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Showing results for "learned".

  1. Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. | PSNet

    psnet.ahrq.gov/issue/patient-initiated-second-opinions-systematic-review-characteristics-and-impact-diagnosis
    May 29, 2015 - Review Patient-initiated second opinions: systematic review of characteristics and impact on diagnosis, treatment, and satisfaction. Citation Text: Payne VL, Singh H, Meyer AND, et al. Patient-Initiated Second Opinions: Systematic Review of Characteristics and Impact on Diagnosis, Treatm…

  2. Using incident reporting to improve patient safety: a conceptual model. | PSNet

    psnet.ahrq.gov/issue/using-incident-reporting-improve-patient-safety-conceptual-model
    June 29, 2009 - Commentary Using incident reporting to improve patient safety: a conceptual model. Citation Text: Pronovost PJ, Holzmueller CG, Young J, et al. Using Incident Reporting to Improve Patient Safety. J Patient Saf. 2008;3(1). doi:10.1097/pts.0b013e318030ca05. Copy Citation Format: …

  3. Designing safety interventions for specific contexts: results from a literature review. | PSNet

    psnet.ahrq.gov/issue/designing-safety-interventions-specific-contexts-results-literature-review
    June 22, 2022 - Review Designing safety interventions for specific contexts: results from a literature review. Citation Text: Karanikas N, Khan SR, Baker PRA, et al. Designing safety interventions for specific contexts: Results from a literature review. Safety Sci. 2022;156:105906. doi:10.1016/j.ssci.20…

  4. Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. | PSNet

    psnet.ahrq.gov/issue/identifying-patients-whose-symptoms-are-underrecognized-during-treatment-breast-radiotherapy
    May 25, 2022 - Study Identifying patients whose symptoms are underrecognized during treatment with breast radiotherapy. Citation Text: doi:10.1001/jamaoncol.2022.0114. Copy Citation Format: DOI BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  5. Lacerations and embedded needles caused by epinephrine autoinjector use in children. | PSNet

    psnet.ahrq.gov/issue/lacerations-and-embedded-needles-caused-epinephrine-autoinjector-use-children
    September 23, 2020 - Study Lacerations and embedded needles caused by epinephrine autoinjector use in children. Citation Text: Brown JC, Tuuri RE, Akhter S, et al. Lacerations and Embedded Needles Caused by Epinephrine Autoinjector Use in Children. Ann Emerg Med. 2016;67(3):307-315.e8. doi:10.1016/j.annemerg…

  6. Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. | PSNet

    psnet.ahrq.gov/issue/computerized-prescriber-order-entry-medication-safety-cpoems-uncovering-and-learning-issues
    February 05, 2014 - Book/Report Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Citation Text: Computerized Prescriber Order Entry Medication Safety (CPOEMS): Uncovering and Learning From Issues and Errors. Brigham and Women's Hospital, Harvard…

  7. Design of hospital errors and omissions activities that include patient-specific medication related problems. | PSNet

    psnet.ahrq.gov/issue/design-hospital-errors-and-omissions-activities-include-patient-specific-medication-related
    June 01, 2022 - Study Design of hospital errors and omissions activities that include patient-specific medication related problems. Citation Text: Cooper JB, Bradley CL. Design of hospital errors and omissions activities that include patient-specific medication related problems. Curr Pharm Teach Learn. …

  8. Post event debriefs: a commitment to learning how to better care for patients and staff. | PSNet

    psnet.ahrq.gov/issue/post-event-debriefs-commitment-learning-how-better-care-patients-and-staff
    May 31, 2017 - Study Post event debriefs: a commitment to learning how to better care for patients and staff. Citation Text: Campbell M, Miller K, McNicholas KW. Post Event Debriefs: A Commitment to Learning How to Better Care for Patients and Staff. Jt Comm J Qual Patient Saf. 2016;42(1):41-47. Copy…

  9. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. | PSNet

    psnet.ahrq.gov/issue/assessment-use-patient-vital-sign-data-preventing-misidentification-and-medical-errors
    February 16, 2022 - Commentary Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Citation Text: Maul J, Straub J. Assessment of the use of patient vital sign data for preventing misidentification and medical errors. Healthcare (Basel). 2022;10(12):2440. do…

  10. Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. | PSNet

    psnet.ahrq.gov/issue/nonpunitive-medication-error-reporting-3-year-findings-one-hospitals-primum-non-nocere
    September 23, 2020 - Study Nonpunitive medication error reporting: 3-year findings from one hospital's primum non nocere initiative. Citation Text: Potylycki MJ, Kimmel SR, Ritter M, et al. Nonpunitive medication error reporting: 3-year findings from one hospital's Primum Non Nocere initiative. J Nurs Adm.…

