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Showing results for "learned".

  1. Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. | PSNet

    psnet.ahrq.gov/issue/differences-reasons-alert-overrides-contraindicated-co-prescriptions-admitting-department
    January 23, 2017 - Study Differences of reasons for alert overrides on contraindicated co-prescriptions by admitting department. Citation Text: Ahn EK, Cho S-Y, Shin D, et al. Differences of Reasons for Alert Overrides on Contraindicated Co-prescriptions by Admitting Department. Healthc Inform Res. 2014;20…

  2. Patient falls in the operating room setting: an analysis of reported safety events. | PSNet

    psnet.ahrq.gov/issue/patient-falls-operating-room-setting-analysis-reported-safety-events
    November 17, 2021 - Study Patient falls in the operating room setting: an analysis of reported safety events. Citation Text: Tan J, Krishnan S, Vacanti JC, et al. Patient falls in the operating room setting: an analysis of reported safety events. J Healthc Risk Manag. 2022;42(1):9-14. doi:10.1002/jhrm.21503…

  3. Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool. | PSNet

    psnet.ahrq.gov/issue/use-emergency-manual-during-intraoperative-cardiac-arrest-interprofessional-team-positive
    April 03, 2019 - Study Use of an emergency manual during an intraoperative cardiac arrest by an interprofessional team: a positive-exemplar case study of a new patient safety tool. Citation Text: Merrell SB, Gaba DM, Agarwala A, et al. Use of an Emergency Manual During an Intraoperative Cardiac Arrest by…

  4. Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. | PSNet

    psnet.ahrq.gov/issue/improving-adherence-long-term-opioid-therapy-guidelines-reduce-opioid-misuse-primary-care
    January 23, 2019 - Study Improving adherence to long-term opioid therapy guidelines to reduce opioid misuse in primary care: a cluster-randomized trial. Citation Text: Liebschutz JM, Xuan Z, Shanahan CW, et al. Improving Adherence to Long-term Opioid Therapy Guidelines to Reduce Opioid Misuse in Primary Ca…

  5. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? | PSNet

    psnet.ahrq.gov/issue/can-standard-configuration-cardiac-monitor-lead-medical-errors-under-stress-induction
    May 19, 2021 - Study Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Citation Text: Dzisko M, Lewandowska A, Wudarska B. Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction? Sensors (Basel). 2022;22(9):…

  6. Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. | PSNet

    psnet.ahrq.gov/issue/automated-adverse-event-detection-collaborative-electronic-adverse-event-identification
    July 03, 2016 - Study Automated adverse event detection collaborative: electronic adverse event identification, classification, and corrective actions across academic pediatric institutions. Citation Text: Stockwell DC, Kirkendall E, Muething S, et al. Automated adverse event detection collaborative: e…

  7. Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. | PSNet

    psnet.ahrq.gov/issue/deficiencies-electronic-medical-record-inpatient-list-capabilities-negatively-impact-patient
    October 19, 2022 - Study Deficiencies in electronic medical record inpatient list capabilities negatively impact patient safety, resident education, and wellness. Citation Text: Davalos RA, Aden J, Pluta N, et al. Deficiencies in electronic medical record inpatient list capabilities negatively impact patie…

  8. Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. | PSNet

    psnet.ahrq.gov/issue/association-between-hospital-reported-leapfrog-safe-practices-scores-and-inpatient-mortality
    January 23, 2020 - Study Association between hospital-reported Leapfrog Safe Practices scores and inpatient mortality. Citation Text: Werner RM, McNutt RA. A New Strategy to Improve Quality. JAMA. 2009;301(13). doi:10.1001/jama.2009.423. Copy Citation Format: DOI Google Scholar BibTeX EndNo…

  9. Why and how to approach user experience in safety-critical domains: the example of health care. | PSNet

    psnet.ahrq.gov/issue/why-and-how-approach-user-experience-safety-critical-domains-example-health-care
    May 05, 2021 - Commentary Why and how to approach user experience in safety-critical domains: the example of health care. Citation Text: Grundgeiger T, Hurtienne J, Happel O. Why and how to approach user experience in safety-critical domains: the example of health care. Hum Factors. 2020;63(5):821-832.…

