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Showing results for "learned".

  1. Educational strategy to reduce medication errors in a neonatal intensive care unit. | PSNet

    psnet.ahrq.gov/issue/educational-strategy-reduce-medication-errors-neonatal-intensive-care-unit
    November 03, 2008 - Study Educational strategy to reduce medication errors in a neonatal intensive care unit. Citation Text: Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, et al. Educational strategy to reduce medication errors in a neonatal intensive care unit. Acta Paediatr. 2009;98(5):782-5. doi:10.1…

  2. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. | PSNet

    psnet.ahrq.gov/issue/diagnosing-sepsis-subjective-and-highly-variable-survey-intensivists-using-case-vignettes
    August 20, 2018 - Study Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Citation Text: Rhee C, Kadri SS, Danner RL, et al. Diagnosing sepsis is subjective and highly variable: a survey of intensivists using case vignettes. Crit Care. 2016;20:89. doi:10.1…

  3. The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. | PSNet

    psnet.ahrq.gov/issue/feasibility-determining-effectiveness-and-cost-effectiveness-medication-organisation-devices
    November 14, 2011 - Book/Report The Feasibility of Determining the Effectiveness and Cost-effectiveness of Medication Organisation Devices Compared with Usual Care for Older People in a Community Setting: Systematic Review, Stakeholder Focus Groups and Feasibility RCT. Citation Text: The Feasibility of Dete…

  4. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. | PSNet

    psnet.ahrq.gov/issue/impact-anesthetic-handover-mortality-and-morbidity-cardiac-surgery-cohort-study
    August 04, 2021 - Study Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. Citation Text: Hudson CCC, McDonald B, Hudson JKC, et al. Impact of anesthetic handover on mortality and morbidity in cardiac surgery: a cohort study. J Cardiothorac Vasc Anesth. 2015;29(1)…

  5. Analysis and prioritization of near-miss adverse events in a radiology department. | PSNet

    psnet.ahrq.gov/issue/analysis-and-prioritization-near-miss-adverse-events-radiology-department
    June 15, 2016 - Study Analysis and prioritization of near-miss adverse events in a radiology department. Citation Text: Thornton RH, Miransky J, Killen A, et al. Analysis and prioritization of near-miss adverse events in a radiology department. AJR Am J Roentgenol. 2011;196(5):1120-4. doi:10.2214/AJR.10…

  6. Significant and sustained reduction in chemotherapy errors through improvement science. | PSNet

    psnet.ahrq.gov/issue/significant-and-sustained-reduction-chemotherapy-errors-through-improvement-science
    October 19, 2022 - Study Significant and sustained reduction in chemotherapy errors through improvement science. Citation Text: Weiss BD, Scott M, Demmel K, et al. Significant and sustained reduction in chemotherapy errors through improvement science. J Oncol Pract. 2017;13(4):e329-e336. doi:10.1200/JOP.20…

  7. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. | PSNet

    psnet.ahrq.gov/issue/effectiveness-nurse-education-and-training-clinical-alarm-response-and-management-systematic
    February 22, 2017 - Review The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. Citation Text: Yue L, Plummer V, Cross W. The effectiveness of nurse education and training for clinical alarm response and management: a systematic review. J Clin Nu…

  8. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. | PSNet

    psnet.ahrq.gov/issue/multidisciplinary-system-detecting-medication-errors-antineoplastic-chemotherapy
    March 09, 2022 - Study Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. Citation Text: Serrano-Fabiá A, Albert-Marí A, Almenar-Cubells D, et al. Multidisciplinary system for detecting medication errors in antineoplastic chemotherapy. J Oncol Pharm Pract. 2010;16(…

  9. Potentially inappropriate medication use in hospitalized elders. | PSNet

    psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-hospitalized-elders
    February 17, 2011 - Study Potentially inappropriate medication use in hospitalized elders. Citation Text: Rothberg MB, Pekow PS, Liu F, et al. Potentially inappropriate medication use in hospitalized elders. J Hosp Med. 2008;3(2):91-102. doi:10.1002/jhm.290. Copy Citation Format: DOI Google …

  10. Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians. | PSNet

    psnet.ahrq.gov/issue/point-care-cognitive-support-technology-emergency-departments-scoping-review-technology
    August 03, 2022 - Review Point-of-care cognitive support technology in emergency departments: a scoping review of technology acceptance by clinicians. Citation Text: Jun S, Plint AC, Campbell SM, et al. Point-of-care Cognitive Support Technology in Emergency Departments: A Scoping Review of Technology Acc…

