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Showing results for "learned".

  1. Establishing a simulation center for surgical skills: what to do and how to do it. | PSNet

    psnet.ahrq.gov/issue/establishing-simulation-center-surgical-skills-what-do-and-how-do-it
    January 18, 2012 - Meeting/Conference Proceedings Establishing a simulation center for surgical skills: what to do and how to do it. Citation Text: Haluck RS, Satava RM, Fried G, et al. Establishing a simulation center for surgical skills: what to do and how to do it. Copy Citation Format: …

  2. Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. | PSNet

    psnet.ahrq.gov/issue/clinical-lab-quality-cms-and-survey-organization-oversight-should-be-strengthened
    September 28, 2010 - Government Resource Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Citation Text: Clinical Lab Quality: CMS and Survey Organization Oversight Should Be Strengthened. Washington DC; Government Accountability Office; June 2006. Report no GAO-06-416.…

  3. Human patient simulation: teaching students to provide safe care. | PSNet

    psnet.ahrq.gov/issue/human-patient-simulation-teaching-students-provide-safe-care
    June 24, 2009 - Commentary Human patient simulation: teaching students to provide safe care. Citation Text: Henneman EA, Cunningham H, Roche JP, et al. Human patient simulation: teaching students to provide safe care. Nurse Educ. 2007;32(5):212-7. Copy Citation Format: Google Scholar Pub…

  4. The increased incidence of anesthetic adverse events in late afternoon surgeries. | PSNet

    psnet.ahrq.gov/issue/increased-incidence-anesthetic-adverse-events-late-afternoon-surgeries
    October 19, 2022 - Commentary The increased incidence of anesthetic adverse events in late afternoon surgeries. Citation Text: Johnson J. The increased incidence of anesthetic adverse events in late afternoon surgeries. AORN J. 2008;88(1):79-87. doi:10.1016/j.aorn.2008.02.020. Copy Citation Format:…

  5. Interception of potential adverse drug events in long-term psychiatric care units. | PSNet

    psnet.ahrq.gov/issue/interception-potential-adverse-drug-events-long-term-psychiatric-care-units
    May 31, 2023 - Study Interception of potential adverse drug events in long-term psychiatric care units. Citation Text: Sawamura K, Ito H, Yamazumi S, et al. Interception of potential adverse drug events in long-term psychiatric care units. Psychiatry Clin Neurosci. 2005;59(4):379-84. Copy Citation …

  6. Perinatal clinical decision support system: a documentation tool for patient safety. | PSNet

    psnet.ahrq.gov/issue/perinatal-clinical-decision-support-system-documentation-tool-patient-safety
    December 12, 2014 - Commentary Perinatal clinical decision support system: a documentation tool for patient safety. Citation Text: Provost C, Gray M. Perinatal clinical decision support system: a documentation tool for patient safety. Nurs Womens Health. 2007;11(4):407-10. Copy Citation Format: …

  7. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. | PSNet

    psnet.ahrq.gov/issue/improving-health-care-quality-and-safety-people-disabilities-interview-lisa-iezzoni
    October 26, 2022 - Commentary Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Citation Text: Iezzoni LI. Improving health care quality and safety for people with disabilities: an interview with Lisa Iezzoni. Interview by Steven Berman. Jt Comm J Qual P…

  8. Near-miss event analysis enhances the barcode medication administration process. | PSNet

    psnet.ahrq.gov/issue/near-miss-event-analysis-enhances-barcode-medication-administration-process
    February 13, 2013 - Newspaper/Magazine Article Near-miss event analysis enhances the barcode medication administration process. Citation Text: Near-miss event analysis enhances the barcode medication administration process. Magee MC; Miller K; Patzek D; Madera C; Michalek C; Shetterly M. Copy Citation …

  9. Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. | PSNet

    psnet.ahrq.gov/issue/nursing-homes-despite-increased-oversight-challenges-remain-ensuring-high-quality-care-and
    July 12, 2006 - Government Resource Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Citation Text: Nursing Homes: Despite Increased Oversight, Challenges Remain in Ensuring High-Quality Care and Resident Safety. Washington DC; Governme…

  10. High-risk, high-alert medication management practices in a regional state psychiatric facility. | PSNet

    psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
    January 06, 2017 - Study High-risk, high-alert medication management practices in a regional state psychiatric facility. Citation Text: McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…

