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Showing results for "learned".

  1. Impact of high-reliability education on adverse event reporting by registered nurses. | PSNet

    psnet.ahrq.gov/issue/impact-high-reliability-education-adverse-event-reporting-registered-nurses
    January 07, 2011 - Study Impact of high-reliability education on adverse event reporting by registered nurses. Citation Text: McFarland DM, Doucette JN. Impact of High-Reliability Education on Adverse Event Reporting by Registered Nurses. J Nurs Care Qual. 2018;33(3):285-290. doi:10.1097/NCQ.00000000000002…

  2. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. | PSNet

    psnet.ahrq.gov/issue/patient-safety-perioperative-medication-through-lens-digital-health-and-artificial
    September 02, 2020 - Commentary Patient safety of perioperative medication through the lens of digital health and artificial intelligence. Citation Text: Ye J. Patient safety of perioperative medication through the lens of digital health and artificial intelligence. JMIR Periop Med. 2023;6:e34453. doi:10.219…

  3. Safety culture as a patient safety practice for alarm fatigue. | PSNet

    psnet.ahrq.gov/issue/safety-culture-patient-safety-practice-alarm-fatigue
    July 07, 2021 - Commentary Safety culture as a patient safety practice for alarm fatigue. Citation Text: Winters BD, Slota JM, Bilimoria KY. Safety culture as a patient safety practice for alarm fatigue. JAMA. 2021;326(12):1207-1208. doi:10.1001/jama.2021.8316. Copy Citation Format: DOI Go…

  4. Application of human error theory in case analysis of wrong procedures. | PSNet

    psnet.ahrq.gov/issue/application-human-error-theory-case-analysis-wrong-procedures
    November 14, 2018 - Study Application of human error theory in case analysis of wrong procedures. Citation Text: Duthie EA. Application of Human Error Theory in Case Analysis of Wrong Procedures. J Patient Saf. 2010;6(2):108-114. doi:10.1097/pts.0b013e3181de47f9. Copy Citation Format: DOI Goo…

  5. The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. | PSNet

    psnet.ahrq.gov/issue/100000-lives-campaign-setting-goal-and-deadline-improving-health-care-quality
    February 29, 2012 - Commentary The 100,000 Lives Campaign: setting a goal and a deadline for improving health care quality. Citation Text: Berwick DM, Calkins DR, McCannon CJ, et al. The 100 000 Lives Campaign. JAMA. 2006;295(3). doi:10.1001/jama.295.3.324. Copy Citation Format: DOI Google S…

  6. Age-related COVID-19 vaccine mix-ups. | PSNet

    psnet.ahrq.gov/issue/age-related-covid-19-vaccine-mix-ups
    June 13, 2018 - Press Release/Announcement Age-related COVID-19 vaccine mix-ups. Citation Text: Age-related COVID-19 vaccine mix-ups. National Alert Network. Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists. December 6, 2021.  Cop…

  7. Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. | PSNet

    psnet.ahrq.gov/issue/pain-management-and-prescription-opioid-related-harms-exploring-state-evidence-proceedings
    July 05, 2008 - Meeting/Conference Proceedings Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Workshop—in Brief. Citation Text: Pain Management and Prescription Opioid-related Harms: Exploring the State of the Evidence: Proceedings of a Works…

  8. Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. | PSNet

    psnet.ahrq.gov/issue/safe-handling-concentrated-electrolyte-products-outsourcing-facilities-during-critical-drug
    December 15, 2021 - Press Release/Announcement Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. Citation Text: Safe handling of concentrated electrolyte products from outsourcing facilities during critical drug shortages. National Alert Network. …

  9. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. | PSNet

    psnet.ahrq.gov/issue/real-malady-marcel-proust-and-what-it-reveals-about-diagnostic-errors-medicine
    September 27, 2022 - Commentary The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Citation Text: Douglas Y. The real malady of Marcel Proust and what it reveals about diagnostic errors in medicine. Med Hypotheses. 2016;90:14-8. doi:10.1016/j.mehy.2016.02.024. Copy Ci…

