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Showing results for "learned".

  1. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. | PSNet

    psnet.ahrq.gov/issue/towards-framework-select-techniques-error-prediction-supporting-novice-users-healthcare
    March 28, 2011 - Review Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Citation Text: Lyons M. Towards a framework to select techniques for error prediction: supporting novice users in the healthcare sector. Appl Ergon. 2009;40(3):379-95…

  2. Challenges and opportunities of patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/challenges-and-opportunities-patient-safety-event-reporting
    June 23, 2021 - Commentary Challenges and opportunities of patient safety event reporting. Citation Text: Gong Y. Challenges and opportunities of patient safety event reporting. Stud Health Technol Inform. 2022;291:133-150. doi:10.3233/shti220014. Copy Citation Format: DOI Google Scholar B…

  3. Failure mode and effect analysis: a technique to prevent chemotherapy errors. | PSNet

    psnet.ahrq.gov/issue/failure-mode-and-effect-analysis-technique-prevent-chemotherapy-errors
    May 30, 2008 - Commentary Failure mode and effect analysis: a technique to prevent chemotherapy errors. Citation Text: Sheridan-Leos N, Schulmeister L, Hartranft S. Failure mode and effect analysis: a technique to prevent chemotherapy errors. Clin J Oncol Nurs. 2006;10(3):393-8. Copy Citation F…

  4. Medication administration errors: understanding the issues. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
    December 15, 2011 - Review Medication administration errors: understanding the issues. Citation Text: McBride-Henry K, Foureur M. Medication administration errors: understanding the issues. Aust J Adv Nurs. 2006;23(3):33-41. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…

  5. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. | PSNet

    psnet.ahrq.gov/issue/what-patient-really-taking-discrepancies-between-surgery-and-anesthesiology-preoperative
    August 04, 2021 - Study What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. Citation Text: Burda SA, Hobson D, Pronovost PJ. What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication hist…

  6. Beyond negligence: avoidability and medical injury compensation. | PSNet

    psnet.ahrq.gov/issue/beyond-negligence-avoidability-and-medical-injury-compensation
    February 17, 2011 - Study Beyond negligence: avoidability and medical injury compensation. Citation Text: Kachalia A, Mello MM, Brennan TA, et al. Beyond negligence: avoidability and medical injury compensation. Soc Sci Med. 2008;66(2):387-402. Copy Citation Format: Google Scholar PubMed Bib…

  7. The role of medical liability reform in federal health care reform. | PSNet

    psnet.ahrq.gov/issue/role-medical-liability-reform-federal-health-care-reform
    May 20, 2015 - Commentary The role of medical liability reform in federal health care reform. Citation Text: Mello MM, Brennan TA. The role of medical liability reform in federal health care reform. N Engl J Med. 2009;361(1):1-3. doi:10.1056/NEJMp0903765. Copy Citation Format: DOI Google …

  8. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. | PSNet

    psnet.ahrq.gov/issue/importance-teamwork-communication-and-culture-failure-rescue-elderly
    April 04, 2011 - Review Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Citation Text: Ghaferi AA, Dimick JB. Importance of teamwork, communication and culture on failure-to-rescue in the elderly. Br J Surg. 2016;103(2):e47-51. doi:10.1002/bjs.10031. Copy Citation…

  9. Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. | PSNet

    psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
    January 13, 2016 - Commentary Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. Citation Text: Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant …

  10. Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. | PSNet

    psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
    January 06, 2017 - Commentary Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. Citation Text: Smith SR, Clancy CM. Medication therapy management programs: forming a new cornerstone for quality and safety in medicare. Am J Med Qual. 2006;21(4):276-9. …

  11. When good doctors go bad: a systems problem. | PSNet

    psnet.ahrq.gov/issue/when-good-doctors-go-bad-systems-problem
    November 02, 2014 - Commentary When good doctors go bad: a systems problem. Citation Text: Leape L. When good doctors go bad: a systems problem. Ann Surg. 2006;244(5):649-652. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  12. Nontechnical skills in pediatric surgery: factors influencing operative performance. | PSNet

    psnet.ahrq.gov/issue/nontechnical-skills-pediatric-surgery-factors-influencing-operative-performance
    June 12, 2008 - Commentary Nontechnical skills in pediatric surgery: factors influencing operative performance. Citation Text: Youngson GG. Nontechnical skills in pediatric surgery: Factors influencing operative performance. J Pediatr Surg. 2016;51(2):226-30. doi:10.1016/j.jpedsurg.2015.10.062. Copy C…

  13. From tragedy to advocacy. | PSNet

    psnet.ahrq.gov/issue/tragedy-advocacy
    October 05, 2016 - Newspaper/Magazine Article From tragedy to advocacy. Citation Text: DerGurahian J. From tragedy to advocacy. Modern healthc. 2009;39(36):6-7, 12, 1. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Downloa…

  14. Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. | PSNet

    psnet.ahrq.gov/issue/culture-work-aviation-and-medicine-national-organizational-and-professional-influences
    November 03, 2021 - Book/Report Classic Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Citation Text: Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. Helmreich RL, Merritt AC. Brookfi…

  15. A new method to guard inpatient medication safety by the implementation of RFID. | PSNet

    psnet.ahrq.gov/issue/new-method-guard-inpatient-medication-safety-implementation-rfid
    June 29, 2011 - Study A new method to guard inpatient medication safety by the implementation of RFID. Citation Text: Sun PR, Wang BH, Wu F. A new method to guard inpatient medication safety by the implementation of RFID. J Med Syst. 2008;32(4):327-32. Copy Citation Format: Google Schola…

  16. Frequency and type of errors and near errors reported by critical care nurses. | PSNet

    psnet.ahrq.gov/issue/frequency-and-type-errors-and-near-errors-reported-critical-care-nurses
    June 21, 2006 - Study Frequency and type of errors and near errors reported by critical care nurses. Citation Text: Frequency and type of errors and near errors reported by critical care nurses. Balas MC; Scott LD; Rogers AE. Copy Citation Save Save to your library Pri…

  17. Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. | PSNet

    psnet.ahrq.gov/issue/solicitation-written-comments-draft-national-action-plan-adverse-drug-event-prevention
    October 21, 2016 - Government Resource Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Citation Text: Solicitation for written comments on draft National Action Plan for Adverse Drug Event Prevention. Federal Register. Washington, DC: Office of Disease…

  18. Engaging Patients for Patient Safety: Advocacy Brief. | PSNet

    psnet.ahrq.gov/issue/engaging-patients-patient-safety-advocacy-brief
    January 29, 2019 - Book/Report Engaging Patients for Patient Safety: Advocacy Brief. Citation Text: Engaging Patients for Patient Safety: Advocacy Brief. WHO Patient Safety Flagship. Geneva; World Health Organization; December 2023. ISBN: 9789240081987. Copy Citation Save Sav…

  19. The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  | PSNet

    psnet.ahrq.gov/issue/health-literacy-americas-adults-results-2003-national-assessment-adult-literacy
    January 16, 2019 - Government Resource The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Citation Text: The Health Literacy of America's Adults: Results from the 2003 National Assessment of Adult Literacy.  Kutner M, Greenberg E, Jin Y, et al. Washin…

  20. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. | PSNet

    psnet.ahrq.gov/issue/handoff-checklists-improve-reliability-patient-handoffs-operating-room-and-postanesthesia
    December 29, 2014 - Study Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Citation Text: Boat AC, Spaeth JP. Handoff checklists improve the reliability of patient handoffs in the operating room and postanesthesia care unit. Paediatr Anaes…
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