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Showing results for "learned".

  1. Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes. | PSNet

    psnet.ahrq.gov/issue/recognizing-ordinary-extraordinary-insight-way-we-work-improve-patient-safety-outcomes
    December 12, 2012 - Commentary Recognizing the ordinary as extraordinary: insight into the "way we work" to improve patient safety outcomes. Citation Text: Henneman EA. Recognizing the Ordinary as Extraordinary: Insight Into the "Way We Work" to Improve Patient Safety Outcomes. Am J Crit Care. 2017;26(4):27…

  2. Medication errors in anaesthesia and critical care. | PSNet

    psnet.ahrq.gov/issue/medication-errors-anaesthesia-and-critical-care
    January 18, 2011 - Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote ta…

  3. The iatrogenic-harm cost equation and new technology. | PSNet

    psnet.ahrq.gov/issue/iatrogenic-harm-cost-equation-and-new-technology
    January 24, 2024 - Commentary The iatrogenic-harm cost equation and new technology. Citation Text: Webster CS. The iatrogenic-harm cost equation and new technology. Anaesthesia. 2005;60(9). doi:10.1111/j.1365-2044.2005.04331.x. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML …

  4. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. | PSNet

    psnet.ahrq.gov/issue/using-ismp-medication-safety-self-assessment-improve-medication-use-processes
    January 05, 2017 - Study Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Citation Text: Lesar TS, Mattis A, Anderson E, et al. Using the ISMP Medication Safety Self-Assessment to improve medication use processes. Jt Comm J Qual Saf. 2003;29(5):211-26. Copy Citation …

  5. Leading your organization to high reliability. | PSNet

    psnet.ahrq.gov/issue/leading-your-organization-high-reliability
    August 18, 2021 - Commentary Leading your organization to high reliability. Citation Text: Kemper C, Boyle DK. Leading your organization to high reliability. Nurs Manag. 2009;40(4):14-18. doi:10.1097/01.NUMA.0000349684.24165.68. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  6. Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. | PSNet

    psnet.ahrq.gov/issue/under-skin-hidden-toll-racism-american-lives-and-health-our-nation
    January 04, 2017 - Book/Report Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Citation Text: Under the Skin. The Hidden Toll of Racism on American Lives and on the Health of our Nation. Villarosa L. New York, NT: Doubleday: 2022. ISBN 9780385544887.  C…

  7. The harms of promoting 'Zero Harm'. | PSNet

    psnet.ahrq.gov/issue/harms-promoting-zero-harm
    February 12, 2020 - Commentary Emerging Classic The harms of promoting 'Zero Harm'. Citation Text: Thomas EJ. The harms of promoting ‘Zero Harm’. BMJ Qual Saf. 2019;29(1):4-6. doi:10.1136/bmjqs-2019-009703. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  8. Factors influencing doctors' ability to calculate drug doses correctly. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-doctors-ability-calculate-drug-doses-correctly
    March 19, 2019 - Study Factors influencing doctors' ability to calculate drug doses correctly. Citation Text: Wheeler DW, Wheeler SJ, Ringrose TR. Factors influencing doctors' ability to calculate drug doses correctly. Int J Clin Pract. 2007;61(2):189-94. Copy Citation Format: Google Scho…

  9. Whose responsibility is it to address bullying in health care? | PSNet

    psnet.ahrq.gov/issue/whose-responsibility-it-address-bullying-health-care
    February 22, 2023 - Commentary Whose responsibility is it to address bullying in health care? Citation Text: Whose responsibility is it to address bullying in health care? AMA J Ethics. 2022;23(12):E931-936. doi:10.1001/amajethics.2021.931. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  10. Patient self-medication--a change in hospital practice. | PSNet

    psnet.ahrq.gov/issue/patient-self-medication-change-hospital-practice
    March 09, 2022 - Study Patient self-medication--a change in hospital practice. Citation Text: Grantham G, McMillan V, Dunn S, et al. Patient self-medication--a change in hospital practice. J Clin Nurs. 2006;15(8):962-70. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  11. The lost sponge: patient safety in the operating room. | PSNet

    psnet.ahrq.gov/issue/lost-sponge-patient-safety-operating-room
    January 26, 2022 - Commentary The lost sponge: patient safety in the operating room. Citation Text: Grant-Orser A, Davies P, Singh SS. The lost sponge: patient safety in the operating room. CMAJ . 2012;184(11):1275-1278. doi:10.1503/cmaj.110900. Copy Citation Format: DOI Google Scholar PubM…

