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Showing results for "learned".

  1. Error disclosure: a new domain for safety culture assessment. | PSNet

    psnet.ahrq.gov/issue/error-disclosure-new-domain-safety-culture-assessment
    September 01, 2018 - Study Error disclosure: a new domain for safety culture assessment. Citation Text: Etchegaray J, Gallagher TH, Bell SK, et al. Error disclosure: a new domain for safety culture assessment. BMJ Qual Saf. 2012;21(7):594-9. doi:10.1136/bmjqs-2011-000530. Copy Citation Format: …

  2. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. | PSNet

    psnet.ahrq.gov/issue/august-always-nightmare-results-royal-college-physicians-edinburgh-and-society-acute-medicine
    November 05, 2014 - Study 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh and Society of Acute Medicine August transition survey. Citation Text: Vaughan L, McAlister G, Bell D. 'August is always a nightmare': results of the Royal College of Physicians of Edinburgh a…

  3. Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. | PSNet

    psnet.ahrq.gov/issue/checklists-assessment-and-certification-clinical-procedural-skills-omit-essential
    June 07, 2023 - Review Checklists for assessment and certification of clinical procedural skills omit essential competencies: a systematic review. Citation Text: McKinley RK, Strand J, Ward L, et al. Checklists for assessment and certification of clinical procedural skills omit essential competencies: …

  4. Regional surveillance of emergency-department visits for outpatient adverse drug events. | PSNet

    psnet.ahrq.gov/issue/regional-surveillance-emergency-department-visits-outpatient-adverse-drug-events
    September 21, 2022 - Study Regional surveillance of emergency-department visits for outpatient adverse drug events. Citation Text: Capuano A, Irpino A, Gallo M, et al. Regional surveillance of emergency-department visits for outpatient adverse drug events. Eur J Clin Pharmacol. 2009;65(7):721-8. doi:10.100…

  5. Patient safety incidents caused by poor quality surgical instruments. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-caused-poor-quality-surgical-instruments
    April 06, 2022 - Study Patient safety incidents caused by poor quality surgical instruments. Citation Text: Dominguez ED, Rocos B. Patient Safety Incidents Caused by Poor Quality Surgical Instruments. Cureus. 2019;11(6):e4877. doi:10.7759/cureus.4877. Copy Citation Format: DOI Google Schola…

  6. Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/developing-and-evaluating-clinical-leadership-interventions-frontline-healthcare-providers
    May 01, 2024 - Review Emerging Classic Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature. Citation Text: Mianda S, Voce A. Developing and evaluating clinical leadership interventions for frontline healthc…

  7. Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016–2021. HCUP Statistical Brief #313. | PSNet

    psnet.ahrq.gov/issue/prevalence-and-burden-healthcare-associated-infections-hais-2016-2021-hcup-statistical-brief
    December 18, 2024 - Book/Report Prevalence and Burden of Healthcare-Associated Infections (HAIs), 2016–2021. HCUP Statistical Brief #313. Citation Text: Miller MA, Umscheid CA, Dowell J, et al. Prevalence And Burden Of Healthcare-Associated Infections (Hais), 2016–2021. Hcup Statistical Brief #313. Rockvill…

  8. The role of anesthesia in surgical mortality. | PSNet

    psnet.ahrq.gov/issue/role-anesthesia-surgical-mortality
    July 19, 2023 - Study Classic The role of anesthesia in surgical mortality. Citation Text: DRIPPS RD, LAMONT A, ECKENHOFF JE. The role of anesthesia in surgical mortality. JAMA. 1961;178:261-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML En…

  9. Detecting clinical medication errors with AI enabled wearable cameras. | PSNet

    psnet.ahrq.gov/issue/detecting-clinical-medication-errors-ai-enabled-wearable-cameras
    August 03, 2022 - Study Detecting clinical medication errors with AI enabled wearable cameras. Citation Text: Chan J, Nsumba S, Wortsman M, et al. Detecting clinical medication errors with AI enabled wearable cameras. NPJ Dig Med. 2024;7(1):287. doi:10.1038/s41746-024-01295-2. Copy Citation Format: …

