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Showing results for "learned".

  1. Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. | PSNet

    psnet.ahrq.gov/issue/stepping-out-further-shadows-disclosure-harmful-radiologic-errors-patients
    April 21, 2011 - Commentary Stepping out further from the shadows: disclosure of harmful radiologic errors to patients. Citation Text: Brown SD, Lehman CD, Truog RD, et al. Stepping Out Further from the Shadows: Disclosure of Harmful Radiologic Errors to Patients. Radiology. 2012;262(2):381-386. doi:10…

  2. The role of the chief executive officer in maximizing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-chief-executive-officer-maximizing-patient-safety
    January 03, 2017 - Newspaper/Magazine Article The role of the chief executive officer in maximizing patient safety. Citation Text: Shorr AS. The role of the chief executive officer in maximizing patient safety. Healthcare executive. 2007;22(2):20-2, 24, 26. Copy Citation Format: Google Scho…

  3. Laura Levis' death outside ER has changed hospital signage, lighting in Mass. | PSNet

    psnet.ahrq.gov/issue/laura-levis-death-outside-er-has-changed-hospital-signage-lighting-mass
    May 05, 2021 - Newspaper/Magazine Article Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Citation Text: Laura Levis' death outside ER has changed hospital signage, lighting in Mass. Mullins L, Menard F. WBUR. April 27, 2023. Copy Citation Save Sa…

  4. Drug shortages: national survey reveals high level of frustration, low level of safety. | PSNet

    psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
    April 05, 2023 - Newspaper/Magazine Article Drug shortages: national survey reveals high level of frustration, low level of safety. Citation Text: Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…

  5. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. | PSNet

    psnet.ahrq.gov/issue/4-days-hospital-thought-he-had-just-pneumonia-it-was-coronavirus
    November 29, 2023 - Newspaper/Magazine Article For 4 days, the hospital thought he had just pneumonia. It was coronavirus. Citation Text: Goldstein J, Salcedo A. For 4 days, the hospital thought he had just pneumonia. It was coronavirus. New York Times. 2020;March 10. Copy Citation Format: Goo…

  6. 'You talking to me?' Docs and feedback. | PSNet

    psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback
    January 17, 2018 - Newspaper/Magazine Article 'You talking to me?' Docs and feedback. Citation Text: Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…

  7. Improving operating room and perioperative safety: background and specific recommendations. | PSNet

    psnet.ahrq.gov/issue/improving-operating-room-and-perioperative-safety-background-and-specific-recommendations
    August 29, 2011 - Commentary Improving operating room and perioperative safety: background and specific recommendations. Citation Text: Schimpff SC. Improving operating room and perioperative safety: background and specific recommendations. Surg Innov. 2007;14(2):127-35. Copy Citation Format: …

  8. ASPEN parenteral nutrition safety consensus recommendations: translation into practice. | PSNet

    psnet.ahrq.gov/issue/aspen-parenteral-nutrition-safety-consensus-recommendations-translation-practice
    February 17, 2015 - Commentary ASPEN parenteral nutrition safety consensus recommendations: translation into practice. Citation Text: Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations: translation into practice. Nutr Clin Pract. 2014;29(3):277-82. doi:10.…

  9. Educational interventions to reduce prescribing errors. | PSNet

    psnet.ahrq.gov/issue/educational-interventions-reduce-prescribing-errors
    October 19, 2022 - Study Educational interventions to reduce prescribing errors. Citation Text: Conroy S, North C, Fox T, et al. Educational interventions to reduce prescribing errors. Arch Dis Child. 2008;93(4):313-5. doi:10.1136/adc.2007.127761. Copy Citation Format: DOI Google Scholar Pu…

  10. Ethical and practical aspects of disclosing adverse events in the emergency department. | PSNet

    psnet.ahrq.gov/issue/ethical-and-practical-aspects-disclosing-adverse-events-emergency-department
    April 04, 2011 - Review Ethical and practical aspects of disclosing adverse events in the emergency department. Citation Text: Stokes SL, Wu AW, Pronovost P. Ethical and practical aspects of disclosing adverse events in the emergency department. Emerg Med Clin North Am. 2006;24(3):703-714. Copy Citat…