  11. The challenges in defining and measuring diagnostic error. | PSNet

    psnet.ahrq.gov/issue/challenges-defining-and-measuring-diagnostic-error
    February 24, 2021 - Commentary The challenges in defining and measuring diagnostic error. Citation Text: Zwaan L, Singh H. The challenges in defining and measuring diagnostic error. Diagnosis (Berl). 2015;2(2):97-103. doi:10.1515/dx-2014-0069. Copy Citation Format: DOI Google Scholar PubMed Bi…

  12. Achieving dialysis safety: the critical role of higher-functioning teams. | PSNet

    psnet.ahrq.gov/issue/achieving-dialysis-safety-critical-role-higher-functioning-teams
    August 04, 2021 - Review Achieving dialysis safety: the critical role of higher-functioning teams. Citation Text: Wong LP. Achieving dialysis safety: The critical role of higher-functioning teams. Semin Dial. 2019;32(3):266-273. doi:10.1111/sdi.12778. Copy Citation Format: DOI Google Scholar…

  13. The challenges to transparency in reporting medical errors. | PSNet

    psnet.ahrq.gov/issue/challenges-transparency-reporting-medical-errors
    July 19, 2023 - Commentary The challenges to transparency in reporting medical errors. Citation Text: Paterick ZR, Paterick BB, Waterhouse BE, et al. The Challenges to Transparency in Reporting Medical Errors. J Patient Saf. 2009;5(4). doi:10.1097/pts.0b013e3181be2a88. Copy Citation Format: …

  14. Help your patient "get" what you just said: a health literacy guide. | PSNet

    psnet.ahrq.gov/issue/help-your-patient-get-what-you-just-said-health-literacy-guide
    December 18, 2014 - Commentary Help your patient "get" what you just said: a health literacy guide. Citation Text: Roett MA, Wessel L. Help your patient "get" what you just said: a health literacy guide. J Family Pract. 2012;61(4):190-196. Copy Citation Format: Google Scholar PubMed BibTeX E…

  15. The cost of serious fall-related injuries at three midwestern hospitals. | PSNet

    psnet.ahrq.gov/issue/cost-serious-fall-related-injuries-three-midwestern-hospitals
    January 03, 2017 - Study The cost of serious fall-related injuries at three midwestern hospitals. Citation Text: Wong CA, Recktenwald AJ, Jones ML, et al. The cost of serious fall-related injuries at three Midwestern hospitals. Jt Comm J Qual Patient Saf. 2011;37(2):81-87. Copy Citation Format: …

  16. Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. | PSNet

    psnet.ahrq.gov/issue/patient-death-after-inadvertent-infusion-prn-medication-hanging-bedside-intravenous-iv-pole
    April 17, 2024 - Newspaper/Magazine Article Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. Citation Text: Patient death after inadvertent infusion of PRN medication hanging on bedside intravenous (IV) pole. ISMP Medication Safety Alert! Acute Care. 20…

  17. The public has been forgiving. But hospitals got some things wrong. | PSNet

    psnet.ahrq.gov/issue/public-has-been-forgiving-hospitals-got-some-things-wrong
    April 03, 2019 - Newspaper/Magazine Article The public has been forgiving. But hospitals got some things wrong. Citation Text: Ofri D. The public has been forgiving. But hospitals got some things wrong. New York Times. 2020; May 21. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML…

  18. Suicide in the medical setting. | PSNet

    psnet.ahrq.gov/issue/suicide-medical-setting
    April 24, 2018 - Review Suicide in the medical setting. Citation Text: Ballard ED, Pao M, Henderson D, et al. Suicide in the medical setting. Jt Comm J Qual Patient Saf. 2008;34(8):474-481. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMed…

  19. L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. | PSNet

    psnet.ahrq.gov/issue/las-poorest-patients-endure-long-delays-see-medical-specialists-some-die-waiting
    August 05, 2020 - Newspaper/Magazine Article L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. Citation Text: L.A.’s poorest patients endure long delays to see medical specialists. Some die waiting. Dolan J, Mejia B. Los Angeles Times. September 30, 2020. Copy C…

  20. Deaths due to medical error: jumbo jets or just small propeller planes? | PSNet

    psnet.ahrq.gov/issue/deaths-due-medical-error-jumbo-jets-or-just-small-propeller-planes
    June 22, 2022 - Commentary Deaths due to medical error: jumbo jets or just small propeller planes? Citation Text: Shojania KG. Deaths due to medical error: jumbo jets or just small propeller planes? BMJ Qual Saf. 2012;21(9). doi:10.1136/bmjqs-2012-001368. Copy Citation Format: DOI Google S…
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