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Showing results for "learned".

8441. Patient Safety and Quality Improvement Act of 2005. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-quality-improvement-act-2005-0
      December 21, 2011 - Commentary Patient Safety and Quality Improvement Act of 2005. Citation Text: Fassett WE. Patient Safety and Quality Improvement Act of 2005. Ann Pharmacother. 2006;40(5):917-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

8442. Evaluation of causes and frequency of medication errors during information technology downtime. | PSNet
      psnet.ahrq.gov/issue/evaluation-causes-and-frequency-medication-errors-during-information-technology-downtime
      October 03, 2011 - Study Evaluation of causes and frequency of medication errors during information technology downtime. Citation Text: Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, et al. Evaluation of causes and frequency of medication errors during information technology downtime. Am J Health Syst Pharm…

8443. One hospital's initiatives to encourage safe opioid use. | PSNet
      psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
      October 19, 2022 - Commentary One hospital's initiatives to encourage safe opioid use. Citation Text: Surprise JK, Simpson MH. One Hospital's Initiatives to Encourage Safe Opioid Use. J Infus Nurs. 2015;38(4):278-83. doi:10.1097/NAN.0000000000000110. Copy Citation Format: DOI Google Scholar P…

8444. Teaching medical students to recognise and report errors. | PSNet
      psnet.ahrq.gov/issue/teaching-medical-students-recognise-and-report-errors
      March 01, 2023 - Commentary Teaching medical students to recognise and report errors. Citation Text: Mohsin SU, Ibrahim Y, Levine D. Teaching medical students to recognise and report errors. BMJ Open Qual. 2019;8(2):e000558. doi:10.1136/bmjoq-2018-000558. Copy Citation Format: DOI Google Sc…

8445. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. | PSNet
      psnet.ahrq.gov/issue/eradicating-medical-student-mistreatment-longitudinal-study-one-institutions-efforts
      August 28, 2019 - Study Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Citation Text: Fried JM, Vermillion M, Parker NH, et al. Eradicating medical student mistreatment: a longitudinal study of one institution's efforts. Acad Med. 2012;87(9):1191-1198. Copy …

8446. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. | PSNet
      psnet.ahrq.gov/issue/multicenter-multidisciplinary-high-alert-medication-collaborative-improve-patient-safety
      December 04, 2016 - Study A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapore experience. Citation Text: Khoo AL, Teng M, Lim BP, et al. A multicenter, multidisciplinary, high-alert medication collaborative to improve patient safety: the Singapor…

8447. Building nursing intellectual capital for safe use of information technology: a systematic review. | PSNet
      psnet.ahrq.gov/issue/building-nursing-intellectual-capital-safe-use-information-technology-systematic-review
      June 23, 2009 - Review Building nursing intellectual capital for safe use of information technology: a systematic review. Citation Text: Poe SS. Building nursing intellectual capital for safe use of information technology: a systematic review. J Nurs Care Qual. 2011;26(1):4-12. doi:10.1097/NCQ.0b013e31…

8448. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49845/psn-pdf
      October 01, 2018 - Coming Up Short: Maintaining Safety in the Face of Drug Shortages October 1, 2018 Plogsted S. Coming Up Short: Maintaining Safety in the Face of Drug Shortages. PSNet [internet]. 2018. https://psnet.ahrq.gov/web-mm/coming-short-maintaining-safety-face-drug-shortages The Case A 1-month-old preterm infant in the ne…

8449. Maternal Safety | PSNet
      psnet.ahrq.gov/perspective/maternal-safety
      January 01, 2015 - Annual Perspective Maternal Safety Audrey Lyndon, RN, PhD | December 22, 2018  View more articles from the same authors. Citation Text: Lyndon A. Maternal Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of H…

8450. Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary | PSNet
      psnet.ahrq.gov/innovation/combined-proactive-risk-assessment-cpra-4-step-technique-innovation-summary
      February 26, 2025 - Combined Proactive Risk Assessment (CPRA) – 4-Step Technique Innovation Summary Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL February 26, 2025 Innovation Contact …

8451. Strategies and Approaches for Investigating Patient Safety Events | PSNet
      psnet.ahrq.gov/primer/strategies-and-approaches-investigating-patient-safety-events
      March 15, 2025 - Strategies and Approaches for Investigating Patient Safety Events Citation Text: Shaikh U. Strategies and Approaches for Investigating Patient Safety Events. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2022. Copy Citation Fo…

8452. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866395/psn-pdf
      July 23, 2024 - Rescue Improvement Conference Innovation Summary July 23, 2024 https://psnet.ahrq.gov/innovation/rescue-improvement-conference-innovation-summary Summary The Rescue Improvement Conference (RIC)1 was designed at the University of Michigan to address failure to rescue with a particular focus on communication and com…

8453. Accountability in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/accountability-patient-safety
      January 01, 2018 - Annual Perspective Accountability in Patient Safety Christopher Moriates, MD, and Robert M. Wachter, MD | January 1, 2015  View more articles from the same authors. Citation Text: Moriates C, Wachter R. Accountability in Patient Safety. PSNet [internet]. Rock…

8454. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49439/psn-pdf
      March 01, 2004 - Lethal Cap March 1, 2004 Schillinger D. Lethal Cap. PSNet [internet]. 2004. https://psnet.ahrq.gov/web-mm/lethal-cap The Case A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…

8455. In Conversation With… … Jennifer Schulz Moore, LLB, MA, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-jennifer-schulz-moore-llb-ma-phd
      February 26, 2025 - In the US, I first learned about them with the Lexington VA study and the early Michigan studies

8456. In Conversation with...Brent C. James, MD, MStat | PSNet
      psnet.ahrq.gov/perspective/conversation-withbrent-c-james-md-mstat
      February 26, 2025 - There's not one of these where I haven't learned something important.

8457. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. | PSNet
      psnet.ahrq.gov/issue/optimizing-smart-pump-technology-increasing-critical-safety-alerts-and-reducing-clinically
      February 12, 2014 - Study Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Citation Text: Mansfield J, Jarrett S. Optimizing smart pump technology by increasing critical safety alerts and reducing clinically insignificant alerts. Hosp Pharm.…

8458. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. | PSNet
      psnet.ahrq.gov/issue/use-who-surgical-safety-checklist-trauma-and-orthopaedic-patients
      August 30, 2017 - Study Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Citation Text: Sewell M, Adebibe M, Jayakumar P, et al. Use of the WHO surgical safety checklist in trauma and orthopaedic patients. Int Orthop. 2011;35(6):897-901. doi:10.1007/s00264-010-1112-7. Copy …

8459. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. | PSNet
      psnet.ahrq.gov/issue/guidelines-prevention-diagnosis-and-treatment-ventilator-associated-pneumonia-vap-trauma
      October 19, 2022 - Organizational Policy/Guidelines Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (VAP) in the trauma patient. Citation Text: Minei JP, Nathens AB, West M, et al. Guidelines for prevention, diagnosis and treatment of ventilator-associated pneumonia (V…

8460. A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. | PSNet
      psnet.ahrq.gov/issue/systematic-review-performance-characteristics-clinical-event-monitor-signals-used-detect
      March 28, 2012 - Review A systematic review of the performance characteristics of clinical event monitor signals used to detect adverse drug events in the hospital setting. Citation Text: Handler S, Altman RL, Perera S, et al. A systematic review of the performance characteristics of clinical event mon…