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Showing results for "learned".

  1. The National Emergency Department Safety Study: study rationale and design. | PSNet

    psnet.ahrq.gov/issue/national-emergency-department-safety-study-study-rationale-and-design
    June 16, 2009 - Commentary The National Emergency Department Safety Study: study rationale and design. Citation Text: Sullivan AF, Camargo CA, Cleary PD, et al. The National Emergency Department Safety Study: Study Rationale and Design. Acad Emerg Med. 2007;14(12):1182-1189. doi:10.1197/j.aem.2007.07.…

  2. The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. | PSNet

    psnet.ahrq.gov/issue/quality-minute-new-brief-and-structured-technique-quality-improvement-education-during
    January 09, 2019 - Commentary The "Quality Minute"—a new, brief, and structured technique for quality improvement education during the morbidity and mortality conference. Citation Text: Hoffman RL, Morris JB, Kelz RR. The “Quality Minute”—A New, Brief, and Structured Technique for Quality Improvement Educa…

  3. Doctors' views of attitudes towards peer medical error. | PSNet

    psnet.ahrq.gov/issue/doctors-views-attitudes-towards-peer-medical-error
    April 04, 2012 - Study Doctors' views of attitudes towards peer medical error. Citation Text: Asghari F, Fotouhi A, Jafarian A. Doctors' views of attitudes towards peer medical error. Qual Saf Health Care. 2009;18(3):209-12. doi:10.1136/qshc.2007.025015. Copy Citation Format: DOI Google S…

  4. System errors in intrapartum electronic fetal monitoring: a case review. | PSNet

    psnet.ahrq.gov/issue/system-errors-intrapartum-electronic-fetal-monitoring-case-review
    May 16, 2012 - Commentary System errors in intrapartum electronic fetal monitoring: a case review. Citation Text: Miller L. System errors in intrapartum electronic fetal monitoring: a case review. J Midwifery Womens Health. 2005;50(6):507-16. Copy Citation Format: Google Scholar PubMed …

  5. Changing the narratives for patient safety. | PSNet

    psnet.ahrq.gov/issue/changing-narratives-patient-safety
    April 17, 2019 - Commentary Changing the narratives for patient safety. Citation Text: Pronovost P, Sutcliffe K, Basu L, et al. Changing the narratives for patient safety. Bull World Health Organ. 2017;95(6):478-480. doi:10.2471/BLT.16.178392. Copy Citation Format: DOI Google Scholar PubMed…

  6. The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. | PSNet

    psnet.ahrq.gov/issue/jcaho-patient-safety-event-taxonomy-standardized-terminology-and-classification-schema-near
    June 04, 2014 - Commentary Classic The JCAHO patient safety event taxonomy: a standardized terminology and classification schema for near misses and adverse events. Citation Text: Chang A, Schyve PM, Croteau RJ, et al. The JCAHO patient safety event taxonomy: a standardized t…

  7. An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. | PSNet

    psnet.ahrq.gov/issue/investigation-relationship-between-safety-climate-and-medication-errors-well-other-nurse-and
    June 26, 2019 - Study An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes. Citation Text: Hofmann DA, Mark BA. AN INVESTIGATION OF THE RELATIONSHIP BETWEEN SAFETY CLIMATE AND MEDICATION ERRORS AS WELL AS OTHER NURSE AND PATIENT …

  8. Beyond communication: the role of standardized protocols in a changing health care environment. | PSNet

    psnet.ahrq.gov/issue/beyond-communication-role-standardized-protocols-changing-health-care-environment
    October 12, 2011 - Study Beyond communication: the role of standardized protocols in a changing health care environment. Citation Text: Vardaman JM, Cornell P, Gondo MB, et al. Beyond communication: the role of standardized protocols in a changing health care environment.  Health Care Manage Rev. 2012;37…

  9. Use of cascading A3s to drive systemwide improvement. | PSNet

    psnet.ahrq.gov/issue/use-cascading-a3s-drive-systemwide-improvement
    January 29, 2015 - Commentary Use of cascading A3s to drive systemwide improvement. Citation Text: Winner LE, Burroughs TJ, Cady-Reh JA, et al. Use of Cascading A3s to Drive Systemwide Improvement. Jt Comm J Qual Patient Saf. 2017;43(8):422-428. doi:10.1016/j.jcjq.2017.03.011. Copy Citation Format: …

