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Showing results for "learned".

  1. psnet.ahrq.gov/issue/back-basics-approach-reduce-ed-medication-errors
    September 28, 2010 - Study A "back to basics" approach to reduce ED medication errors. Citation Text: Blank FSJ, Tobin J, Macomber S, et al. A "back to basics" approach to reduce ED medication errors. Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association. 2…
  2. psnet.ahrq.gov/issue/improving-teamwork-general-medical-units-when-teams-do-not-work-face-face
    June 12, 2013 - Study Improving teamwork on general medical units: when teams do not work face-to-face. Citation Text: McComb SA, Henneman EA, Hinchey KT, et al. Improving teamwork on general medical units: when teams do not work face-to-face. Jt Comm J Qual Patient Saf. 2012;38(10):471-478. Copy Ci…
  3. psnet.ahrq.gov/issue/safety-mind-mental-health-services-and-patient-safety
    August 07, 2018 - Book/Report With Safety in Mind: Mental Health Services and Patient Safety. Citation Text: With Safety in Mind: Mental Health Services and Patient Safety. Scobie S, Minghella E, Dale C, et al. London, UK: National Patient Safety Agency; 2006. Copy Citation Save …
  4. psnet.ahrq.gov/issue/national-patient-safety-agency-combining-stories-statistics-minimise-harm
    November 18, 2020 - Study National Patient Safety Agency: combining stories with statistics to minimise harm. Citation Text: Lamont T, Scarpello J. National Patient Safety Agency: combining stories with statistics to minimise harm. BMJ. 2009;339:b4489. doi:10.1136/bmj.b4489. Copy Citation Format: …
  5. psnet.ahrq.gov/issue/rate-causes-and-reporting-medication-errors-jordan-nurses-perspectives
    April 15, 2020 - Study Rate, causes and reporting of medication errors in Jordan: nurses' perspectives. Citation Text: MRAYYAN MAJDT, SHISHANI KAWKAB, AL-FAOURI IBRAHIM. Rate, causes and reporting of medication errors in Jordan: nurses? perspectives. J Nurs Manag. 2007;15(6). doi:10.1111/j.1365-2834.20…
  6. psnet.ahrq.gov/issue/nurse-reports-adverse-events-during-sedation-procedures-pediatric-hospital
    November 02, 2016 - Study Nurse reports of adverse events during sedation procedures at a pediatric hospital. Citation Text: Lightdale JR, Mahoney LB, Fredette ME, et al. Nurse reports of adverse events during sedation procedures at a pediatric hospital. J Perianesth Nurs. 2009;24(5):300-6. doi:10.1016/j.j…
  7. psnet.ahrq.gov/issue/how-effective-are-incident-reporting-systems-improving-patient-safety-systematic-literature
    January 18, 2023 - Review How effective are incident-reporting systems for improving patient safety? A systematic literature review. Citation Text: How effective are incident-reporting systems for improving patient safety? A systematic literature review. Stavropoulou C, Doherty C, Tosey P. Milbank Q. 2015;…
  8. psnet.ahrq.gov/issue/empowering-patient-safety-outreach-through-interprofessional-partnerships-educating-our
    August 17, 2022 - Commentary Empowering patient safety outreach through interprofessional partnerships: educating our communities. Citation Text: Walton L, Childs C, Egeland M, et al. Empowering Patient Safety Outreach Through Interprofessional Partnerships: Educating Our Communities. J Hosp Librariansh. …
  9. psnet.ahrq.gov/issue/problem-5-whys
    July 19, 2023 - Commentary The problem with the '5 whys.' Citation Text: Card AJ. The problem with '5 whys'. BMJ Qual Saf. 2017;26(8):671-677. doi:10.1136/bmjqs-2016-005849. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …
  10. psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
    April 20, 2022 - Commentary Improving medication safety in the ICU: the pharmacist's role. Citation Text: Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337. Copy Citation Format: DOI Google…
  11. psnet.ahrq.gov/issue/canary-measures-among-ahrq-patient-safety-indicators
