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Showing results for "learned".

  1. Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. | PSNet

    psnet.ahrq.gov/issue/targeting-improvements-patient-safety-large-academic-center-institutional-handoff-curriculum
    August 03, 2017 - Commentary Targeting improvements in patient safety at a large academic center: an institutional handoff curriculum for graduate medical education. Citation Text: Allen S, Caton C, Cluver J, et al. Targeting improvements in patient safety at a large academic center: an institutional hand…

  2. Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. | PSNet

    psnet.ahrq.gov/issue/patient-involvement-improved-patient-safety-qualitative-study-nurses-perceptions-and
    July 19, 2019 - Study Patient involvement for improved patient safety: a qualitative study of nurses' perceptions and experiences. Citation Text: Skagerström J, Ericsson C, Nilsen P, et al. Patient involvement for improved patient safety: A qualitative study of nurses' perceptions and experiences. Nurs …

  3. Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. | PSNet

    psnet.ahrq.gov/issue/optimal-preoperative-assessment-geriatric-surgical-patient-best-practices-guideline-american
    July 13, 2010 - Commentary Optimal preoperative assessment of the geriatric surgical patient: a best practices guideline from the American College of Surgeons National Surgical Quality Improvement Program and the American Geriatrics Society. Citation Text: Chow WB, Rosenthal RA, Merkow RP, et al. Optim…

  4. Enhanced detection of blood bank sample collection errors with a centralized patient database. | PSNet

    psnet.ahrq.gov/issue/enhanced-detection-blood-bank-sample-collection-errors-centralized-patient-database
    March 20, 2019 - Study Enhanced detection of blood bank sample collection errors with a centralized patient database. Citation Text: MacIvor D, Triulzi DJ, Yazer MH. Enhanced detection of blood bank sample collection errors with a centralized patient database. Transfusion (Paris). 2009;49(1):40-3. doi:…

  5. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. | PSNet

    psnet.ahrq.gov/issue/misdiagnosis-acute-myocardial-infarction-systematic-review-literature
    July 28, 2021 - Review Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Citation Text: Kwok CS, Bennett S, Azam Z, et al. Misdiagnosis of acute myocardial infarction: a systematic review of the literature. Crit Pathw Cardiol. 2021;20(3):155-162. doi:10.1097/hpc.0000000…

  6. Minimising treatment-associated risks in systemic cancer therapy. | PSNet

    psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
    December 22, 2021 - Review Minimising treatment-associated risks in systemic cancer therapy. Citation Text: Jaehde U, Liekweg A, Simons S, et al. Minimising treatment-associated risks in systemic cancer therapy. Pharm World Sci. 2008;30(2):161-8. Copy Citation Format: Google Scholar PubMed B…

  7. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. | PSNet

    psnet.ahrq.gov/issue/patient-safety-incidents-hospice-care-observations-interdisciplinary-case-conferences
    June 15, 2022 - Study Patient safety incidents in hospice care: observations from interdisciplinary case conferences. Citation Text: Oliver DP, Demiris G, Wittenberg-Lyles E, et al. Patient safety incidents in hospice care: observations from interdisciplinary case conferences. J Palliat Med. 2013;16(1…

  8. Why do nurses miss nursing care? A qualitative meta-synthesis. | PSNet

    psnet.ahrq.gov/issue/why-do-nurses-miss-nursing-care-qualitative-meta-synthesis
    January 23, 2017 - Review Why do nurses miss nursing care? A qualitative meta-synthesis. Citation Text: Peng M, Saito S, Mo W, et al. Why do nurses miss nursing care? A qualitative meta‐synthesis. Jpn J Nurs Sci. 2024;21(2):e12578. doi:10.1111/jjns.12578. Copy Citation Format: DOI Google Scho…

  9. Understanding and responding to health literacy as a social determinant of health. | PSNet

    psnet.ahrq.gov/issue/understanding-and-responding-health-literacy-social-determinant-health
    September 27, 2017 - Commentary Classic Understanding and responding to health literacy as a social determinant of health. Citation Text: Nutbeam D, Lloyd JE. Understanding and responding to health literacy as a social determinant of health. Annu Rev Public Health. 2021;42(1):159-17…

  10. Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
    March 24, 2019 - Study Improving medication-related safety for residents in nursing homes: a qualitative study. Citation Text: Shieu B, Lee Y-W, Epps F, et al. Improving medication-related safety for residents in nursing homes: a qualitative study. J Gerontol Nurs. 2025;51(3):38-43. doi:10.3928/00989134-…

