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Showing results for "learned".

  1. Hospital do-not-resuscitate orders: why they have failed and how to fix them. | PSNet

    psnet.ahrq.gov/issue/hospital-do-not-resuscitate-orders-why-they-have-failed-and-how-fix-them
    May 13, 2009 - Review Hospital do-not-resuscitate orders: why they have failed and how to fix them. Citation Text: Yuen JK, Reid C, Fetters MD. Hospital do-not-resuscitate orders: why they have failed and how to fix them. J Gen Intern Med. 2011;26(7):791-7. doi:10.1007/s11606-011-1632-x. Copy Citatio…

  2. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. | PSNet

    psnet.ahrq.gov/issue/system-approach-prevent-common-bile-duct-injury-and-enhance-performance-laparoscopic
    March 09, 2009 - Commentary System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Citation Text: Lien H-H, Huang C-C, Liu J-S, et al. System approach to prevent common bile duct injury and enhance performance of laparoscopic cholecystectomy. Surg La…

  3. Best practices in medication administration: preventing adverse drug events in perinatal settings. | PSNet

    psnet.ahrq.gov/issue/best-practices-medication-administration-preventing-adverse-drug-events-perinatal-settings
    July 16, 2009 - Commentary Best practices in medication administration: preventing adverse drug events in perinatal settings. Citation Text: Mahlmeister LR. Best practices in medication administration: preventing adverse drug events in perinatal settings. J Perinat Neonatal Nurs. 2007;21(1):6-8. Cop…

  4. How to develop a second victim support program: a toolkit for health care organizations. | PSNet

    psnet.ahrq.gov/issue/how-develop-second-victim-support-program-toolkit-health-care-organizations
    April 03, 2019 - Commentary How to develop a second victim support program: a toolkit for health care organizations. Citation Text: Pratt SD, Kenney L, Scott SD, et al. How to develop a second victim support program: a toolkit for health care organizations. Jt Comm J Qual Patient Saf. 2012;38(5):235-40, …

  5. Risk management, or just a different risk? | PSNet

    psnet.ahrq.gov/issue/risk-management-or-just-different-risk
    April 12, 2011 - Study Risk management, or just a different risk? Citation Text: Freer Y, Lyon A. Risk management, or just a different risk? Arch Dis Child Fetal Neonatal Ed. 2006;91(5):F327-9. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  6. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. | PSNet

    psnet.ahrq.gov/issue/daytime-sleepiness-sleep-habits-and-occupational-accidents-among-hospital-nurses
    June 19, 2024 - Study Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. Citation Text: Suzuki K, Ohida T, Kaneita Y, et al. Daytime sleepiness, sleep habits and occupational accidents among hospital nurses. J Adv Nurs. 2005;52(4):445-53. Copy Citation Format: …

  7. Fatigue, performance and the work environment: a survey of registered nurses. | PSNet

    psnet.ahrq.gov/issue/fatigue-performance-and-work-environment-survey-registered-nurses
    November 18, 2020 - Study Fatigue, performance and the work environment: a survey of registered nurses. Citation Text: Barker LM, Nussbaum MA. Fatigue, performance and the work environment: a survey of registered nurses. J Adv Nurs. 2011;67(6):1370-82. doi:10.1111/j.1365-2648.2010.05597.x. Copy Citation…

  8. Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. | PSNet

    psnet.ahrq.gov/issue/studying-critical-values-adverse-event-identification-following-critical-laboratory-values
    September 01, 2018 - Study Studying critical values: adverse event identification following a critical laboratory values study at the Ohio State University Medical Center. Citation Text: Jenkins JJ, Crawford M, Bissell MG. Studying critical values: adverse event identification following a critical laborato…

  9. A model for developing high-reliability teams. | PSNet

    psnet.ahrq.gov/issue/model-developing-high-reliability-teams
    September 01, 2018 - Commentary A model for developing high-reliability teams. Citation Text: Riley W, Davis SE, Miller KK, et al. A model for developing high-reliability teams. J Nurs Manag. 2010;18(5):556-63. doi:10.1111/j.1365-2834.2010.01121.x. Copy Citation Format: DOI Google Scholar Pub…

  10. Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. | PSNet

    psnet.ahrq.gov/issue/safety-committees-need-proactively-address-risk-accidental-cerebral-injection-intravenous-iv
    January 27, 2021 - Newspaper/Magazine Article Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. Citation Text: Safety committees need to proactively address the risk of accidental cerebral injection of intravenous (IV) drugs. ISMP Medication …

  11. More to teamwork than knowledge, skill and attitude. | PSNet

    psnet.ahrq.gov/issue/more-teamwork-knowledge-skill-and-attitude
    July 13, 2009 - Study More to teamwork than knowledge, skill and attitude. Citation Text: Siassakos D, Draycott TJ, Crofts JF, et al. More to teamwork than knowledge, skill and attitude. BJOG. 2010;117(10):1262-9. doi:10.1111/j.1471-0528.2010.02654.x. Copy Citation Format: DOI Google Sc…