    November 27, 2012 - Study "Canary measures" among the AHRQ Patient Safety Indicators. Citation Text: Yu H, Greenberg MD, Haviland AM, et al. "Canary measures" among the AHRQ patient safety indicators. Am J Med Qual. 2009;24(6):465-73. doi:10.1177/1062860609341585. Copy Citation Format: DOI G…
  12. psnet.ahrq.gov/issue/comparing-two-safety-culture-surveys-safety-attitudes-questionnaire-and-hospital-survey
    September 01, 2018 - Study Comparing two safety culture surveys: Safety Attitudes Questionnaire and Hospital Survey on Patient Safety. Citation Text: Etchegaray J, Thomas EJ. Comparing two safety culture surveys: safety attitudes questionnaire and hospital survey on patient safety. BMJ Qual Saf. 2012;21(6)…
  13. psnet.ahrq.gov/issue/whole-patient-measure-safety-using-administrative-data-assess-probability-highly-undesirable
    March 19, 2014 - Study Whole-patient measure of safety: using administrative data to assess the probability of highly undesirable events during hospitalization. Citation Text: Perla RJ, Hohmann S, Annis K. Whole-patient measure of safety: using administrative data to assess the probability of highly und…
  14. psnet.ahrq.gov/issue/using-medical-error-reporting-drive-patient-safety-efforts
    September 18, 2024 - Commentary Using medical-error reporting to drive patient safety efforts. Citation Text: Stow J. Using medical-error reporting to drive patient safety efforts. AORN J. 2006;84(3):406-8, 411-4, 417-20; quiz 421-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote …
  15. psnet.ahrq.gov/issue/thinking-threes-changing-surgical-patient-safety-practices-complex-modern-operating-room
    April 28, 2021 - Commentary Thinking in three's: changing surgical patient safety practices in the complex modern operating room. Citation Text: Gibbs VC. Thinking in three's: changing surgical patient safety practices in the complex modern operating room. World J Gastroenterol. 2012;18(46):6712-9. doi:…
  16. psnet.ahrq.gov/issue/retained-surgical-items-and-minimally-invasive-surgery
    April 28, 2021 - Commentary Retained surgical items and minimally invasive surgery. Citation Text: Gibbs VC. Retained surgical items and minimally invasive surgery. World J Surg. 2011;35(7):1532-9. doi:10.1007/s00268-011-1060-4. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNo…
  17. psnet.ahrq.gov/issue/priority-patient-safety-issues-identified-perioperative-nurses
    June 19, 2013 - Study Priority patient safety issues identified by perioperative nurses. Citation Text: Steelman VM, Graling PR, Perkhounkova Y. Priority patient safety issues identified by perioperative nurses. AORN J. 2013;97(4):402-18. doi:10.1016/j.aorn.2012.06.016. Copy Citation Format: …
  18. psnet.ahrq.gov/issue/barriers-and-facilitators-communicating-nursing-errors-long-term-care-settings
    March 27, 2018 - Study Barriers and facilitators to communicating nursing errors in long-term care settings. Citation Text: Wagner LM, Damianakis T, Pho L, et al. Barriers and facilitators to communicating nursing errors in long-term care settings. J Patient Saf. 2013;9(1):1-7. doi:10.1097/PTS.0b013e31…
  19. psnet.ahrq.gov/issue/explicitly-addressing-implicit-bias-inpatient-rounds-student-and-faculty-reflections
    November 11, 2020 - Commentary Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Citation Text: Carter RG, Lake S. Explicitly addressing implicit bias on inpatient rounds: student and faculty reflections. Pediatrics. 2023;151(5). doi:10.1542/peds.2023-061585. Copy C…
  20. psnet.ahrq.gov/issue/ensuring-competency-and-safety-when-onboarding-newly-hired-professional-staff
    February 22, 2023 - Newspaper/Magazine Article Ensuring competency and safety when onboarding newly hired professional staff. Citation Text: Ensuring competency and safety when onboarding newly hired professional staff. ISMP Medication Safety Alert! Acute care edition. April 20, 2023;28(8):1-4; May 4, 2023;…

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