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Showing results for "learned".

  1. psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…
  2. psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Commentary Changing the patient safety mindset: can safety cases help? Citation Text: Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. Copy Citation Format: DOI Google Scholar BibT…
  3. psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
    May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…
  4. psnet.ahrq.gov/issue/towards-safer-better-healthcare-harnessing-natural-properties-complex-sociotechnical-systems
    April 08, 2011 - Commentary Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Citation Text: Braithwaite J, Runciman WB, Merry AF. Towards safer, better healthcare: harnessing the natural properties of complex sociotechnical systems. Qual Saf Health …
  5. psnet.ahrq.gov/issue/understanding-swiss-cheese-model-and-its-application-patient-safety
    May 25, 2022 - Commentary Classic Understanding the "Swiss cheese model" and its application to patient safety. Citation Text: Wiegmann DA, J. Wood L, N. Cohen T, et al. Understanding the "Swiss cheese model" and its application to patient safety. J Patient Saf. 2022;18(2):119…
  6. psnet.ahrq.gov/issue/potential-twitter-data-source-patient-safety
    October 29, 2012 - Study The potential of Twitter as a data source for patient safety. Citation Text: Nakhasi A, Bell SG, Passarella RJ, et al. The Potential of Twitter as a Data Source for Patient Safety. J Patient Saf. 2019;15(4):e32-e35. doi:10.1097/PTS.0000000000000253. Copy Citation Format: …
  7. psnet.ahrq.gov/issue/pediatric-medical-emergency-team-manages-complex-child-hypoxia-and-worried-parent
    September 09, 2008 - Commentary A pediatric medical emergency team manages a complex child with hypoxia and a worried parent. Citation Text: Shilkofski NA, Hunt EA. A pediatric medical emergency team manages a complex child with hypoxia and worried parent. Jt Comm J Qual Patient Saf. 2007;33(4):236-41, 185. …
  8. psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
    August 18, 2017 - Review The problem of engaging hospital doctors in promoting safety and quality in clinical care. Citation Text: Neale G, Vincent CA, Darzi SA. The problem of engaging hospital doctors in promoting safety and quality in clinical care. J R Soc Promot Health. 2007;127(2):87-94. Copy Ci…
  9. psnet.ahrq.gov/issue/nursing-student-medication-errors-case-study-using-root-cause-analysis
    November 16, 2022 - Commentary Nursing student medication errors: a case study using root cause analysis. Citation Text: Dolansky MA, Druschel K, Helba M, et al. Nursing student medication errors: a case study using root cause analysis. J Prof Nurs. 2013;29(2):102-8. doi:10.1016/j.profnurs.2012.12.010. C…
  10. psnet.ahrq.gov/issue/when-err-inhuman-examination-influence-artificial-intelligence-driven-nursing-care-patient
    October 19, 2022 - Commentary When to err is inhuman: an examination of the influence of artificial intelligence-driven nursing care on patient safety. Citation Text: Johnson EA, Dudding KM, Carrington JM. When to err is inhuman: an examination of the influence of artificial intelligence‐driven nursing car…
  11. psnet.ahrq.gov/issue/wisdom-patients-and-families-ignore-it-our-peril
    March 13, 2013 - Commentary The wisdom of patients and families: ignore it at our peril. Citation Text: Donaldson LJ. The wisdom of patients and families: ignore it at our peril. BMJ Qual Saf. 2015;24(10):603-604. doi:10.1136/bmjqs-2015-004573. Copy Citation Format: DOI Google Scholar PubMe…
  12. psnet.ahrq.gov/issue/understanding-safer-practices-health-care-prologue-role-indicators
    May 07, 2008 - Study Understanding safer practices in health care: a prologue for the role of indicators. Citation Text: Kazandjian VA, Wicker K, Ogunbo S, et al. Understanding safer practices in health care: a prologue for the role of indicators. J Eval Clin Pract. 2005;11(2):161-70. Copy Citation …
  13. psnet.ahrq.gov/issue/enotss-platform-surgeons-nontechnical-skills-performance-improvement
    July 01, 2017 - Commentary The eNOTSS platform for surgeons’ nontechnical skills performance improvement. Citation Text: Pradarelli JC, Yule S, Smink DS. The eNOTSS Platform for Surgeons’ Nontechnical Skills Performance Improvement. JAMA Surg. 2020;155(5):438-439. doi:10.1001/jamasurg.2019.5880. Copy …
  14. psnet.ahrq.gov/issue/improving-disclosure-and-management-medical-error-opportunity-transform-surgeons-tomorrow
    April 11, 2012 - Review Improving disclosure and management of medical error—an opportunity to transform the surgeons of tomorrow. Citation Text: Tevlin R, Doherty E, Traynor O. Improving disclosure and management of medical error - an opportunity to transform the surgeons of tomorrow. Surgeon. 2013;11…
  15. psnet.ahrq.gov/issue/transformative-learning-professional-development-course-aimed-addressing-disruptive-physician
    February 12, 2020 - Commentary Transformative learning in a professional development course aimed at addressing disruptive physician behavior: a composite case study. Citation Text: Samenow CP, Worley LLM, Neufeld R, et al. Transformative learning in a professional development course aimed at addressing dis…
  16. psnet.ahrq.gov/issue/medical-error-and-decision-making-learning-past-and-present-intensive-care
    June 26, 2024 - Review Medical error and decision making: learning from the past and present in intensive care. Citation Text: Bucknall TK. Medical error and decision making: Learning from the past and present in intensive care. Australian Critical Care. 2010;23(3). doi:10.1016/j.aucc.2010.06.001. C…
  17. psnet.ahrq.gov/issue/sharing-process-diagnostic-decision-making
    January 19, 2022 - Commentary Sharing the process of diagnostic decision making. Citation Text: Brush JE, Brophy JM. Sharing the Process of Diagnostic Decision Making. JAMA Intern Med. 2017;177(9):1245-1246. doi:10.1001/jamainternmed.2017.1929. Copy Citation Format: DOI Google Scholar PubMed …
  18. psnet.ahrq.gov/issue/could-emotional-intelligence-make-patients-safer
    October 29, 2017 - Commentary Could emotional intelligence make patients safer? Citation Text: Codier E, Codier DD. Could Emotional Intelligence Make Patients Safer? Am J Nurs. 2017;117(7):58-62. doi:10.1097/01.NAJ.0000520946.39224.db. Copy Citation Format: DOI Google Scholar PubMed BibTeX En…
  19. psnet.ahrq.gov/issue/development-self-report-instrument-measure-patient-safety-attitudes-skills-and-knowledge
    April 10, 2013 - Commentary Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. Citation Text: Schnall R, Stone PW, Currie L, et al. Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge. J Nurs Scholarsh. 2008…
  20. psnet.ahrq.gov/issue/medication-safety-community-pharmacy-qualitative-study-sociotechnical-context
    February 06, 2019 - Study Medication safety in community pharmacy: a qualitative study of the sociotechnical context. Citation Text: Phipps D, Noyce PR, Parker D, et al. Medication safety in community pharmacy: a qualitative study of the sociotechnical context. BMC Health Serv Res. 2009;9:158. doi:10.1186…