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Showing results for "learned".

  1. The radiology impact of healthcare errors during shift work. | PSNet

    psnet.ahrq.gov/issue/radiology-impact-healthcare-errors-during-shift-work
    February 24, 2021 - Review The radiology impact of healthcare errors during shift work. Citation Text: Elliott J, Williamson K. The radiology impact of healthcare errors during shift work. Radiography. 2020;26(3):248-253. doi:10.1016/j.radi.2019.12.007. Copy Citation Format: DOI Google Scholar…

  2. A review of significant events analysed in general practice: implications for the quality and safety of patient care. | PSNet

    psnet.ahrq.gov/issue/review-significant-events-analysed-general-practice-implications-quality-and-safety-patient
    October 29, 2008 - Study A review of significant events analysed in general practice: implications for the quality and safety of patient care. Citation Text: McKay J, Bradley N, Lough M, et al. A review of significant events analysed in general practice: implications for the quality and safety of patient…

  3. Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. | PSNet

    psnet.ahrq.gov/issue/opioid-prescribing-after-surgical-extraction-teeth-medicaid-patients-2000-2010
    March 02, 2011 - Study Opioid prescribing after surgical extraction of teeth in Medicaid patients, 2000–2010. Citation Text: Baker JA, Avorn J, Levin R, et al. Opioid Prescribing After Surgical Extraction of Teeth in Medicaid Patients, 2000-2010. JAMA. 2016;315(15):1653-4. doi:10.1001/jama.2015.19058. …

  4. Patient safety in dentistry—state of play as revealed by a national database of errors. | PSNet

    psnet.ahrq.gov/issue/patient-safety-dentistry-state-play-revealed-national-database-errors
    August 29, 2018 - Study Patient safety in dentistry—state of play as revealed by a national database of errors. Citation Text: Thusu S, Panesar S, Bedi R. Patient safety in dentistry - state of play as revealed by a national database of errors. Br Dent J. 2012;213(3):E3. doi:10.1038/sj.bdj.2012.669. C…

  5. Diagnostic errors and temporal stability in bipolar disorder. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-and-temporal-stability-bipolar-disorder
    March 09, 2022 - Study Diagnostic errors and temporal stability in bipolar disorder. Citation Text: López J, Baca E, Botillo C, et al. [Diagnostic errors and temporal stability in bipolar disorder]. Actas Esp Psiquiatr. 2008;36(4):205-9. Copy Citation Format: Google Scholar PubMed BibTeX …

  6. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. | PSNet

    psnet.ahrq.gov/issue/catastrophic-drug-errors-involving-tranexamic-acid-administered-during-spinal-anaesthesia
    September 23, 2020 - Review Emerging Classic Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Citation Text: Patel S, Robertson B, McConachie I. Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia. Anaes…

  7. Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. | PSNet

    psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
    May 18, 2022 - Study Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. Citation Text: Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care. McCarthy L, Dolovich L, Haq M, et a…

  8. Targeting zero harm: a stretch goal that risks breaking the spring. | PSNet

    psnet.ahrq.gov/issue/targeting-zero-harm-stretch-goal-risks-breaking-spring
    December 01, 2021 - Commentary Targeting zero harm: a stretch goal that risks breaking the spring. Citation Text: Meddings J, Saint S, Lilford RJ, et al. Targeting zero harm: a stretch goal that risks breaking the spring. NEJM Catal Innov Care Deliv. 2020;1(4). doi:10.1056/cat.20.0354. Copy Citation F…

  9. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. | PSNet

    psnet.ahrq.gov/issue/sorry-i-meant-patients-left-side-impact-distraction-left-right-discrimination
    July 10, 2024 - Study 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Citation Text: McKinley J, Dempster M, Gormley GJ. 'Sorry, I meant the patient's left side': impact of distraction on left-right discrimination. Med Educ. 2015;49(4):427-35. doi:10.1111/me…

  10. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet

    psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
    October 30, 2019 - Study Types of diagnostic errors in neurological emergencies in the emergency department. Citation Text: Dubosh NM, Edlow JA, Lefton M, et al. Types of diagnostic errors in neurological emergencies in the emergency department. Diagnosis (Berl). 2015;2(1):21-28. doi:10.1515/dx-2014-0040. …

