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Showing results for "learned".

  1. A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. | PSNet

    psnet.ahrq.gov/issue/complexity-thinking-account-covid-19-pandemic-implications-systems-oriented-safety-management
    February 07, 2024 - Commentary A complexity thinking account of the COVID-19 pandemic: implications for systems-oriented safety management. Citation Text: Abreu Saurin T. A complexity thinking account of the COVID-19 pandemic: Implications for systems-oriented safety management. Safety Sci. 2021;134:105087.…

  2. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. | PSNet

    psnet.ahrq.gov/issue/reliability-ahrq-common-format-harm-scales-rating-patient-safety-events
    January 23, 2017 - Study The reliability of AHRQ Common Format Harm Scales in rating patient safety events. Citation Text: Williams TL, Szekendi MK, Pavkovic S, et al. The reliability of AHRQ Common Format Harm Scales in rating patient safety events. J Patient Saf. 2015;11(1):52-59. doi:10.1097/PTS.0b013e3…

  3. Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  | PSNet

    psnet.ahrq.gov/issue/impact-electronic-prescribing-hospital-setting-process-focused-evaluation
    April 29, 2020 - Study Impact of electronic prescribing in a hospital setting: a process-focused evaluation.  Citation Text: Cunningham TR, Geller S, Clarke SW. Impact of electronic prescribing in a hospital setting: a process-focused evaluation. Int J Med Inform. 2008;77(8):546-54. Copy Citation …

  4. Medication administration errors by nurses: adherence to guidelines. | PSNet

    psnet.ahrq.gov/issue/medication-administration-errors-nurses-adherence-guidelines
    July 08, 2020 - Study Medication administration errors by nurses: adherence to guidelines. Citation Text: Kim J, Bates DW. Medication administration errors by nurses: adherence to guidelines. J Clin Nurs. 2013;22(3-4):590-8. doi:10.1111/j.1365-2702.2012.04344.x. Copy Citation Format: DOI …

  5. Tune-in and time-out: toward surgeon-led prevention of "never" events. | PSNet

    psnet.ahrq.gov/issue/tune-and-time-out-toward-surgeon-led-prevention-never-events
    July 24, 2024 - Study Tune-in and time-out: toward surgeon-led prevention of "never" events. Citation Text: Jones N. Tune-In and Time-Out: Toward Surgeon-Led Prevention of "Never" Events. J Patient Saf. 2019;15(4):e36-e39. doi:10.1097/PTS.0000000000000259. Copy Citation Format: DOI Google …

  6. Measure twice, cut once. | PSNet

    psnet.ahrq.gov/issue/measure-twice-cut-once
    June 14, 2023 - Commentary Measure twice, cut once. Citation Text: Atkinson WK. Measure twice, cut once. AORN J. 2013;98(1):77-80. doi:10.1016/j.aorn.2013.05.004. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Down…

  7. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet

    psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
    March 02, 2011 - Commentary Implementing a national strategy for patient safety: lessons from the National Health Service in England. Citation Text: Lewis RQ, Fletcher M. Implementing a national strategy for patient safety: lessons from the National Health Service in England. Qual Saf Health Care. 2005…

  8. The morbidity and mortality meeting: time for a different approach? | PSNet

    psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
    August 30, 2023 - Commentary The morbidity and mortality meeting: time for a different approach? Citation Text: Fraser J. The morbidity and mortality meeting: time for a different approach? Arch Dis Child. 2016;101(1):4-8. doi:10.1136/archdischild-2015-309536. Copy Citation Format: DOI Googl…

  9. Factors influencing preceptors' responses to medical errors: a factorial survey. | PSNet

    psnet.ahrq.gov/issue/factors-influencing-preceptors-responses-medical-errors-factorial-survey
    September 10, 2009 - Study Factors influencing preceptors' responses to medical errors: a factorial survey. Citation Text: Mazor KM, Fischer M, Haley H-L, et al. Factors influencing preceptors' responses to medical errors: a factorial survey. Acad Med. 2005;80(10 Suppl):S88-92. Copy Citation Format: …

  10. Developing team cognition: a role for simulation. | PSNet

    psnet.ahrq.gov/issue/developing-team-cognition-role-simulation
    November 01, 2017 - Review Developing team cognition: a role for simulation. Citation Text: Fernandez R, Shah S, Rosenman ED, et al. Developing Team Cognition. Simul Healthc. 2017;12(2):96-103. doi:10.1097/sih.0000000000000200. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML End…