  10. Medicine for the wandering mind: mind wandering in medical practice. | PSNet

    psnet.ahrq.gov/issue/medicine-wandering-mind-mind-wandering-medical-practice
    August 28, 2017 - Review Medicine for the wandering mind: mind wandering in medical practice. Citation Text: Smallwood J, Mrazek MD, Schooler JW. Medicine for the wandering mind: mind wandering in medical practice. Med Educ. 2011;45(11):1072-80. doi:10.1111/j.1365-2923.2011.04074.x. Copy Citation …

  11. Improved incident reporting following the implementation of a standardized emergency department peer review process. | PSNet

    psnet.ahrq.gov/issue/improved-incident-reporting-following-implementation-standardized-emergency-department-peer
    September 10, 2014 - Study Improved incident reporting following the implementation of a standardized emergency department peer review process. Citation Text: Reznek MA, Barton BA. Improved incident reporting following the implementation of a standardized emergency department peer review process. Int J Qual …

  12. 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.…

  13. Accuracy of adverse-drug-event reports collected using an automated dispensing system. | PSNet

    psnet.ahrq.gov/issue/accuracy-adverse-drug-event-reports-collected-using-automated-dispensing-system
    April 06, 2022 - Study Accuracy of adverse-drug-event reports collected using an automated dispensing system. Citation Text: Romero A, Malone DC. Accuracy of adverse-drug-event reports collected using an automated dispensing system. Am J Health Syst Pharm. 2005;62(13):1375-80. Copy Citation Forma…

  14. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? | PSNet

    psnet.ahrq.gov/issue/fatal-consequences-simple-mistake-how-can-patient-be-saved-inadvertent-intrathecal
    January 29, 2020 - Commentary Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Citation Text: Reddy K, Brown B, Nanda A. Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine? Clin Neurol Neu…

  15. Perceptions of effective and ineffective nurse–physician communication in hospitals. | PSNet

    psnet.ahrq.gov/issue/perceptions-effective-and-ineffective-nurse-physician-communication-hospitals
    June 28, 2017 - Study Perceptions of effective and ineffective nurse–physician communication in hospitals. Citation Text: Robinson P, Gorman G, Slimmer LW, et al. Perceptions of effective and ineffective nurse-physician communication in hospitals. Nurs Forum. 2010;45(3):206-16. doi:10.1111/j.1744-6198…

  16. An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. | PSNet

    psnet.ahrq.gov/issue/analysis-major-errors-and-equipment-failures-anesthesia-management-considerations-prevention
    May 27, 2011 - Study Classic An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection. Citation Text: Cooper JB, Newbower RS, Kitz RJ. An analysis of major errors and equipment failures in anesthesia management: c…

  17. From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. | PSNet

    psnet.ahrq.gov/issue/err-human-improving-diagnosis-health-care-risk-management-perspective
    April 24, 2018 - Commentary From To Err Is Human to Improving Diagnosis in Health Care: the risk management perspective. Citation Text: Bunting RF, Groszkruger DP. From To Err Is Human to Improving Diagnosis in Health Care: The risk management perspective. J Healthc Risk Manag. 2016;35(3):10-23. doi:10.1…

  18. 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…

  19. Transfer of accountability: transforming shift handover to enhance patient safety. | PSNet

    psnet.ahrq.gov/issue/transfer-accountability-transforming-shift-handover-enhance-patient-safety
    April 24, 2018 - Commentary Transfer of accountability: transforming shift handover to enhance patient safety. Citation Text: Alvarado K, Lee R, Christoffersen E, et al. Transfer of accountability: transforming shift handover to enhance patient safety. Healthc Q. 2006;9 Spec No:75-79. Copy Citation …

  20. Anatomy of an incident disclosure: the importance of dialogue. | PSNet

    psnet.ahrq.gov/issue/anatomy-incident-disclosure-importance-dialogue
    February 20, 2012 - Commentary Anatomy of an incident disclosure: the importance of dialogue. Citation Text: Iedema R, Allen S. Anatomy of an incident disclosure: the importance of dialogue. Jt Comm J Qual Patient Saf. 2012;38(10):435-42. Copy Citation Format: Google Scholar PubMed BibTeX En…
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