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Showing results for "learned".

  1. The REPAIR Project. | PSNet

    psnet.ahrq.gov/issue/repair-project
    March 27, 2005 - Multi-use Website The REPAIR Project. Citation Text: The REPAIR Project. University of California San Francisco, San Francisco, CA. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

  2. The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. | PSNet

    psnet.ahrq.gov/issue/handbook-patient-safety-compliance-practical-guide-health-care-organizations
    February 07, 2019 - Book/Report The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Citation Text: The Handbook of Patient Safety Compliance: A Practical Guide for Health Care Organizations. Rozovsky FA, Woods JR. San Francisco, CA: Jossey-Bass; 2005. ISBN 97807879651…

  3. Building patient safety skills: common pitfalls when conducting a root cause analysis. | PSNet

    psnet.ahrq.gov/issue/building-patient-safety-skills-common-pitfalls-when-conducting-root-cause-analysis
    May 07, 2018 - Newspaper/Magazine Article Building patient safety skills: common pitfalls when conducting a root cause analysis. Citation Text: Building patient safety skills: common pitfalls when conducting a root cause analysis. ISMP Medication Safety Alert! Acute Care Edition. April 22, 2010;15:1-4.…

  4. Reporting and second-order problem solving can turn short-term fixes into long-term remedies. | PSNet

    psnet.ahrq.gov/issue/reporting-and-second-order-problem-solving-can-turn-short-term-fixes-long-term-remedies
    May 07, 2018 - Newspaper/Magazine Article Reporting and second-order problem solving can turn short-term fixes into long-term remedies. Citation Text: Reporting and second-order problem solving can turn short-term fixes into long-term remedies. ISMP Medication Safety Alert! Acute Care Edition. May 19, …

  5. Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. | PSNet

    psnet.ahrq.gov/issue/wall-silence-untold-story-medical-mistakes-kill-and-injure-millions-americans
    January 30, 2003 - Book/Report Classic Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Citation Text: Wall of Silence: The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans. Gibson R, Singh JP. Was…

  6. Strengthen your resolve: no unlabeled containers anywhere, ever! | PSNet

    psnet.ahrq.gov/issue/strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
    November 16, 2015 - Newspaper/Magazine Article Strengthen your resolve: no unlabeled containers anywhere, ever! Citation Text: Strengthen your resolve: no unlabeled containers anywhere, ever! ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4. Copy Citation Save …

  7. Patient safety: through the eyes of your peers. | PSNet

    psnet.ahrq.gov/issue/patient-safety-through-eyes-your-peers
    August 11, 2021 - Commentary Patient safety: through the eyes of your peers. Citation Text: Bry K, Stettner B, Marks J. Patient safety: through the eyes of your peers. Nurs Manage. 2006;37(6):20-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…

  8. Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. | PSNet

    psnet.ahrq.gov/issue/safety-ethics-cases-aviation-healthcare-and-occupational-and-environmental-health
    August 02, 2016 - Book/Report Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Citation Text: Safety Ethics: Cases from Aviation, Healthcare and Occupational and Environmental Health. Patankar MS, Brown JP, Treadwell MD. Burlington VT: Ashgate; 2005. ISBN: 97807546…

  9. Dennis Quaid files suit over drug mishap. | PSNet

    psnet.ahrq.gov/issue/dennis-quaid-files-suit-over-drug-mishap
    September 20, 2023 - Newspaper/Magazine Article Dennis Quaid files suit over drug mishap. Citation Text: Dennis Quaid files suit over drug mishap. Ornstein C. Los Angeles Times. September 16, 2014. Copy Citation Save Save to your library Print Download PDF Share …

  10. Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care | PSNet

    psnet.ahrq.gov/issue/actionable-patient-safety-solutions-apss-creating-foundation-safe-and-reliable-care
    June 01, 2023 - Book/Report Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Citation Text: Actionable Patient Safety Solutions (APSS): Creating a Foundation for Safe and Reliable Care Irvine, CA: The Patient Safety Movement; 2020. Copy Citation …