  11. Successful remediation of patient safety incidents: a tale of two medication errors. | PSNet

    psnet.ahrq.gov/issue/successful-remediation-patient-safety-incidents-tale-two-medication-errors
    January 26, 2022 - Commentary Successful remediation of patient safety incidents: a tale of two medication errors. Citation Text: Helmchen LA, Richards MR, McDonald TB. Successful remediation of patient safety incidents: a tale of two medication errors. Health Care Manage Rev. 2011;36(2):114-123. doi:10.10…

  12. Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. | PSNet

    psnet.ahrq.gov/issue/clinical-triggers-and-vital-signs-influencing-crisis-acknowledgment-and-calls-help
    June 15, 2012 - Study Clinical triggers and vital signs influencing crisis acknowledgment and calls for help by anesthesiologists: a simulation-based observational study. Citation Text: Matern LH, Gardner R, Rudolph JW, et al. Clinical triggers and vital signs influencing crisis acknowledgment and calls…

  13. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. | PSNet

    psnet.ahrq.gov/issue/discussing-undiscussable-powerful-why-and-how-faculty-must-learn-counteract-organizational
    November 16, 2022 - Commentary Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational silence. Citation Text: Dankoski ME, Bickel J, Gusic ME. Discussing the undiscussable with the powerful: why and how faculty must learn to counteract organizational sile…

  14. Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. | PSNet

    psnet.ahrq.gov/issue/association-between-implementing-comprehensive-learning-collaborative-strategies-statewide
    September 02, 2020 - Study Association between implementing comprehensive learning collaborative strategies in a statewide collaborative and changes in hospital safety culture. Citation Text: Yuce TK, Yang AD, Johnson JK, et al. Association between implementing comprehensive learning collaborative strategies…

  15. Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%202.pdf
    September 22, 2009 - Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop - Quality Engineering Group Report Day 2 Industrial and Systems Engineering and Health Care: Critical Areas of Research Workshop Tuesday, September 22, 2009 Quality Engineering Day 2, Break Out Session E: Quality Engineering Re…

  16. People, systems and safety: resilience and excellence in healthcare practice. | PSNet

    psnet.ahrq.gov/issue/people-systems-and-safety-resilience-and-excellence-healthcare-practice
    March 04, 2020 - Review Emerging Classic People, systems and safety: resilience and excellence in healthcare practice. Citation Text: Smith AF, Plunkett E. People, systems and safety: resilience and excellence in healthcare practice. Anaesthesia. 2019;74(4):508-517. doi:10.1111/…

  17. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. | PSNet

    psnet.ahrq.gov/issue/patient-safetys-missing-link-using-clinical-expertise-recognize-respond-and-reduce-risks
    May 08, 2017 - Commentary Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a population level. Citation Text: Hibbert PD, Healey F, Lamont T, et al. Patient safety's missing link: using clinical expertise to recognize, respond to and reduce risks at a…

  18. Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. | PSNet

    psnet.ahrq.gov/issue/requirements-implementing-just-culture-within-healthcare-organisations-integrative-review
    October 31, 2014 - Review Requirements for implementing a 'just culture' within healthcare organisations: an integrative review. Citation Text: Murray JS, Lee J, Larson S, et al. Requirements for implementing a ‘just culture’ within healthcare organisations: an integrative review. BMJ Open Qual. 2023;12(2)…

  19. Intensive care unit safety culture and outcomes: a US multicenter study. | PSNet

    psnet.ahrq.gov/issue/intensive-care-unit-safety-culture-and-outcomes-us-multicenter-study
    June 16, 2011 - Study Intensive care unit safety culture and outcomes: a US multicenter study. Citation Text: Huang DT, Clermont G, Kong L, et al. Intensive care unit safety culture and outcomes: a US multicenter study. Int J Qual Health Care. 2010;22(3):151-61. doi:10.1093/intqhc/mzq017. Copy Citat…

  20. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. | PSNet

    psnet.ahrq.gov/issue/developing-tools-enhance-adaptive-capacity-safety-ii-health-care-providers-childrens-hospital
    July 22, 2020 - Commentary Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. Citation Text: Bartman T, Merandi J, Maa T, et al. Developing tools to enhance the adaptive capacity (Safety II) of health care providers at a children's hospital. …
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