  11. Health plan members' views about disclosure of medical errors. | PSNet

    psnet.ahrq.gov/issue/health-plan-members-views-about-disclosure-medical-errors
    November 15, 2011 - Study Classic Health plan members' views about disclosure of medical errors. Citation Text: Mazor KM, Simon SR, Yood RA, et al. Health plan members' views about disclosure of medical errors. Ann Intern Med. 2004;140(6):409-18. Copy Citation Format: …

  12. Confronting medical errors in oncology and disclosing them to cancer patients. | PSNet

    psnet.ahrq.gov/issue/confronting-medical-errors-oncology-and-disclosing-them-cancer-patients
    September 01, 2018 - Commentary Confronting medical errors in oncology and disclosing them to cancer patients. Citation Text: Surbone A, Rowe M, Gallagher TH. Confronting medical errors in oncology and disclosing them to cancer patients. J Clin Oncol. 2007;25(12):1463-7. Copy Citation Format: …

  13. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. | PSNet

    psnet.ahrq.gov/issue/assessment-potential-impact-reminder-system-reduction-diagnostic-errors-quasi-experimental
    April 19, 2011 - Study Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a quasi-experimental study. Citation Text: Ramnarayan P, Roberts GC, Coren M, et al. Assessment of the potential impact of a reminder system on the reduction of diagnostic errors: a qua…

  14. Ethical issues in patient safety. | PSNet

    psnet.ahrq.gov/issue/ethical-issues-patient-safety
    November 02, 2014 - Commentary Ethical issues in patient safety. Citation Text: Leape L. Ethical issues in patient safety. Thorac Surg Clin. 2005;15(4):493-501. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cita…

  15. Hospital bosses ignored months of doctors' warnings about Lucy Letby. | PSNet

    psnet.ahrq.gov/issue/hospital-bosses-ignored-months-doctors-warnings-about-lucy-letby
    September 01, 2010 - Newspaper/Magazine Article Hospital bosses ignored months of doctors' warnings about Lucy Letby. Citation Text: Hospital bosses ignored months of doctors' warnings about Lucy Letby. Moritz J, Coffey J, Buchanan M. BBC News. August 19, 2023. Copy Citation Save Save…

  16. Governing the surgical count through communication interactions: implications for patient safety. | PSNet

    psnet.ahrq.gov/issue/governing-surgical-count-through-communication-interactions-implications-patient-safety
    November 06, 2015 - Study Governing the surgical count through communication interactions: implications for patient safety. Citation Text: Riley R, Manias E, Polglase A. Governing the surgical count through communication interactions: implications for patient safety. Qual Saf Health Care. 2006;15(5):369-3…

  17. The tension between promoting mobility and preventing falls in the hospital. | PSNet

    psnet.ahrq.gov/issue/tension-between-promoting-mobility-and-preventing-falls-hospital
    April 24, 2018 - Commentary The tension between promoting mobility and preventing falls in the hospital. Citation Text: Growdon ME, Shorr RI, Inouye SK. The Tension Between Promoting Mobility and Preventing Falls in the Hospital. JAMA Intern Med. 2017;177(6):759-760. doi:10.1001/jamainternmed.2017.0840. …

  18. Josie's Story: A Patient Safety Curriculum. | PSNet

    psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
    July 24, 2019 - Toolkit Josie's Story: A Patient Safety Curriculum. Citation Text: Josie's Story: A Patient Safety Curriculum. Kaprielian VS, Sullivan DT, eds. Chapel Hill, NC: Josie King Foundation; Duke University School of Medicine; 2013. Copy Citation Save Save to your librar…

  19. Guideline for prevention of retained surgical items. | PSNet

    psnet.ahrq.gov/issue/guideline-prevention-retained-surgical-items
    April 26, 2023 - Commentary Guideline for prevention of retained surgical items. Citation Text: Putnam K. Guideline for prevention of retained surgical items. AORN J. 2015;102(6):P11-P13. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  20. Eight-year experience with a neurosurgical checklist. | PSNet

    psnet.ahrq.gov/issue/eight-year-experience-neurosurgical-checklist
    September 27, 2023 - Study Eight-year experience with a neurosurgical checklist. Citation Text: Lyons MK. Eight-year experience with a neurosurgical checklist. Am J Med Qual. 2010;25(4):285-8. doi:10.1177/1062860610363305. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML …
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