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Showing results for "learned".

  1. Inappropriate medications in elderly ICU survivors: where to intervene? | PSNet

    psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene
    May 08, 2017 - Study Inappropriate medications in elderly ICU survivors: where to intervene? Citation Text: Morandi A, Vasilevskis EE, Pandharipande PP, et al. Inappropriate medications in elderly ICU survivors: where to intervene? Arch Intern Med. 2011;171(11):1032-4. doi:10.1001/archinternmed.2011.…

  2. Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. | PSNet

    psnet.ahrq.gov/issue/team-mental-models-and-their-potential-improve-teamwork-and-safety-review-and-implications
    June 09, 2021 - Review Team mental models and their potential to improve teamwork and safety: a review and implications for future research in healthcare. Citation Text: Burtscher MJ, Manser T. Team mental models and their potential to improve teamwork and safety: A review and implications for future …

  3. How to perform a root cause analysis for workup and future prevention of medical errors: a review. | PSNet

    psnet.ahrq.gov/issue/how-perform-root-cause-analysis-workup-and-future-prevention-medical-errors-review
    August 03, 2017 - Review How to perform a root cause analysis for workup and future prevention of medical errors: a review. Citation Text: Charles R, Hood B, DeRosier JM, et al. How to perform a root cause analysis for workup and future prevention of medical errors: a review. Patient Saf Surg. 2016;10:20.…

  4. Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. | PSNet

    psnet.ahrq.gov/issue/goals-and-priorities-health-care-organizations-improve-safety-using-health-it-revised-report
    May 13, 2015 - Book/Report Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Citation Text: Goals and Priorities for Health Care Organizations to Improve Safety Using Health IT. Revised Report. Graber ML, Bailey R, Johnston D. RTI International; Washi…

  5. Americans' Experiences With Medical Errors and Views on Patient Safety. | PSNet

    psnet.ahrq.gov/issue/americans-experiences-medical-errors-and-views-patient-safety
    January 06, 2015 - Book/Report Classic Americans' Experiences With Medical Errors and Views on Patient Safety. Citation Text: Americans' Experiences With Medical Errors and Views on Patient Safety. Chicago, IL: NORC at the University of Chicago and IHI/NPSF Lucian Leape Institute;…

  6. Typology of solutions addressing diagnostic disparities: gaps and opportunities. | PSNet

    psnet.ahrq.gov/issue/typology-solutions-addressing-diagnostic-disparities-gaps-and-opportunities
    November 02, 2022 - Study Typology of solutions addressing diagnostic disparities: gaps and opportunities. Citation Text: Dukhanin V, Wiegand AA, Sheikh T, et al. Typology of solutions addressing diagnostic disparities: gaps and opportunities. Diagnosis (Berl). 2024;11(4):389-399. doi:10.1515/dx-2024-0026. …

  7. Medication error prevention by pharmacists. | PSNet

    psnet.ahrq.gov/issue/medication-error-prevention-pharmacists
    August 04, 2021 - Study Classic Medication error prevention by pharmacists. Citation Text: Blum K, Abel SR, Urbanski CJ, et al. Medication error prevention by pharmacists. Am J Hosp Pharm. 1988;45(9):1902-3. Copy Citation Format: Google Scholar PubMed BibTeX EndNo…

  8. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. | PSNet

    psnet.ahrq.gov/issue/national-quality-forum-30-safe-practices-priority-and-progress-iowa-hospitals
    November 17, 2010 - Study National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Citation Text: Ward MM, Evans TC, Spies AJ, et al. National Quality Forum 30 safe practices: priority and progress in Iowa hospitals. Am J Med Qual. 2006;21(2):101-8. Copy Citation Format: …

  9. The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. | PSNet

    psnet.ahrq.gov/issue/evidence-base-us-joint-commission-hospital-accreditation-standards-cross-sectional-study
    June 09, 2021 - Study The evidence base for US Joint Commission hospital accreditation standards: cross sectional study. Citation Text: Ibrahim SA, Reynolds KA, Poon E, et al. The evidence base for US joint commission hospital accreditation standards: cross sectional study. BMJ. 2022;377:e063064. doi:10…