  12. Addressing physician burnout: the way forward. | PSNet

    psnet.ahrq.gov/issue/addressing-physician-burnout-way-forward
    December 02, 2020 - Commentary Addressing physician burnout: the way forward. Citation Text: Shanafelt TD, Dyrbye LN, West CP. Addressing Physician Burnout: The Way Forward. JAMA. 2017;317(9):901-902. doi:10.1001/jama.2017.0076. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3…

  13. Errors in the administration of intravenous medication in Brazilian hospitals. | PSNet

    psnet.ahrq.gov/issue/errors-administration-intravenous-medication-brazilian-hospitals
    October 05, 2022 - Study Errors in the administration of intravenous medication in Brazilian hospitals. Citation Text: Anselmi ML, Peduzzi M, dos Santos CB. Errors in the administration of intravenous medication in Brazilian hospitals. J Clin Nurs. 2007;16(10). doi:10.1111/j.1365-2702.2007.01834.x. Cop…

  14. Adverse events after screening and follow-up colonoscopy. | PSNet

    psnet.ahrq.gov/issue/adverse-events-after-screening-and-follow-colonoscopy
    September 30, 2010 - Study Adverse events after screening and follow-up colonoscopy. Citation Text: Rutter CM, Johnson E, Miglioretti DL, et al. Adverse events after screening and follow-up colonoscopy. Cancer Causes & Control. 2011;23(2). doi:10.1007/s10552-011-9878-5. Copy Citation Format: …

  15. Balancing innovation and safety when integrating digital tools into health care. | PSNet

    psnet.ahrq.gov/issue/balancing-innovation-and-safety-when-integrating-digital-tools-health-care
    July 01, 2011 - Commentary Balancing innovation and safety when integrating digital tools into health care. Citation Text: Auerbach AD, Neinstein A, Khanna R. Balancing Innovation and Safety When Integrating Digital Tools Into Health Care. Ann Intern Med. 2018;168(10):733-734. doi:10.7326/M17-3108. Co…

  16. Formalizing the hidden curriculum of performance enhancing errors. | PSNet

    psnet.ahrq.gov/issue/formalizing-hidden-curriculum-performance-enhancing-errors
    February 17, 2021 - Review Formalizing the hidden curriculum of performance enhancing errors. Citation Text: Kerray FM, Yule SJ, Tambyraja AL. Formalizing the hidden curriculum of performance enhancing errors. J Surg Educ. 2023;80(5):619-623. doi:10.1016/j.jsurg.2023.01.009. Copy Citation Format: …

  17. Simulation based adverse event reporting system: development and feasibility. | PSNet

    psnet.ahrq.gov/issue/simulation-based-adverse-event-reporting-system-development-and-feasibility
    July 08, 2020 - Study Simulation based adverse event reporting system: development and feasibility. Citation Text: Mckay M, Sanko JS. Simulation Based Adverse Event Reporting System: Development and Feasibility. Clin Simul Nurs. 2014;10(5). doi:10.1016/j.ecns.2013.12.005. Copy Citation Format: …

  18. Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. | PSNet

    psnet.ahrq.gov/issue/recommendations-british-committee-standards-haematology-and-national-patient-safety-agency
    November 12, 2014 - Organizational Policy/Guidelines Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency. Citation Text: Baglin TP, Cousins D, Keeling DM, et al. Safety indicators for inpatient and outpatient oral anticoagulant care: [corrected] Recom…

  19. An examination of technical efficiency, quality, and patient safety in acute care nursing units. | PSNet

    psnet.ahrq.gov/issue/examination-technical-efficiency-quality-and-patient-safety-acute-care-nursing-units
    December 21, 2017 - Study An examination of technical efficiency, quality, and patient safety in acute care nursing units. Citation Text: Mark BA, Jones CB, Lindley L, et al. An examination of technical efficiency, quality, and patient safety in acute care nursing units. Policy Polit Nurs Pract. 2009;10(3…

  20. Nurses' work schedule characteristics, nurse staffing, and patient mortality. | PSNet

    psnet.ahrq.gov/issue/nurses-work-schedule-characteristics-nurse-staffing-and-patient-mortality
    June 16, 2010 - Study Nurses' work schedule characteristics, nurse staffing, and patient mortality. Citation Text: Trinkoff AM, Johantgen M, Storr CL, et al. Nurses' work schedule characteristics, nurse staffing, and patient mortality. Nurs Res. 2011;60(1):1-8. doi:10.1097/NNR.0b013e3181fff15d. Copy…
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