  11. Nursing practice with hospitalised older people: safety and harm. | PSNet

    psnet.ahrq.gov/issue/nursing-practice-hospitalised-older-people-safety-and-harm
    April 24, 2018 - Review Nursing practice with hospitalised older people: safety and harm. Citation Text: Dahlke SA, Hunter KF, Negrin K. Nursing practice with hospitalised older people: Safety and harm. Int J Older People Nurs. 2019;14(1):e12220. doi:10.1111/opn.12220. Copy Citation Format: …

  12. The use of a standard design medication room to promote medication safety: organizational implications. | PSNet

    psnet.ahrq.gov/issue/use-standard-design-medication-room-promote-medication-safety-organizational-implications
    July 27, 2022 - Study The use of a standard design medication room to promote medication safety: organizational implications. Citation Text: Rozenbaum H, Gordon L, Brezis M, et al. The use of a standard design medication room to promote medication safety: organizational implications. Int J Qual Health C…

  13. Errors and nonadherence in pediatric oral chemotherapy use. | PSNet

    psnet.ahrq.gov/issue/errors-and-nonadherence-pediatric-oral-chemotherapy-use
    April 08, 2020 - Study Errors and nonadherence in pediatric oral chemotherapy use. Citation Text: Walsh KE, Ryan J, Daraiseh N, et al. Errors and Nonadherence in Pediatric Oral Chemotherapy Use. Oncology. 2016;91(4):231-236. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML …

  14. Error codes at autopsy to study potential biases in diagnostic error. | PSNet

    psnet.ahrq.gov/issue/error-codes-autopsy-study-potential-biases-diagnostic-error
    November 30, 2012 - Study Error codes at autopsy to study potential biases in diagnostic error. Citation Text: Goldman BI, Bharadwaj R, Fuller M, et al. Error codes at autopsy to study potential biases in diagnostic error. Diagnosis (Berl). 2023;10(4):375-382. doi:10.1515/dx-2023-0010. Copy Citation F…

  15. The diagnostic moment: a study in US primary care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-moment-study-us-primary-care
    June 16, 2021 - Study The diagnostic moment: a study in US primary care. Citation Text: Heritage J. The diagnostic moment: a study in US primary care. Soc Sci Med. 2019;228:262-271. doi:10.1016/j.socscimed.2019.03.022. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote …

  16. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. | PSNet

    psnet.ahrq.gov/issue/image-gently-step-lightly-promoting-radiation-safety-pediatric-interventional-radiology
    August 20, 2018 - Commentary Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. Citation Text: Sidhu M, Goske MJ, Connolly B, et al. Image Gently, Step Lightly: promoting radiation safety in pediatric interventional radiology. AJR Am J Roentgenol. 2010;195(4):W29…

  17. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. | PSNet

    psnet.ahrq.gov/issue/5-year-analysis-rapid-response-system-activation-hospital-haemodialysis-unit
    March 24, 2011 - Study A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Citation Text: Galhotra S, Devita MA, Dew MA, et al. A 5-year analysis of rapid response system activation at an in-hospital haemodialysis unit. Qual Saf Health Care. 2010;19(6):e38. doi:1…

  18. Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. | PSNet

    psnet.ahrq.gov/issue/errors-abo-labeling-deceased-donor-kidneys-case-reports-and-approach-ensuring-patient-safety
    June 09, 2021 - Study Errors in ABO labeling of deceased donor kidneys: case reports and approach to ensuring patient safety. Citation Text: Friedman AL, Lee KC, Lee GD. Errors in ABO Labeling of Deceased Donor Kidneys: Case Reports and Approach to Ensuring Patient Safety. American Journal of Transpla…

  19. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet

    psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
    March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error disclosure. Citation Text: Han J, LaMarra D, Vapiwala N. Applying lessons from social psychology to transform the culture of error disclosure. Med Educ. 2017;51(10):996-1001. doi:10.1111/medu.13345. Co…

  20. Gaps in ambulatory patient safety for immunosuppressive specialty medications. | PSNet

    psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications
    November 19, 2018 - Study Gaps in ambulatory patient safety for immunosuppressive specialty medications. Citation Text: Patterson S, Schmajuk G, Evans M, et al. Gaps in Ambulatory Patient Safety for Immunosuppressive Specialty Medications. Jt Comm J Qual Patient Saf. 2019;45(5):348-357. doi:10.1016/j.jcjq.2…
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