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Showing results for "learned".

  1. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. | PSNet

    psnet.ahrq.gov/issue/quality-journey-ascension-health-how-weve-prevented-least-1500-avoidable-deaths-year-and-aim
    June 06, 2018 - Commentary The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths a year—and aim to do even better. Citation Text: Pryor D, Hendrich A, Henkel RJ, et al. The quality 'journey' at Ascension Health: how we've prevented at least 1,500 avoidable deaths…

  2. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. | PSNet

    psnet.ahrq.gov/issue/incorporating-nursing-complexity-reimbursement-coding-systems-potential-impact-missed-care
    September 28, 2022 - Commentary Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. Citation Text: Sasso L, Bagnasco A, Aleo G, et al. Incorporating nursing complexity in reimbursement coding systems: the potential impact on missed care. BMJ Qual Saf. 2017;2…

  3. The 80-hour work guidelines and resident survey perceptions of quality. | PSNet

    psnet.ahrq.gov/issue/80-hour-work-guidelines-and-resident-survey-perceptions-quality
    June 18, 2008 - Study The 80-hour work guidelines and resident survey perceptions of quality. Citation Text: Biller K, Antonacci AC, Pelletier S, et al. The 80-hour work guidelines and resident survey perceptions of quality. J Surg Res. 2006;135(2):275-81. Copy Citation Format: Google Sc…

  4. A system-wide hospital child maltreatment patient safety program. | PSNet

    psnet.ahrq.gov/issue/system-wide-hospital-child-maltreatment-patient-safety-program
    September 15, 2021 - Study A system-wide hospital child maltreatment patient safety program. Citation Text: Hansen J, Terreros A, Sherman A, et al. A system-wide hospital child maltreatment patient safety program. Pediatrics. 2021;148(3):e2021050555. doi:10.1542/peds.2021-050555. Copy Citation Format: …

  5. Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. | PSNet

    psnet.ahrq.gov/issue/competencies-patient-safety-and-quality-improvement-synthesis-recommendations-influential
    March 31, 2022 - Review Competencies for patient safety and quality improvement: a synthesis of recommendations in influential position papers. Citation Text: Moran KM, Harris IB, Valenta AL. Competencies for Patient Safety and Quality Improvement: A Synthesis of Recommendations in Influential Position P…

  6. Opportunities for diagnostic improvement among pediatric hospital readmissions. | PSNet

    psnet.ahrq.gov/issue/opportunities-diagnostic-improvement-among-pediatric-hospital-readmissions
    August 30, 2023 - Study Opportunities for diagnostic improvement among pediatric hospital readmissions. Citation Text: Congdon M, Rauch B, Carroll B, et al. Opportunities for diagnostic improvement among pediatric hospital readmissions. Hosp Pediatr. 2023;13(7):563-571. doi:10.1542/hpeds.2023-007157. Co…

  7. Cognitive debiasing; part 1 and part 2. | PSNet

    psnet.ahrq.gov/issue/cognitive-debiasing-part-1-and-part-2
    September 18, 2024 - Commentary Cognitive debiasing; part 1 and part 2. Citation Text: Croskerry P, Singhal G, Mamede S. Cognitive debiasing 1: origins of bias and theory of debiasing. BMJ Qual Saf. 2013;22 Suppl 2:ii58-ii64. doi:10.1136/bmjqs-2012-001712. Copy Citation Format: DOI Google S…

  8. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. | PSNet

    psnet.ahrq.gov/issue/criminalisation-unintentional-error-healthcare-uk-perspective-new-zealand
    June 14, 2023 - Commentary Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. Citation Text: Ameratunga R, Klonin H, Vaughan J, et al. Criminalisation of unintentional error in healthcare in the UK: a perspective from New Zealand. BMJ. 2019;364:l706. doi:10.1…

  9. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. | PSNet

    psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views
    June 17, 2020 - Study Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Citation Text: Bradley F, Schafheutle EI, Willis SC, et al. Changes to supervision in community pharmacy: pharmacist and pharmacy support staff views. Health Soc Care Community. 2013;21(6):…