  11. Hospitals installed more sinks to stop infections. The sinks can make the problem worse. | PSNet

    psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
    October 05, 2016 - Newspaper/Magazine Article Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Citation Text: Hospitals installed more sinks to stop infections. The sinks can make the problem worse. Branswell H. STAT. October 25, 2016. Copy Citation …

  12. Medication safety issues with newly authorized PAXLOVID. | PSNet

    psnet.ahrq.gov/issue/medication-safety-issues-newly-authorized-paxlovid
    May 07, 2018 - Press Release/Announcement Medication safety issues with newly authorized PAXLOVID. Citation Text: Medication safety issues with newly authorized PAXLOVID. Institute for Safe Medication Practices. Medication Safety Alerts. January 3, 2022. Copy Citation Save …

  13. Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. | PSNet

    psnet.ahrq.gov/issue/organisational-safety-indicators-some-conceptual-considerations-and-supplementary-qualitative
    August 03, 2016 - Commentary Organisational safety indicators: some conceptual considerations and a supplementary qualitative approach. Citation Text: Kongsvik T, Almklov P, Fenstad J. Organisational safety indicators: Some conceptual considerations and a supplementary qualitative approach. Saf Sci. 20…

  14. Geisinger Health System's plan to fix America's health care. | PSNet

    psnet.ahrq.gov/issue/geisinger-health-systems-plan-fix-americas-health-care
    October 18, 2017 - Newspaper/Magazine Article Geisinger Health System's plan to fix America's health care. Citation Text: Geisinger Health System's plan to fix America's health care. Carbonara P. Fast Company. October 2008. Copy Citation Save Save to your library Print …

  15. The competent surgeon: individual accountability in the era of "systems" failure. | PSNet

    psnet.ahrq.gov/issue/competent-surgeon-individual-accountability-era-systems-failure
    May 30, 2014 - Commentary The competent surgeon: individual accountability in the era of "systems" failure. Citation Text: Whittemore A. The competent surgeon: individual accountability in the era of "systems" failure. Ann Surg. 2009;250(3):357-62. doi:10.1097/SLA.0b013e3181b28c93. Copy Citation …

  16. The evolution of the apology. | PSNet

    psnet.ahrq.gov/issue/evolution-apology
    September 29, 2010 - Commentary The evolution of the apology. Citation Text: Newfield JS. The Evolution of the Apology. Home Health Care Manag Pract. 2007;19(2). doi:10.1177/1084822306294456. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId …

  17. Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. | PSNet

    psnet.ahrq.gov/issue/seattle-pilots-misdiagnosis-highlights-challenges-around-coronavirus-testing
    March 21, 2007 - Newspaper/Magazine Article Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. Citation Text: Seattle pilot’s misdiagnosis highlights challenges around coronavirus testing. Malone P, Kamb L. Seattle Times. March 30, 2020. Copy Citation Save…

  18. Anesthesia outside of the OR: cause for patient safety concerns? | PSNet

    psnet.ahrq.gov/issue/anesthesia-outside-or-cause-patient-safety-concerns
    May 25, 2022 - Newspaper/Magazine Article Anesthesia outside of the OR: cause for patient safety concerns? Citation Text: Anesthesia outside of the OR: cause for patient safety concerns? DePeau-Wilson M. MedPage Today. January 13, 2023. Copy Citation Save Save to your library …

  19. A piece of my mind. Snakes on a dock. | PSNet

    psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
    March 15, 2016 - Commentary A piece of my mind. Snakes on a dock. Citation Text: Detsky AS. Snakes on a Dock. JAMA. 2016;316(10):1043-4. doi:10.1001/jama.2016.5179. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  20. Is consent required for publication of medical errors? | PSNet

    psnet.ahrq.gov/issue/consent-required-publication-medical-errors
    March 18, 2011 - Commentary Is consent required for publication of medical errors? Citation Text: Weisbaum K, Hyland S, Bernstein M. Is consent required for publication of medical errors? Healthc Q. 2005;8(4):66-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote …
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