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Showing results for "learned".

4641. Safety-I, Safety-II and resilience engineering. | PSNet
      psnet.ahrq.gov/issue/safety-i-safety-ii-and-resilience-engineering
      December 16, 2015 - Commentary Safety-I, Safety-II and resilience engineering. Citation Text: Patterson M, Deutsch ES. Safety-I, Safety-II and resilience engineering. Curr Probl Pediatr Adolesc Health Care. 2015;45(12):382-389. doi:10.1016/j.cppeds.2015.10.001. Copy Citation Format: DOI Google…

4642. What can we learn from coroners’ reports on preventable deaths? | PSNet
      psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
      October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? Citation Text: Jeraj S. What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…

4643. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
      October 12, 2022 - Book/Report Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Citation Text: Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. Washington DC: Un…

4644. Imitating incidents: how simulation can improve safety investigation and learning from adverse events. | PSNet
      psnet.ahrq.gov/issue/imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse
      February 28, 2024 - Commentary Imitating incidents: how simulation can improve safety investigation and learning from adverse events. Citation Text: Macrae C. Imitating Incidents: How Simulation Can Improve Safety Investigation and Learning From Adverse Events. Simul Healthc. 2018;13(4):227-232. doi:10.1097…

4645. The Safe Tables Collaborative: a statewide experience. | PSNet
      psnet.ahrq.gov/issue/safe-tables-collaborative-statewide-experience
      April 12, 2011 - Commentary The Safe Tables Collaborative: a statewide experience. Citation Text: Wagner CA, Cecchettini D, Fletcher J. The safe tables collaborative: a statewide experience. Jt Comm J Qual Patient Saf. 2011;37(5):206-10, 193. Copy Citation Format: Google Scholar PubMed BibT…

4646. Near misses: paradoxical realities in everyday clinical practice. | PSNet
      psnet.ahrq.gov/issue/near-misses-paradoxical-realities-everyday-clinical-practice
      May 04, 2012 - Study Near misses: paradoxical realities in everyday clinical practice. Citation Text: Jeffs L, Affonso DD, Macmillan K. Near misses: paradoxical realities in everyday clinical practice. Int J Nurs Pract. 2008;14(6):486-94. doi:10.1111/j.1440-172X.2008.00724.x. Copy Citation Fo…

4647. Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. | PSNet
      psnet.ahrq.gov/issue/safeguarding-medication-administration-understanding-pre-registration-nursing-students-survey
      June 27, 2012 - Study Safeguarding in medication administration: understanding pre-registration nursing students' survey response to patient safety and peer reporting issues. Citation Text: Andrew S, Mansour M. Safeguarding in medication administration: understanding pre-registration nursing students' s…

4648. The role of the patient in patient safety: what can we learn from healthcare's history? | PSNet
      psnet.ahrq.gov/issue/role-patient-patient-safety-what-can-we-learn-healthcares-history
      June 12, 2024 - Commentary The role of the patient in patient safety: what can we learn from healthcare's history? Citation Text: Leistikow I, Huisman F. The role of the patient in patient safety: What can we learn from healthcare's history? J Patient Saf Risk Manag. 2018;23(4):139-141. doi:10.1177/2516…

4649. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. | PSNet
      psnet.ahrq.gov/issue/learning-disasters-improve-patient-safety-applying-generic-disaster-pathway-health-system
      June 23, 2010 - Commentary Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. Citation Text: Travaglia J, Hughes C, Braithwaite J. Learning from disasters to improve patient safety: applying the generic disaster pathway to health system er…

4650. Preventing medication errors. | PSNet
      psnet.ahrq.gov/issue/preventing-medication-errors
      May 30, 2018 - Commentary Preventing medication errors. Citation Text: Stefanacci RG, Riddle A. Preventing medication errors. Geriatr Nurs. 2016;37(4):307-10. doi:10.1016/j.gerinurse.2016.06.005. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote t…

4651. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. | PSNet
      psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
      June 08, 2022 - Newspaper/Magazine Article Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Citation Text: Osterholm MT, Olshaker M. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. Foreign Affair…

4652. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. | PSNet
      psnet.ahrq.gov/issue/case-based-learning-patient-safety-lessons-learnt-program-uk-junior-doctors
      July 15, 2015 - Commentary Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. Citation Text: Ahmed M, Arora S, Baker P, et al. Case-based learning for patient safety: the Lessons Learnt program for UK junior doctors. World J Surg. 2012;36(5):956-8. doi:10.1007/s0…

4653. Using simulation to improve systems. | PSNet
      psnet.ahrq.gov/issue/using-simulation-improve-systems
      May 29, 2014 - Review Using simulation to improve systems. Citation Text: Lundberg PW, Korndorffer JR. Using Simulation to Improve Systems. Surg Clin North Am. 2015;95(4):885-92. doi:10.1016/j.suc.2015.04.007. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7…

4654. Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. | PSNet
      psnet.ahrq.gov/issue/learning-without-borders-review-implementation-medical-error-reporting-medecins-sans
      December 21, 2022 - Study Learning without borders: a review of the implementation of medical error reporting in Médecins Sans Frontières. Citation Text: Shanks L, Bil K, Fernhout J. Learning without Borders: A Review of the Implementation of Medical Error Reporting in Médecins Sans Frontières. PLoS One. 20…

4655. Accountability, organisational learning and risks to patient safety in England: conflict or compromise? | PSNet
      psnet.ahrq.gov/issue/accountability-organisational-learning-and-risks-patient-safety-england-conflict-or
      December 29, 2014 - Commentary Accountability, organisational learning and risks to patient safety in England: conflict or compromise? Citation Text: Dodds A, Kodate N. Accountability, organisational learning and risks to patient safety in England: Conflict or compromise? Health Risk Soc. 2011;13(4):327-3…

4656. Advocate Health Care: a systemwide approach to quality and safety. | PSNet
      psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety
      July 19, 2023 - Commentary Advocate Health Care: a systemwide approach to quality and safety. Citation Text: Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. Copy Citation Format: Google Scholar PubMed BibTeX …

4657. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 -                                                                                                           SCRIPT As we’ve already learned … • What were our major lessons learned from this case? … • Summarize your major takeaways by asking what the team’s lessons learned were from this case. … Make sure to spend some time talking about how to apply any lessons learned into practice for future

4658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50922/psn-pdf
      February 19, 2020 - An Organisation Losing its Memory? Patient Safety Alerts: Implementation, Monitoring and Regulation in England February 19, 2020 Cousins D. Croydon, UK: Accidents against Medical Accidents; 2020. https://psnet.ahrq.gov/issue/organisation-losing-its-memory-patient-safety-alerts-implementation- monitoring-and-regul…

4659. Effectiveness of a digital health intervention leveraging reinforcement learning: Results from the Diabetes and Mental Health Adaptive Notification Tracking and Evaluation (DIAMANTE) randomized clinical trial. | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-diabetes-and-depression-self-management-adaptive-mobile-messaging/citation/effectiveness
      January 01, 2024 - Effectiveness of a digital health intervention leveraging reinforcement learning: Results from the Diabetes and Mental Health Adaptive Notification Tracking and Evaluation (DIAMANTE) randomized clinical trial. Citation Aguilera A, Arévalo Avalos M, Xu J, Chakraborty B, Figueroa C, Garcia F, Rosales K,…

4660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48171/psn-pdf
      August 21, 2019 - Reducing drug prescription errors and adverse drug events by application of a probabilistic, machine-learning based clinical decision support system in an inpatient setting. August 21, 2019 Segal G, Segev A, Brom A, et al. Reducing drug prescription errors and adverse drug events by application of a probabilistic…