  10. Evaluation of patient safety culture in community pharmacies. | PSNet

    psnet.ahrq.gov/issue/evaluation-patient-safety-culture-community-pharmacies
    May 11, 2016 - Study Evaluation of patient safety culture in community pharmacies. Citation Text: Aboneh EA, Stone JA, Lester CA, et al. Evaluation of Patient Safety Culture in Community Pharmacies. J Patient Saf. 2020;16(1):e18-e24. doi:10.1097/pts.0000000000000245. Copy Citation Format: …

  11. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. | PSNet

    psnet.ahrq.gov/issue/antimicrobial-prescription-errors-hospitalized-children-role-antimicrobial-stewardship
    April 07, 2021 - Study Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention. Citation Text: Di Pentima C, Chan S, Eppes SC, et al. Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship…

  12. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. | PSNet

    psnet.ahrq.gov/issue/pediatric-emergency-department-discharge-prescriptions-requiring-pharmacy-clarification
    October 05, 2011 - Study Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Citation Text: Caruso MC, Gittelman MA, Widecan ML, et al. Pediatric emergency department discharge prescriptions requiring pharmacy clarification. Pediatr Emerg Care. 2015;31(6):403-8. doi:10.…

  13. Patient safety and mental health-a growing quality gap in Canada. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-mental-health-growing-quality-gap-canada
    February 19, 2010 - Commentary Patient safety and mental health-a growing quality gap in Canada. Citation Text: Waddell AE, Gratzer D. Patient safety and mental health-a growing quality gap in Canada. Can J Psychiatry. 2022;67(4):246-249. doi:10.1177/07067437211036596. Copy Citation Format: DO…

  14. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. | PSNet

    psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
    March 03, 2019 - Study Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. Citation Text: Copi EJ, Kelley LR, Fisher KK. Evaluation of the frequency of dispensing electronically discontinued medications and associated outcomes. J Am Pharm Assoc (2003…

  15. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. | PSNet

    psnet.ahrq.gov/issue/mix-methods-needed-identify-adverse-events-general-practice-prospective-observational-study
    April 15, 2009 - Study Mix of methods is needed to identify adverse events in general practice: a prospective observational study. Citation Text: Wetzels R, Wolters R, van Weel C, et al. Mix of methods is needed to identify adverse events in general practice: a prospective observational study. BMC Fam P…

  16. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. | PSNet

    psnet.ahrq.gov/issue/medication-safety-gaps-english-pediatric-inpatient-units-exploration-using-work-domain
    April 17, 2024 - Study Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. Citation Text: Sutherland A, Phipps DL, Gill A, et al. Medication safety gaps in English pediatric inpatient units: an exploration using work domain analysis. J Patient Saf. 2024…

  17. Management of test results in family medicine offices. | PSNet

    psnet.ahrq.gov/issue/management-test-results-family-medicine-offices
    July 14, 2010 - Study Management of test results in family medicine offices. Citation Text: Elder NC, McEwen TR, Flach JM, et al. Management of test results in family medicine offices. Ann Fam Med. 2009;7(4):343-51. doi:10.1370/afm.961. Copy Citation Format: DOI Google Scholar PubMed Bib…

  18. Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. | PSNet

    psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
    May 27, 2011 - Study Misuse of pediatric medications and parent–physician communication: an interactive voice response intervention. Citation Text: Walsh KE, Bacic J, Phillips BD, et al. Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention. J Pa…

  19. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-and-monitoring-errors-primary-care-report-practice-partner-research
    January 18, 2013 - Study Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Network. Citation Text: Wessell AM, Litvin C, Jenkins RG, et al. Medication prescribing and monitoring errors in primary care: a report from the Practice Partner Research Net…

  20. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. | PSNet

    psnet.ahrq.gov/issue/burnout-and-satisfaction-work-life-balance-among-us-physicians-relative-general-us-population
    February 23, 2018 - Study Classic Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Citation Text: Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the gen…
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