  11. Missed diagnoses of acute cardiac ischemia in the emergency department. | PSNet

    psnet.ahrq.gov/issue/missed-diagnoses-acute-cardiac-ischemia-emergency-department
    November 30, 2012 - Study Classic Missed diagnoses of acute cardiac ischemia in the emergency department. Citation Text: Pope JH, Aufderheide TP, Ruthazer R, et al. Missed diagnoses of acute cardiac ischemia in the emergency department. N Engl J Med. 2000;342(16):1163-1170. doi:10.…

  12. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. | PSNet

    psnet.ahrq.gov/issue/avoiding-second-wave-medical-errors-importance-human-factors-context-pandemic
    March 09, 2022 - Commentary Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Citation Text: Tejos R, Navia A, Cuadra A, et al. Avoiding a second wave of medical errors: the importance of human factors in the context of a pandemic. Aesthetic Plast Sur…

  13. An experimental study in nurse-physician relationships. | PSNet

    psnet.ahrq.gov/issue/experimental-study-nurse-physician-relationships
    July 14, 2010 - Study Classic An experimental study in nurse-physician relationships. Citation Text: Hofling CK, Brotzman E, Dalrymple S, et al. An experimental study in nurse-physician relationships. J Nerv Ment Dis. 1966;143(2):171-80. Copy Citation Format: Go…

  14. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. | PSNet

    psnet.ahrq.gov/issue/dealing-unforeseen-complexity-or-role-heedful-interrelating-medical-teams
    July 06, 2011 - Study Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Citation Text: Schraagen JM. Dealing with unforeseen complexity in the OR: the role of heedful interrelating in medical teams. Theor Issues Ergon Sci. 2011;12(3). doi:10.1080/1464536…

  15. Hospital patient safety grades may misrepresent hospital performance. | PSNet

    psnet.ahrq.gov/issue/hospital-patient-safety-grades-may-misrepresent-hospital-performance
    September 21, 2022 - Study Hospital patient safety grades may misrepresent hospital performance. Citation Text: Hwang W, Derk J, LaClair M, et al. Hospital patient safety grades may misrepresent hospital performance. J Hosp Med. 2014;9(2):111-5. doi:10.1002/jhm.2139. Copy Citation Format: DOI…

  16. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. | PSNet

    psnet.ahrq.gov/issue/critical-incidents-related-cardiac-arrests-reported-danish-patient-safety-database
    February 18, 2015 - Study Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Citation Text: Andersen PO, Maaløe R, Andersen HB. Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database. Resuscitation. 2010;81(3):312-316. doi:10.…

  17. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? | PSNet

    psnet.ahrq.gov/issue/post-event-debriefings-during-neonatal-care-why-are-we-not-doing-them-and-how-can-we-start
    January 15, 2014 - Commentary Post-event debriefings during neonatal care: why are we not doing them, and how can we start? Citation Text: Sawyer T, Loren D, Halamek LP. Post-event debriefings during neonatal care: why are we not doing them, and how can we start? J Perinatol. 2016;36(6):415-9. doi:10.1038/…

  18. Cultural and associated enablers of, and barriers to, adverse incident reporting. | PSNet

    psnet.ahrq.gov/issue/cultural-and-associated-enablers-and-barriers-adverse-incident-reporting
    March 23, 2011 - Study Cultural and associated enablers of, and barriers to, adverse incident reporting. Citation Text: Braithwaite J, Westbrook MT, Travaglia J, et al. Cultural and associated enablers of, and barriers to, adverse incident reporting. Qual Saf Health Care. 2010;19(3):229-233. doi:10.113…

  19. ASHP guidelines on perioperative pharmacy services. | PSNet

    psnet.ahrq.gov/issue/ashp-guidelines-perioperative-pharmacy-services
    December 21, 2014 - Review ASHP guidelines on perioperative pharmacy services. Citation Text: Bickham P, Golembiewski J, Meyer T, et al. ASHP guidelines on perioperative pharmacy services. Am J Health Syst Pharm. 2019;76(12):903-820. doi:10.1093/ajhp/zxz073. Copy Citation Format: DOI Google Sc…

  20. Use of a novel, modified fishbone diagram to analyze diagnostic errors. | PSNet

    psnet.ahrq.gov/issue/use-novel-modified-fishbone-diagram-analyze-diagnostic-errors
    February 13, 2019 - Commentary Use of a novel, modified fishbone diagram to analyze diagnostic errors. Citation Text: Reilly JB, Myers JS, Salvador D, et al. Use of a novel, modified fishbone diagram to analyze diagnostic errors. Diagnosis (Berl). 2014;1(2):167-171. doi:10.1515/dx-2013-0040. Copy Citation…
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