  11. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. | PSNet

    psnet.ahrq.gov/issue/effect-systems-intervention-quality-and-safety-patient-handoffs-internal-medicine-residency
    May 08, 2017 - Study Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicine residency program. Citation Text: Graham KL, Marcantonio ER, Huang GC, et al. Effect of a systems intervention on the quality and safety of patient handoffs in an internal medicin…

  12. A family and hospital's journey and commitment to improving diagnostic safety. | PSNet

    psnet.ahrq.gov/issue/family-and-hospitals-journey-and-commitment-improving-diagnostic-safety
    July 06, 2022 - Commentary A family and hospital's journey and commitment to improving diagnostic safety. Citation Text: Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.…

  13. Medication safety messages for patients via the web portal: the MedCheck intervention. | PSNet

    psnet.ahrq.gov/issue/medication-safety-messages-patients-web-portal-medcheck-intervention
    September 11, 2013 - Study Medication safety messages for patients via the web portal: the MedCheck intervention. Citation Text: Weingart SN, Hamrick HE, Tutkus S, et al. Medication safety messages for patients via the web portal: the MedCheck intervention. Int J Med Inform . 2008;77(3):161-168. Copy Cit…

  14. Improving electronic health record usability and safety requires transparency. | PSNet

    psnet.ahrq.gov/issue/improving-electronic-health-record-usability-and-safety-requires-transparency
    September 19, 2018 - Commentary Improving electronic health record usability and safety requires transparency. Citation Text: Ratwani RM, Hodgkins M, Bates DW. Improving Electronic Health Record Usability and Safety Requires Transparency. JAMA. 2018;320(24):2533-2534. doi:10.1001/jama.2018.14079. Copy Cita…

  15. The tension between needing to improve care and knowing how to do it. | PSNet

    psnet.ahrq.gov/issue/tension-between-needing-improve-care-and-knowing-how-do-it
    June 03, 2010 - Commentary Classic The tension between needing to improve care and knowing how to do it. Citation Text: Auerbach AD, Landefeld S, Shojania KG. The tension between needing to improve care and knowing how to do it. N Engl J Med. 2007;357(6):608-13. Copy Citation…

  16. PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. | PSNet

    psnet.ahrq.gov/issue/psych-mnemonic-help-psychiatric-residents-decrease-patient-handoff-communication-errors
    November 16, 2022 - Study PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors. Citation Text: Mariano MT, Brooks V, DiGiacomo M. PSYCH: A Mnemonic to Help Psychiatric Residents Decrease Patient Handoff Communication Errors. Jt Comm J Qual Patient Saf. 2016;42(7):316…

  17. The impact of the built environment on patient falls in hospital rooms: an integrative review. | PSNet

    psnet.ahrq.gov/issue/impact-built-environment-patient-falls-hospital-rooms-integrative-review
    July 27, 2022 - Review The impact of the built environment on patient falls in hospital rooms: an integrative review. Citation Text: Pati D, Valipoor S, Lorusso L, et al. The impact of the built environment on patient falls in hospital rooms: an integrative review. J Patient Saf. 2021;17(4):273-281. doi…

  18. Value assessment of deprescribing interventions: suggestions for improvement. | PSNet

    psnet.ahrq.gov/issue/value-assessment-deprescribing-interventions-suggestions-improvement
    August 04, 2021 - Commentary Value assessment of deprescribing interventions: suggestions for improvement. Citation Text: Hung A, Wang J, Moriarty F, et al. Value assessment of deprescribing interventions: suggestions for improvement. J Am Geriatr Soc. 2023;71(6):2023-2027. doi:10.1111/jgs.18298. Copy C…

  19. Diagnostic error in the pediatric hospital: a narrative review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-error-pediatric-hospital-narrative-review
    November 16, 2022 - Review Diagnostic error in the pediatric hospital: a narrative review. Citation Text: Sawicki JG, Nystrom DT, Purtell R, et al. Diagnostic error in the pediatric hospital: a narrative review. Hosp Pract (1995). 2021;49((supp1):437-444. doi:10.1080/21548331.2021.2004040. Copy Citation …

  20. TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. | PSNet

    psnet.ahrq.gov/issue/teamstepps-evidence-based-approach-reduce-clinical-errors-threatening-safety-outpatient
    November 18, 2009 - Review TeamSTEPPS: an evidence-based approach to reduce clinical errors threatening safety in outpatient settings: an integrative review. Citation Text: Parker AL, Forsythe LL, Kohlmorgen IK. TeamSTEPPS : An evidence-based approach to reduce clinical errors threatening safety in outpatie…
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