  10. The Measurement and Monitoring of Safety. | PSNet

    psnet.ahrq.gov/issue/measurement-and-monitoring-safety
    October 01, 2024 - Book/Report The Measurement and Monitoring of Safety. Citation Text: The Measurement and Monitoring of Safety. Vincent C, Burnett S, Carthey J. London, UK: Health Foundation; April 2013. ISBN: 9781906461447. Copy Citation Save Save to your library Prin…

  11. Preventive Care | Digital Healthcare Research

    digital.ahrq.gov/type-care/preventive-care
    January 01, 2023 - Preventive Care A Longitudinal Machine Learning Approach Providing Clinicians Timely Detection to Prevent Military Suicide Description This research will develop and validate a clinician-facing longitudinal risk-prediction tool using self-reported data from US military service…

  12. Medical Device Use Error: Root Cause Analysis. | PSNet

    psnet.ahrq.gov/issue/medical-device-use-error-root-cause-analysis
    January 10, 2018 - Book/Report Medical Device Use Error: Root Cause Analysis. Citation Text: Medical Device Use Error: Root Cause Analysis. Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790. Copy Citation Save Save to your library Print Down…

  13. Deaths in Acute Hospitals: Caring to the End? | PSNet

    psnet.ahrq.gov/issue/deaths-acute-hospitals-caring-end
    March 17, 2011 - Book/Report Deaths in Acute Hospitals: Caring to the End? Citation Text: Deaths in Acute Hospitals: Caring to the End? Cooper H, Findlay G, Goodwin APL, et al. London, UK: National Confidential Enquiry into Patient Outcome and Death; November 2009. ISBN: 9780956088222. Copy Citat…

  14. Patient safety: threats and solutions. | PSNet

    psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
    January 19, 2011 - Commentary Patient safety: threats and solutions. Citation Text: McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubM…

  15. Human Factors | Digital Healthcare Research

    digital.ahrq.gov/health-care-theme/human-factors
    January 01, 2023 - Human Factors Artificial Intelligence and Human Factors in Healthcare Quality & Safety Description Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementation of art…

  16. The ethical imperative to think about thinking. | PSNet

    psnet.ahrq.gov/issue/ethical-imperative-think-about-thinking
    June 27, 2018 - Commentary The ethical imperative to think about thinking. Citation Text: Stark M, Fins JJ. The ethical imperative to think about thinking - diagnostics, metacognition, and medical professionalism. Camb Q Healthc Ethics. 2014;23(4):386-96. doi:10.1017/S0963180114000061. Copy Citation …

  17. The ongoing quality improvement journey: next stop, high reliability. | PSNet

    psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
    January 23, 2012 - Commentary The ongoing quality improvement journey: next stop, high reliability. Citation Text: Chassin MR, Loeb JM. The ongoing quality improvement journey: next stop, high reliability. Health Aff (Millwood). 2011;30(4):559-68. doi:10.1377/hlthaff.2011.0076. Copy Citation Format…

  18. Intrathecal chemotherapy: potential for medication error. | PSNet

    psnet.ahrq.gov/issue/intrathecal-chemotherapy-potential-medication-error
    February 23, 2015 - Review Intrathecal chemotherapy: potential for medication error. Citation Text: Gilbar PJ. Intrathecal chemotherapy: potential for medication error. Cancer Nurs. 2014;37(4):299-309. doi:10.1097/NCC.0000000000000108. Copy Citation Format: DOI Google Scholar PubMed BibTeX End…

  19. Improving diagnosis: adding context to cognition. | PSNet

    psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
    July 12, 2023 - Commentary Improving diagnosis: adding context to cognition. Citation Text: Linzer M, Sullivan EE, Olson APJ, et al. Improving diagnosis: adding context to cognition. Diagnosis (Berl). 2023;10(1):4-8. doi:10.1515/dx-2022-0058. Copy Citation Format: DOI Google Scholar BibTeX…

  20. Bringing the equity lens to patient safety event reporting. | PSNet

    psnet.ahrq.gov/issue/bringing-equity-lens-patient-safety-event-reporting
    September 21, 2009 - Commentary Bringing the equity lens to patient safety event reporting. Citation Text: Gandhi TK, Schulson LB, Thomas AD. Bringing the equity lens to patient safety event reporting. Jt Comm J Qual Patient Saf. 2024;50(1):87-89. doi:10.1016/j.jcjq.2023.09.003. Copy Citation Format: …
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