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Showing results for "learned".

  1. Nurses' experiences of drug administration errors. | PSNet

    psnet.ahrq.gov/issue/nurses-experiences-drug-administration-errors
    October 14, 2020 - Study Nurses' experiences of drug administration errors. Citation Text: Schelbred A-B, Nord R. Nurses' experiences of drug administration errors. J Adv Nurs. 2007;60(3):317-24. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  2. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? | PSNet

    psnet.ahrq.gov/issue/failure-rescue-patient-safety-indicator-neurosurgical-patients-are-we-there-yet
    August 04, 2021 - Review Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? Citation Text: Roy JM, Rumalla K, Skandalakis GP, et al. Failure to rescue as a patient safety indicator for neurosurgical patients: are we there yet? A systematic review. Neurosurg Rev. …

  3. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. | PSNet

    psnet.ahrq.gov/issue/comparing-safety-climate-naval-aviation-and-hospitals-implications-improving-patient-safety
    October 14, 2009 - Study Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Citation Text: Singer SJ, Rosen AK, Zhao S, et al. Comparing safety climate in naval aviation and hospitals: implications for improving patient safety. Health Care Manag Rev. 2010…

  4. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. | PSNet

    psnet.ahrq.gov/issue/reducing-falls-and-fall-related-injuries-mental-health-1-year-multihospital-falls
    January 25, 2023 - Commentary Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. Citation Text: Quigley PA, Barnett SD, Bulat T, et al. Reducing falls and fall-related injuries in mental health: a 1-year multihospital falls collaborative. J Nurs Care Qual…

  5. How should medication errors be defined? Development and test of a definition. | PSNet

    psnet.ahrq.gov/issue/how-should-medication-errors-be-defined-development-and-test-definition
    June 27, 2011 - Study How should medication errors be defined? Development and test of a definition. Citation Text: Lisby M, Nielsen LP, Brock B, et al. How should medication errors be defined? Development and test of a definition. Scand J Public Health. 2012;40(2):203-10. doi:10.1177/1403494811435489.…

  6. A new infusion syringe label system designed to reduce task complexity during drug preparation. | PSNet

    psnet.ahrq.gov/issue/new-infusion-syringe-label-system-designed-reduce-task-complexity-during-drug-preparation
    February 13, 2019 - Study A new infusion syringe label system designed to reduce task complexity during drug preparation. Citation Text: Merry AF, Webster CS, Connell H. A new infusion syringe label system designed to reduce task complexity during drug preparation. Anaesthesia. 2007;62(5). doi:10.1111/j.1…

  7. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet

    psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
    November 16, 2022 - Study Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. Citation Text: Lubbert PHW, Kaasschieter EG, Hoorntje LE, et al. Video registration of trauma team performance in the emergency department: the …

  8. 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 …

  9. Patient safety attitudes and behaviors of graduating medical students. | PSNet

    psnet.ahrq.gov/issue/patient-safety-attitudes-and-behaviors-graduating-medical-students
    June 01, 2016 - Study Patient safety attitudes and behaviors of graduating medical students. Citation Text: Wetzel AP, Dow AW, Mazmanian PE. Patient safety attitudes and behaviors of graduating medical students. Eval Health Prof. 2012;35(2):221-38. doi:10.1177/0163278711414560. Copy Citation For…

  10. A case of the birth and death of a high reliability healthcare organisation. | PSNet

    psnet.ahrq.gov/issue/case-birth-and-death-high-reliability-healthcare-organisation
    June 18, 2013 - Commentary A case of the birth and death of a high reliability healthcare organisation. Citation Text: Roberts KH, Madsen P, Desai V, et al. A case of the birth and death of a high reliability healthcare organisation. Qual Saf Health Care. 2005;14(3):216-20. Copy Citation Format:…

  11. Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. | PSNet

    psnet.ahrq.gov/issue/transition-traditional-code-team-medical-emergency-team-and-categorization-cardiopulmonary
    January 06, 2017 - Study Transition from a traditional code team to a medical emergency team and categorization of cardiopulmonary arrests in a children's center. Citation Text: Hunt EA, Zimmer KP, Rinke ML, et al. Transition from a traditional code team to a medical emergency team and categorization of …