  11. Cognitive bias and public health policy during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/cognitive-bias-and-public-health-policy-during-covid-19-pandemic
    September 29, 2021 - Commentary Cognitive bias and public health policy during the COVID-19 pandemic. Citation Text: Halpern SD, Truog RD, Miller FG. Cognitive bias and public health policy during the COVID-19 pandemic. JAMA. 2020;324(4):337-338. doi:10.1001/jama.2020.11623. Copy Citation Format: …

  12. Role of medical students in preventing patient harm and enhancing patient safety. | PSNet

    psnet.ahrq.gov/issue/role-medical-students-preventing-patient-harm-and-enhancing-patient-safety
    July 10, 2008 - Study Role of medical students in preventing patient harm and enhancing patient safety. Citation Text: Seiden SC, Galvan C, Lamm R. Role of medical students in preventing patient harm and enhancing patient safety. Qual Saf Health Care. 2006;15(4):272-6. Copy Citation Format: …

  13. Moving beyond implicit bias in antiracist academic medicine initiatives. | PSNet

    psnet.ahrq.gov/issue/moving-beyond-implicit-bias-antiracist-academic-medicine-initiatives
    May 18, 2022 - Commentary Moving beyond implicit bias in antiracist academic medicine initiatives. Citation Text: Calhoun A, Genao I, Martin A, et al. Moving beyond implicit bias in antiracist academic medicine initiatives. Acad Med. 2022;97(6):790-792. doi:10.1097/acm.0000000000004562. Copy Citation…

  14. Investigating the causes of adverse events. | PSNet

    psnet.ahrq.gov/issue/investigating-causes-adverse-events
    October 03, 2017 - Commentary Investigating the causes of adverse events. Citation Text: Sanchez JA, Lobdell KW, Moffatt-Bruce SD, et al. Investigating the Causes of Adverse Events. Ann Thorac Surg. 2017;103(6):1693-1699. doi:10.1016/j.athoracsur.2017.04.001. Copy Citation Format: DOI Google …

  15. Rx for medication errors. | PSNet

    psnet.ahrq.gov/issue/rx-medication-errors
    July 19, 2023 - Newspaper/Magazine Article Rx for medication errors. Citation Text: Friedley NJC. Rx for medication errors. A patient medication safety plan can help prevent the cascade of devastating and preventable complications from adverse drug events. Medical economics. 2008;85(20):34-8. Copy …

  16. Reason's accident causation model: application to adverse events in acute care. | PSNet

    psnet.ahrq.gov/issue/reasons-accident-causation-model-application-adverse-events-acute-care
    October 29, 2014 - Commentary Reason's accident causation model: application to adverse events in acute care. Citation Text: Elliott M, Page K, Worrall-Carter L. Reason's accident causation model: application to adverse events in acute care. Contemp Nurse. 2012;43(1):22-8. doi:10.5172/conu.2012.43.1.22. …

  17. Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet

    psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
    October 29, 2012 - Review Cognitive and system factors contributing to diagnostic errors in radiology. Citation Text: Lee CS, Nagy PG, Weaver SJ, et al. Cognitive and system factors contributing to diagnostic errors in radiology. AJR Am J Roentgenol. 2013;201(3):611-7. doi:10.2214/AJR.12.10375. Copy Cita…

  18. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. | PSNet

    psnet.ahrq.gov/issue/doctors-charged-manslaughter-course-medical-practice-1795-2005-literature-review
    June 22, 2009 - Review Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. Citation Text: Ferner RE, McDowell SE. Doctors charged with manslaughter in the course of medical practice, 1795-2005: a literature review. J R Soc Med. 2006;99(6):309-314. Cop…

  19. A framework for encouraging patient engagement in medical decision making. | PSNet

    psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
    September 17, 2010 - Commentary A framework for encouraging patient engagement in medical decision making. Citation Text: Holzmueller CG, Wu AW, Pronovost P. A framework for encouraging patient engagement in medical decision making. J Patient Saf. 2012;8(4):161-164. doi:10.1097/PTS.0b013e318267c56e. Copy C…

  20. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. | PSNet

    psnet.ahrq.gov/issue/strategies-improve-patient-safety-outcome-indicator-preventing-or-reducing-falls
    March 24, 2021 - Commentary Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Citation Text: Bright L. Strategies to improve the patient safety outcome indicator: preventing or reducing falls. Home Healthc Nurse. 2005;23(1):29-36. Copy Citation Format: …
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