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Showing results for "learned".

  1. Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. | PSNet

    psnet.ahrq.gov/issue/shifting-and-sharing-academic-physicians-strategies-navigating-underperformance-and-failure
    August 21, 2019 - Study Shifting and sharing: academic physicians' strategies for navigating underperformance and failure. Citation Text: LaDonna KA, Ginsburg S, Watling C. Shifting and Sharing: Academic Physicians' Strategies for Navigating Underperformance and Failure. Acad Med. 2018;93(11):1713-1718. d…

  2. Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. | PSNet

    psnet.ahrq.gov/issue/responding-serious-medical-error-general-practice-consequences-gps-involved-analysis-75-cases
    June 19, 2019 - Study Responding to serious medical error in general practice—consequences for the GPs involved: analysis of 75 cases from Germany. Citation Text: Fisseni G, Pentzek M, Abholz H-H. Responding to serious medical error in general practice--consequences for the GPs involved: analysis of 7…

  3. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet

    psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
    December 21, 2022 - Study Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Citation Text: Smith RB, Dynan L, Fairbrother G, et al. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. Health Serv Res. 2012;47(4):1621-4…

  4. Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

    psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
    March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

  5. Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? | PSNet

    psnet.ahrq.gov/issue/patient-identification-error-among-prostate-needle-core-biopsy-specimens-are-we-ready-dna
    March 12, 2025 - Study Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? Citation Text: Suba EJ, Pfeifer JD, Raab SS. Patient identification error among prostate needle core biopsy specimens--are we ready for a DNA time-out? J Urol. 2007;178(4 Pt …

  6. Decreasing paediatric prescribing errors in a district general hospital. | PSNet

    psnet.ahrq.gov/issue/decreasing-paediatric-prescribing-errors-district-general-hospital
    June 09, 2011 - Study Decreasing paediatric prescribing errors in a district general hospital. Citation Text: Davey AL, Britland A, Naylor RJ. Decreasing paediatric prescribing errors in a district general hospital. Qual Saf Health Care. 2008;17(2):146-9. doi:10.1136/qshc.2006.021212. Copy Citation …

  7. Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. | PSNet

    psnet.ahrq.gov/issue/perceived-factors-associated-sustained-improvement-following-participation-multicenter
    November 20, 2019 - Study Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative. Citation Text: Stone S, Lee HC, Sharek PJ. Perceived Factors Associated with Sustained Improvement Following Participation in a Multicenter Quality Im…

  8. Rapid response systems in the Netherlands. | PSNet

    psnet.ahrq.gov/issue/rapid-response-systems-netherlands
    November 20, 2015 - Study Rapid response systems in the Netherlands. Citation Text: Ludikhuize J, Hamming A, De Jonge E, et al. Rapid Response Systems in the Netherlands. Jt Comm J Qual Patient Saf. 2016;37(3):138-149. doi:10.1016/s1553-7250(11)37017-1. Copy Citation Format: DOI Google Schol…

  9. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet

    psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
    June 14, 2019 - Journal Article Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management Citation Text: Czolgosz T, Cashen K, Farooqi A, et al. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in…

  10. Development of an instrument to measure the unintended consequences of EHRs. | PSNet

    psnet.ahrq.gov/issue/development-instrument-measure-unintended-consequences-ehrs
    June 22, 2011 - Commentary Development of an instrument to measure the unintended consequences of EHRs. Citation Text: Carrington JM, Gephart SM, Verran JA, et al. Development of an Instrument to Measure the Unintended Consequences of EHRs. West J Nurs Res. 2015;37(7):842-58. doi:10.1177/019394591557608…

  11. A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. | PSNet

    psnet.ahrq.gov/issue/multiobserver-study-effects-including-point-care-patient-photographs-portable-radiography
    March 04, 2015 - Study A multiobserver study of the effects of including point-of-care patient photographs with portable radiography: a means to detect wrong-patient errors. Citation Text: Tridandapani S, Ramamurthy S, Provenzale J, et al. A multiobserver study of the effects of including point-of-care p…

  12. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. | PSNet

    psnet.ahrq.gov/issue/implementing-electronic-medical-record-computerized-prescriber-order-entry-critical-access
    August 21, 2024 - Commentary Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Citation Text: Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical access hospital. Am J Health Syst Phar…

  13. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. | PSNet

    psnet.ahrq.gov/issue/avoidable-iatrogenic-complications-urethral-catheterization-and-inadequate-intern-training
    March 02, 2011 - Study Avoidable iatrogenic complications of urethral catheterization and inadequate intern training in a tertiary-care teaching hospital. Citation Text: Thomas AZ, Giri SK, Meagher D, et al. Avoidable iatrogenic complications of urethral catheterization and inadequate intern training i…

  14. Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. | PSNet

    psnet.ahrq.gov/issue/exploring-role-communications-quality-improvement-case-study-1000-lives-campaign-nhs-wales
    August 04, 2021 - Study Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales. Citation Text: Cooper A, Gray J, Willson A, et al. Exploring the role of communications in quality improvement: A case study of the 1000 Lives Campaign in NHS Wales. J…

  15. Patient safety education to change medical students' attitudes and sense of responsibility. | PSNet

    psnet.ahrq.gov/issue/patient-safety-education-change-medical-students-attitudes-and-sense-responsibility
    January 20, 2021 - Study Patient safety education to change medical students' attitudes and sense of responsibility. Citation Text: Roh H, Park SJ, Kim T. Patient safety education to change medical students' attitudes and sense of responsibility. Med Teach. 2015;37(10):908-14. doi:10.3109/0142159X.2014.970…

  16. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. | PSNet

    psnet.ahrq.gov/issue/human-factors-engineering-tool-medical-device-evaluation-hospital-procurement-decision-making
    June 28, 2017 - Study Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. Citation Text: Ginsburg G. Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making. J Biomed Inform. 2005;38(3):213-9. Copy C…

  17. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. | PSNet

    psnet.ahrq.gov/issue/medication-errors-hiv-infected-hospitalized-patients-pharmacists-impact
    November 16, 2022 - Study Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Citation Text: Eginger KH, Yarborough LL, Inge LDV, et al. Medication errors in HIV-infected hospitalized patients: a pharmacist's impact. Ann Pharmacother. 2013;47(7-8):953-60. doi:10.1345/aph.1R773.…

  18. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. | PSNet

    psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
    May 22, 2015 - Commentary Safe electronic health record use requires a comprehensive monitoring and evaluation framework. Citation Text: Sittig DF, Classen D. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. JAMA. 2010;303(5):450-451. doi:10.1001/jama.20…

  19. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/implementation-rapid-response-team-decreases-cardiac-arrest-outside-intensive-care-unit
    September 26, 2012 - Study Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. Citation Text: Offner PJ, Heit J, Roberts R. Implementation of a rapid response team decreases cardiac arrest outside of the intensive care unit. J Trauma. 2007;62(5):1223-7; disc…

  20. Hospital and procedure incidence of pediatric retained surgical items. | PSNet

    psnet.ahrq.gov/issue/hospital-and-procedure-incidence-pediatric-retained-surgical-items
    December 02, 2020 - Study Hospital and procedure incidence of pediatric retained surgical items. Citation Text: Wang B, Tashiro J, Perez EA, et al. Hospital and procedure incidence of pediatric retained surgical items. J Surg Res. 2015;198(2):400-5. doi:10.1016/j.jss.2015.03.054. Copy Citation Format:…
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