  10. 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. | PSNet

    psnet.ahrq.gov/issue/it-depends-complexity-allowing-residents-fail-perspective-clinical-supervisors
    December 14, 2022 - Study 'It depends': The complexity of allowing residents to fail from the perspective of clinical supervisors. Citation Text: Klasen JM, Teunissen PW, Driessen EW, et al. ‘It depends’: the complexity of allowing residents to fail from the perspective of clinical supervisors. Med Teach. 2…

  11. Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. | PSNet

    psnet.ahrq.gov/issue/challenging-hierarchy-healthcare-teams-ways-flatten-gradients-improve-teamwork-and-patient
    October 29, 2017 - Review Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. Citation Text: Green B, Oeppen RS, Smith DW, et al. Challenging hierarchy in healthcare teams - ways to flatten gradients to improve teamwork and patient care. Br J Oral Maxi…

  12. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. | PSNet

    psnet.ahrq.gov/issue/influence-psychological-safety-and-organizational-support-impact-humiliation-trainee-well
    January 26, 2022 - Study Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being. Citation Text: Appelbaum NP, Santen SA, Perera RA, et al. Influence of psychological safety and organizational support on the impact of humiliation on trainee well-being…

  13. Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. | PSNet

    psnet.ahrq.gov/issue/descriptive-analysis-disproportionate-medication-errors-and-associated-patient
    February 14, 2024 - Study Descriptive analysis on disproportionate medication errors and associated patient characteristics in the Food and Drug Administration's adverse event reporting system. Citation Text: Pera V, van Vaerenbergh F, Kors JA, et al. Descriptive analysis on disproportionate medication erro…

  14. Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. | PSNet

    psnet.ahrq.gov/issue/proficiency-based-virtual-reality-training-significantly-reduces-error-rate-residents-during
    November 13, 2009 - Study Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Citation Text: Ahlberg G, Enochsson L, Gallagher AG, et al. Proficiency-based virtual reality training significantly reduces the err…

  15. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. | PSNet

    psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
    October 03, 2011 - Study Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Citation Text: Szeinbach S, Seoane-Vazquez E, Parekh A, et al. Dispensing errors in community pharmacy: perceived influence of sociotechnical factors. Int J Qual Health Care. 2007;19(4):203-9.…

  16. Pharmacist linkage in care transitions: from academic medical center to community. | PSNet

    psnet.ahrq.gov/issue/pharmacist-linkage-care-transitions-academic-medical-center-community
    November 16, 2022 - Study Pharmacist linkage in care transitions: from academic medical center to community. Citation Text: Bloodworth LS, Malinowski SS, Lirette ST, et al. Pharmacist linkage in care transitions: from academic medical center to community. J Am Pharm Assoc . 2019;59(6):896-904. doi:10.1016/j…

  17. Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. | PSNet

    psnet.ahrq.gov/issue/effect-central-call-center-employee-perceptions-safety-culture-within-community-pharmacies
    June 15, 2022 - Study Effect of a central call center on employee perceptions of safety culture within community pharmacies in an academic health system. Citation Text: Bowden A, Mullin S, Tak C, et al. Effect of a central call center on employee perceptions of safety culture within community pharmacies…

  18. Patient perceptions of mistakes in ambulatory care. | PSNet

    psnet.ahrq.gov/issue/patient-perceptions-mistakes-ambulatory-care
    July 29, 2015 - Study Patient perceptions of mistakes in ambulatory care. Citation Text: Kistler CE, Walter LC, Mitchell M, et al. Patient perceptions of mistakes in ambulatory care. Arch Intern Med. 2010;170(16):1480-7. doi:10.1001/archinternmed.2010.288. Copy Citation Format: DOI Google …

  19. Detection of adverse drug events using an electronic trigger tool. | PSNet

    psnet.ahrq.gov/issue/detection-adverse-drug-events-using-electronic-trigger-tool
    October 02, 2013 - Study Detection of adverse drug events using an electronic trigger tool. Citation Text: Lim D, Melucci J, Rizer MK, et al. Detection of adverse drug events using an electronic trigger tool. Am J Health Syst Pharm. 2016;73(17 Suppl 4):S112-20. doi:10.2146/ajhp150481. Copy Citation F…

  20. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet

    psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
    November 16, 2022 - Review Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Citation Text: Wells M, Henry B, Goldstein L. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. Prehosp Disaster Med. 2023;38(4):471-484. doi…
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