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Showing results for "learned".

  1. Creating a physician-led quality imperative. | PSNet

    psnet.ahrq.gov/issue/creating-physician-led-quality-imperative
    March 20, 2019 - Commentary Creating a physician-led quality imperative. Citation Text: Nelson MF, Merriman CS, Magnusson PT, et al. Creating a physician-led quality imperative. Am J Med Qual. 2014;29(6):508-16. doi:10.1177/1062860613509683. Copy Citation Format: DOI Google Scholar PubMed B…

  2. Taking the blame: appropriate responses to medical error. | PSNet

    psnet.ahrq.gov/issue/taking-blame-appropriate-responses-medical-error
    September 23, 2020 - Commentary Taking the blame: appropriate responses to medical error. Citation Text: Tigard DW. Taking the blame: appropriate responses to medical error. J Med Ethics. 2019;45(2):101-105. doi:10.1136/medethics-2017-104687. Copy Citation Format: DOI Google Scholar PubMed BibT…

  3. Should patients get direct access to their laboratory test results?: An answer with many questions. | PSNet

    psnet.ahrq.gov/issue/should-patients-get-direct-access-their-laboratory-test-results-answer-many-questions
    November 13, 2024 - Commentary Should patients get direct access to their laboratory test results?: An answer with many questions. Citation Text: Giardina TD, Singh H. Should patients get direct access to their laboratory test results? An answer with many questions. JAMA. 2011;306(22):2502-2503. doi:10.10…

  4. Disclosure of medical error: policies and practice. | PSNet

    psnet.ahrq.gov/issue/disclosure-medical-error-policies-and-practice
    June 30, 2011 - Commentary Disclosure of medical error: policies and practice. Citation Text: Kalra J, Massey L, Mulla A. Disclosure of medical error: policies and practice. J R Soc Med. 2005;98(7):307-309. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML End…

  5. Impact and implementation of simulation-based training for safety. | PSNet

    psnet.ahrq.gov/issue/impact-and-implementation-simulation-based-training-safety
    August 02, 2023 - Review Impact and implementation of simulation-based training for safety. Citation Text: Bilotta FF, Werner SM, Bergese SD, et al. Impact and implementation of simulation-based training for safety. ScientificWorldJournal. 2013;2013:652956. doi:10.1155/2013/652956. Copy Citation F…

  6. Surgical adverse outcome reporting as part of routine clinical care. | PSNet

    psnet.ahrq.gov/issue/surgical-adverse-outcome-reporting-part-routine-clinical-care
    March 23, 2011 - Study Surgical adverse outcome reporting as part of routine clinical care. Citation Text: Kievit J, Krukerink M, van de Mheen PJM-. Surgical adverse outcome reporting as part of routine clinical care. Qual Saf Health Care. 2010;19(6):e20. doi:10.1136/qshc.2008.027458. Copy Citation …

  7. Cutting-edge efforts in surgical patient safety. | PSNet

    psnet.ahrq.gov/issue/cutting-edge-efforts-surgical-patient-safety
    August 02, 2015 - Commentary Cutting-edge efforts in surgical patient safety. Citation Text: Varghese TK, Ghaferi AA. Cutting-edge Efforts in Surgical Patient Safety. JAMA Surg. 2017;152(8):719-720. doi:10.1001/jamasurg.2017.0858. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNot…

  8. What is the NHS Safety Thermometer? | PSNet

    psnet.ahrq.gov/issue/what-nhs-safety-thermometer
    November 02, 2016 - Commentary What is the NHS Safety Thermometer? Citation Text: Power M, Stewart K, Brotherton A. What is the NHS Safety Thermometer? Clin Risk. 2012;18(5):163-169. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  9. Effectiveness of random and focused review in detecting surgical pathology error. | PSNet

    psnet.ahrq.gov/issue/effectiveness-random-and-focused-review-detecting-surgical-pathology-error
    August 04, 2021 - Study Effectiveness of random and focused review in detecting surgical pathology error. Citation Text: Raab SS, Grzybicki DM, Mahood LK, et al. Effectiveness of random and focused review in detecting surgical pathology error. Am J Clin Pathol. 2008;130(6):905-12. doi:10.1309/AJCPPIA5…

  10. Preventing sentinel events caused by family members. | PSNet

    psnet.ahrq.gov/issue/preventing-sentinel-events-caused-family-members
    June 14, 2023 - Commentary Preventing sentinel events caused by family members. Citation Text: Wall Y, Kautz DD. Preventing sentinel events caused by family members. Dimens Crit Care Nurs. 2011;30(1):25-7. doi:10.1097/DCC.0b013e3181fd02a0. Copy Citation Format: DOI Google Scholar PubMed Bi…