  12. Information loss in emergency medical services handover of trauma patients. | PSNet

    psnet.ahrq.gov/issue/information-loss-emergency-medical-services-handover-trauma-patients
    August 04, 2021 - Study Information loss in emergency medical services handover of trauma patients. Citation Text: Carter AJE, Davis KA, Evans L, et al. Information loss in emergency medical services handover of trauma patients. Prehosp Emerg Care. 2009;13(3):280-5. doi:10.1080/10903120802706260. Copy …

  13. Leveraging trainees to improve quality and safety at the point of care: three models for engagement. | PSNet

    psnet.ahrq.gov/issue/leveraging-trainees-improve-quality-and-safety-point-care-three-models-engagement
    September 20, 2017 - Commentary Leveraging trainees to improve quality and safety at the point of care: three models for engagement. Citation Text: Faherty LJ, Mate KS, Moses JM. Leveraging Trainees to Improve Quality and Safety at the Point of Care: Three Models for Engagement. Acad Med. 2016;91(4):503-9. d…

  14. Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration? | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-elderly-veterans-are-we-using-wrong-drug-wrong-dose-or
    August 15, 2012 - Study Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration? Citation Text: Pugh MJV, Fincke BG, Bierman AS, et al. Potentially Inappropriate Prescribing in Elderly Veterans: Are We Using the Wrong Drug, Wrong Dose, or Wro…

  15. Towards international consensus on patient harm: perspectives on pressure injury policy. | PSNet

    psnet.ahrq.gov/issue/towards-international-consensus-patient-harm-perspectives-pressure-injury-policy
    September 27, 2016 - Review Towards international consensus on patient harm: perspectives on pressure injury policy. Citation Text: Jackson D, Hutchinson M, Barnason S, et al. Towards international consensus on patient harm: perspectives on pressure injury policy. J Nurs Manag. 2016;24(7):902-914. doi:10.111…

  16. Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. | PSNet

    psnet.ahrq.gov/issue/technical-rationality-and-decentring-patients-and-care-delivery-critique-unavoidable-context
    October 08, 2016 - Commentary Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm. Citation Text: Hutchinson M, Jackson D, Wilson S. Technical rationality and the decentring of patients and care delivery: A critique of 'unavoida…

  17. "Everybody makes mistakes": children's views on medical errors and disclosure. | PSNet

    psnet.ahrq.gov/issue/everybody-makes-mistakes-childrens-views-medical-errors-and-disclosure
    March 20, 2019 - Study "Everybody makes mistakes": children's views on medical errors and disclosure. Citation Text: Koller D, Binder MJ, Alexander S, et al. "Everybody Makes Mistakes": Children's Views on Medical Errors and Disclosure. J Ped Nurs. 2019;49:1-9. doi:10.1016/j.pedn.2019.07.014. Copy Cita…

  18. Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. | PSNet

    psnet.ahrq.gov/issue/use-high-fidelity-simulation-enhance-interdisciplinary-collaboration-and-reduce-patient-falls
    September 23, 2020 - Study Use of high-fidelity simulation to enhance interdisciplinary collaboration and reduce patient falls. Citation Text: Bursiek AA, Hopkins MR, Breitkopf DM, et al. Use of High-Fidelity Simulation to Enhance Interdisciplinary Collaboration and Reduce Patient Falls. J Patient Saf. 2020;…

  19. Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. | PSNet

    psnet.ahrq.gov/issue/declines-opioid-prescribing-after-private-insurer-policy-change-massachusetts-2011-2015
    October 19, 2022 - Government Resource Declines in opioid prescribing after a private insurer policy change—Massachusetts, 2011–2015. Citation Text: García MC, Dodek AB, Kowalski T, et al. Declines in Opioid Prescribing After a Private Insurer Policy Change - Massachusetts, 2011-2015. MMWR Morb Mortal Wkly…

  20. Incidents and errors in neonatal intensive care: a review of the literature. | PSNet

    psnet.ahrq.gov/issue/incidents-and-errors-neonatal-intensive-care-review-literature
    June 15, 2011 - Review Incidents and errors in neonatal intensive care: a review of the literature. Citation Text: Snijders C, van Lingen RA, Molendijk A, et al. Incidents and errors in neonatal intensive care: a review of the literature. Arch Dis Child Fetal Neonatal Ed. 2007;92(5):F391-8. Copy Cit…
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