  10. The problem with checklists. | PSNet

    psnet.ahrq.gov/issue/problem-checklists
    March 29, 2023 - Commentary The problem with checklists. Citation Text: Catchpole K, Russ S. The problem with checklists. BMJ Qual Saf. 2015;24(9):545-9. doi:10.1136/bmjqs-2015-004431. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  11. The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. | PSNet

    psnet.ahrq.gov/issue/team-checkup-tool-evaluating-qi-team-activities-and-giving-feedback-senior-leaders
    November 27, 2012 - Commentary The Team Checkup Tool: evaluating QI team activities and giving feedback to senior leaders. Citation Text: Lubomski LH, Marsteller JA, Hsu Y-J, et al. The team checkup tool: evaluating QI team activities and giving feedback to senior leaders. Jt Comm J Qual Patient Saf. 2008;3…

  12. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. | PSNet

    psnet.ahrq.gov/issue/achieving-perfect-handoff-patient-transfers-building-teamwork-and-trust
    October 08, 2016 - Commentary Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. Citation Text: Clarke D, Werestiuk K, Schoffner A, et al. Achieving the 'perfect handoff' in patient transfers: building teamwork and trust. J Nurs Manag. 2012;20(5):592-8. doi:10.1111/j.1365-…

  13. View the world through a different lens: shadowing another provider. | PSNet

    psnet.ahrq.gov/issue/view-world-through-different-lens-shadowing-another-provider
    January 22, 2017 - Commentary View the world through a different lens: shadowing another provider. Citation Text: Thompson DA, Holzmueller CG, Lubomski LH, et al. View the world through a different lens: shadowing another provider. Jt Comm J Qual Patient Saf. 2008;34(10):614-8, 561. Copy Citation For…

  14. Teamwork and Teamwork Training in Healthcare. | PSNet

    psnet.ahrq.gov/issue/teamwork-and-teamwork-training-healthcare
    March 02, 2022 - Special or Theme Issue Teamwork and Teamwork Training in Healthcare. Citation Text: Teamwork and Teamwork Training in Health care: An Integration and a Path Forward. Buljac-Samardzic M, Dekker-van Doorn C, Maynard MT, eds. Group Org Manag. 2018;43(3):351-527. doi:10.1177/105960111877466…

  15. Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
    August 20, 2018 - Commentary Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. Citation Text: Anderson ES, Gray R, Price K. Patient safety and interprofessional education: A report of key issues from two interprofessional workshops. J Interprof Ca…

  16. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. | PSNet

    psnet.ahrq.gov/issue/evidence-and-efficacy-time-think-beyond-traditional-randomised-controlled-trial-patient
    January 24, 2024 - Commentary Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Citation Text: Webster CS. Evidence and efficacy: time to think beyond the traditional randomised controlled trial in patient safety studies. Br J Anaesth. 2019;1…

  17. Attitudes of health sciences faculty members towards interprofessional teamwork and education. | PSNet

    psnet.ahrq.gov/issue/attitudes-health-sciences-faculty-members-towards-interprofessional-teamwork-and-education
    March 02, 2011 - Study Attitudes of health sciences faculty members towards interprofessional teamwork and education. Citation Text: Curran VR, Sharpe D, Forristall J. Attitudes of health sciences faculty members towards interprofessional teamwork and education. Med Educ. 2007;41(9):892-896. Copy Cit…

  18. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. | PSNet

    psnet.ahrq.gov/issue/discharge-rounds-80-hour-workweek-importance-trauma-nurse-practitioner
    October 19, 2022 - Study Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. Citation Text: Haan JM, Dutton RP, Willis M, et al. Discharge rounds in the 80-hour workweek: importance of the trauma nurse practitioner. J Trauma. 2007;63(2):339-43. Copy Citation Forma…

  19. What is accountability in health care? | PSNet

    psnet.ahrq.gov/issue/what-accountability-health-care
    April 19, 2013 - Commentary Classic What is accountability in health care? Citation Text: Emanuel EJ, Emanuel LL. What is accountability in health care? Ann Intern Med. 1996;124(2):229-239. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote…

  20. Human error: models and management. | PSNet

    psnet.ahrq.gov/issue/human-error-models-and-management
    November 18, 2015 - Commentary Classic Human error: models and management. Citation Text: Reason J. Human error: models and management. BMJ. 2000;320(7237):768-770. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId…
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