  12. High reliability: truly achieving healthcare quality and safety. | PSNet

    psnet.ahrq.gov/issue/high-reliability-truly-achieving-healthcare-quality-and-safety
    March 18, 2019 - Commentary High reliability: truly achieving healthcare quality and safety. Citation Text: Kaplan GS. Pursuing the perfect patient experience. Front Health Serv Manage. 2013;29(3):16-27. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endno…

  13. 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? | PSNet

    psnet.ahrq.gov/issue/they-were-his-best-shot-and-they-failed-help-why-did-ems-workers-neglect-tyre-nichols
    July 19, 2023 - Newspaper/Magazine Article 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Citation Text: 'They were his best shot. And they failed to help’: why did EMS workers neglect Tyre Nichols? Renault M. STAT. February 6, 2023. Copy Citation …

  14. Quantifying distraction and interruption in urological surgery. | PSNet

    psnet.ahrq.gov/issue/quantifying-distraction-and-interruption-urological-surgery
    March 11, 2009 - Study Quantifying distraction and interruption in urological surgery. Citation Text: Healey A, Primus CP, Koutantji M. Quantifying distraction and interruption in urological surgery. Qual Saf Health Care. 2007;16(2):135-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  15. Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. | PSNet

    psnet.ahrq.gov/issue/report-announced-inspection-medication-safety-midland-regional-hospital-tullamore-county
    October 23, 2013 - Book/Report Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Citation Text: Report of the Announced Inspection of Medication Safety at the Midland Regional Hospital Tullamore, County Offaly. Dublin, Ireland: Health Informa…

  16. SHOT Annual Report. | PSNet

    psnet.ahrq.gov/issue/shot-annual-report-2019
    July 10, 2019 - Book/Report SHOT Annual Report. Citation Text: SHOT Annual Report. S Narayan, ed. Manchester, UK: Serious Hazards of Transfusion (SHOT) Steering Group; 2023. ISBN: 9781999596859. Copy Citation Save Save to your library Print Download PDF Share …

  17. Where should patient safety be installed? | PSNet

    psnet.ahrq.gov/issue/where-should-patient-safety-be-installed
    October 05, 2022 - Commentary Where should patient safety be installed? Citation Text: Sine DM, Paull D. Where should patient safety be installed? J Healthc Risk Manag. 2017;37(3):14-17. doi:10.1002/jhrm.21285. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endno…

  18. Global Report on Infection Prevention and Control: Executive Summary. | PSNet

    psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
    March 09, 2022 - Book/Report Global Report on Infection Prevention and Control: Executive Summary. Citation Text: Global Report on Infection Prevention and Control: Executive Summary. Geneva, Switzerland; World Health Organization; May 5, 2022. Copy Citation Save Save to your li…

  19. Systemic error in radiology. | PSNet

    psnet.ahrq.gov/issue/systemic-error-radiology
    August 01, 2018 - Commentary Systemic error in radiology. Citation Text: Waite S, Scott JM, Legasto A, et al. Systemic Error in Radiology. AJR Am J Roentgenol. 2017;209(3):629-639. doi:10.2214/AJR.16.17719. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML E…

  20. Unintended exposure in radiotherapy: identification of prominent causes. | PSNet

    psnet.ahrq.gov/issue/unintended-exposure-radiotherapy-identification-prominent-causes
    May 01, 2003 - Study Unintended exposure in radiotherapy: identification of prominent causes. Citation Text: Boadu M, Rehani MM. Unintended exposure in radiotherapy: identification of prominent causes. Radiother Oncol. 2009;93(3):609-17. doi:10.1016/j.radonc.2009.08.044. Copy Citation Format: …
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