  10. A patient safety toolkit for family practices. | PSNet

    psnet.ahrq.gov/issue/patient-safety-toolkit-family-practices
    August 22, 2018 - Study A patient safety toolkit for family practices. Citation Text: Campbell SM, Bell BG, Marsden K, et al. A Patient Safety Toolkit for Family Practices. J Patient Saf. 2020;16(3):e182-e186. doi:10.1097/pts.0000000000000471. Copy Citation Format: DOI Google Scholar BibTeX …

  11. Adverse Events in Hospitals: State Reporting Systems. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-state-reporting-systems
    January 14, 2009 - Book/Report Adverse Events in Hospitals: State Reporting Systems. Citation Text: Adverse Events in Hospitals: State Reporting Systems. Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-07-00471. …

  12. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. | PSNet

    psnet.ahrq.gov/issue/when-mistakes-multiply-how-inadequate-responses-medical-mishaps-erode-trust-american-medicine
    April 24, 2019 - Commentary When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Citation Text: Schlesinger M, Grob R. When mistakes multiply: how inadequate responses to medical mishaps erode trust in American medicine. Hastings Cent Rep. 2023;53(S2):s22-…

  13. Preventing and mitigating radiology system failures: a guide to disaster planning. | PSNet

    psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
    November 23, 2016 - Commentary Preventing and mitigating radiology system failures: a guide to disaster planning. Citation Text: Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…

  14. Toward more proactive approaches to safety in the electronic health record era. | PSNet

    psnet.ahrq.gov/issue/toward-more-proactive-approaches-safety-electronic-health-record-era
    December 06, 2023 - Commentary Toward more proactive approaches to safety in the electronic health record era. Citation Text: Sittig DF, Singh H. Toward More Proactive Approaches to Safety in the Electronic Health Record Era. Jt Comm J Qual Patient Saf. 2017;43(10):540-547. doi:10.1016/j.jcjq.2017.06.005. …

  15. Developing critical thinking skills for delivering optimal care | PSNet

    psnet.ahrq.gov/issue/developing-critical-thinking-skills-delivering-optimal-care
    June 23, 2021 - Commentary Developing critical thinking skills for delivering optimal care Citation Text: Scott IA, Hubbard RE, Crock C, et al. Developing critical thinking skills for delivering optimal care. Intern Med J. 2021;51(4):488-493. doi:10.1111/imj.15272. Copy Citation Format: DO…

  16. Improving the safety of health information technology requires shared responsibility: it is time we all step up. | PSNet

    psnet.ahrq.gov/issue/improving-safety-health-information-technology-requires-shared-responsibility-it-time-we-all
    August 20, 2014 - Commentary Improving the safety of health information technology requires shared responsibility: it is time we all step up. Citation Text: Sittig DF, Belmont E, Singh H. Improving the safety of health information technology requires shared responsibility: It is time we all step up. Healt…

  17. Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. | PSNet

    psnet.ahrq.gov/issue/surveys-patient-safety-culture-sops-ambulatory-surgery-center-survey-user-database-report
    February 28, 2024 - Book/Report Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Citation Text: Surveys on Patient Safety Culture (SOPS) Ambulatory Surgery Center Survey: User Database Report. Hare R, Tyler ER, Tapia A, et al. Rockville, MD: Agency for Healthc…

  18. Association between physician burnout and self-reported errors: meta-analysis. | PSNet

    psnet.ahrq.gov/issue/association-between-physician-burnout-and-self-reported-errors-meta-analysis
    July 19, 2017 - Review Association between physician burnout and self-reported errors: meta-analysis. Citation Text: Owoc J, Mańczak M, Jabłońska M, et al. Association between physician burnout and self-reported errors: meta-analysis. J Patient Saf. 2022;18(1):e180-e188. doi:10.1097/pts.0000000000000724…

  19. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. | PSNet

    psnet.ahrq.gov/issue/towards-unified-model-accident-causation-refining-and-validating-systems-thinking-safety
    March 14, 2022 - Commentary Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Citation Text: Salmon PM, Hulme A, Walker GH, et al. Towards a unified model of accident causation: refining and validating the systems thinking safety tenets. Ergonomics…

  20. The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. | PSNet

    psnet.ahrq.gov/issue/effects-work-hour-limitations-resident-well-being-patient-care-and-education-internal
    January 13, 2021 - Study The effects of work-hour limitations on resident well-being, patient care, and education in an internal medicine residency program. Citation Text: Goitein L, Shanafelt TD, Wipf JE, et al. The effects of work-hour limitations on resident well-being, patient care, and education in …
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