  11. Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. | PSNet

    psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-proactive-identification-communication-and-handoff
    August 04, 2021 - Study Use of failure mode and effects analysis for proactive identification of communication and handoff failures from organ procurement to transplantation. Citation Text: Steinberger DM, Douglas S, Kirschbaum MS. Use of failure mode and effects analysis for proactive identification of…

  12. The culture of safety: results of an organization-wide survey in 15 California hospitals. | PSNet

    psnet.ahrq.gov/issue/culture-safety-results-organization-wide-survey-15-california-hospitals
    November 18, 2009 - Study Classic The culture of safety: results of an organization-wide survey in 15 California hospitals. Citation Text: Singer SJ, Gaba DM, Geppert JJ, et al. The culture of safety: results of an organization-wide survey in 15 California hospitals. Qual Saf Hea…

  13. Fewer but better auditory alarms will improve patient safety. | PSNet

    psnet.ahrq.gov/issue/fewer-better-auditory-alarms-will-improve-patient-safety
    August 11, 2021 - Commentary Fewer but better auditory alarms will improve patient safety. Citation Text: Edworthy J. Fewer but better auditory alarms will improve patient safety. Qual Saf Health Care. 2005;14(3):212-215. doi:10.1136/qshc.2004.013052. Copy Citation Format: DOI Google Schol…

  14. Use of the common gas outlet for supplementary oxygen during Caesarean section. | PSNet

    psnet.ahrq.gov/issue/use-common-gas-outlet-supplementary-oxygen-during-caesarean-section
    August 04, 2021 - Commentary Use of the common gas outlet for supplementary oxygen during Caesarean section. Citation Text: Edsell MEG, Erasmus PD. Use of the common gas outlet for supplementary oxygen during Caesarean section. Anaesthesia. 2005;60(11):1152-3. Copy Citation Format: Google …

  15. Characteristics of medication errors with parenteral cytotoxic drugs. | PSNet

    psnet.ahrq.gov/issue/characteristics-medication-errors-parenteral-cytotoxic-drugs
    July 01, 2017 - Study Characteristics of medication errors with parenteral cytotoxic drugs. Citation Text: Fyhr A, Akselsson R. Characteristics of medication errors with parenteral cytotoxic drugs. Eur J Cancer Care (Engl). 2012;21(5):606-613. doi:10.1111/j.1365-2354.2012.01331.x. Copy Citation …

  16. Anaesthetists' management of oxygen pipeline failure: room for improvement. | PSNet

    psnet.ahrq.gov/issue/anaesthetists-management-oxygen-pipeline-failure-room-improvement
    January 28, 2009 - Study Anaesthetists' management of oxygen pipeline failure: room for improvement. Citation Text: Weller JM, Merry AF, Warman GR, et al. Anaesthetists' management of oxygen pipeline failure: room for improvement. Anaesthesia. 2007;62(2):122-6. Copy Citation Format: Google …

  17. Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. | PSNet

    psnet.ahrq.gov/issue/longitudinal-analyses-nurse-staffing-and-patient-outcomes-more-about-failure-rescue
    February 24, 2021 - Study Longitudinal analyses of nurse staffing and patient outcomes: more about failure to rescue. Citation Text: Seago JA, Williamson A, Atwood C. Longitudinal Analyses of Nurse Staffing and Patient Outcomes. J Nurs Admin. 2006;36(1):13-21. doi:10.1097/00005110-200601000-00005. Copy Ci…

  18. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-event-trigger-tool-practical-methodology-measuring-medication-related-harm
    January 05, 2017 - Study Classic Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Citation Text: Rozich JD, Haraden CR, Resar RK. Adverse drug event trigger tool: a practical methodology for measuring medication related harm. Qual S…

  19. What's the difference between a hospital and a bottling factory? | PSNet

    psnet.ahrq.gov/issue/whats-difference-between-hospital-and-bottling-factory
    October 08, 2008 - Commentary What's the difference between a hospital and a bottling factory? Citation Text: Morton A, Cornwell J. What's the difference between a hospital and a bottling factory? BMJ. 2009;339(jul20 1). doi:10.1136/bmj.b2727. Copy Citation Format: DOI Google Scholar BibTeX…

  20. Handing over patient care: is it just the old broken telephone game? | PSNet

    psnet.ahrq.gov/issue/handing-over-patient-care-it-just-old-broken-telephone-game
    March 01, 2017 - Study Handing over patient care: is it just the old broken telephone game? Citation Text: Zendejas B, Ali SM, Huebner M, et al. Handing over patient care: is it just the old broken telephone game? J Surg Educ. 2011;68(6):465-71. doi:10.1016/j.jsurg.2011.05.011. Copy Citation Form…
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