors in doctors-in-training: A mixed methods evaluation. Br J Clin Pharm…

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44470/psn-pdf
    October 13, 2015 - Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient safety. October 13, 2015 Walton M, Harrison R, Burgess A, et al. Workplace training for senior trainees: a systematic review and narrative synthesis of current approaches to promote patient …

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867635/psn-pdf
    February 26, 2025 - Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. February 26, 2025 Congdon M, Rasooly IR, Toto RL, et al. Diagnostic safety: needs assessment and informed curriculum at an academic children's hospital. Pediatr Qual Saf. 2024;9(6):e773. doi:10.1097/pq9.0000000000000773.…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42942/psn-pdf
    February 22, 2024 - Targeted Medication Safety Best Practices for Hospitals. February 22, 2024 Plymouth Meeting, PA: Institute for Safe Medication Practices; 2024. https://psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals This updated report outlines 22 consensus-based best practices to ensure safe medication ad…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34649/psn-pdf
    June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws on analogies from aviation to frame the issues of patient safety and …

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47670/psn-pdf
    March 20, 2019 - Targeting the fear of safety reporting on a unit level. March 20, 2019 Copeland D. Targeting the Fear of Safety Reporting on a Unit Level. J Nurs Adm. 2019;49(3):121-124. doi:10.1097/NNA.0000000000000724. https://psnet.ahrq.gov/issue/targeting-fear-safety-reporting-unit-level Blame culture in health care settings …
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