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Showing results for "learned".

  1. Predictors of medication errors among elderly hospital patients. | PSNet

    psnet.ahrq.gov/issue/predictors-medication-errors-among-elderly-hospital-patients
    September 23, 2020 - Study Predictors of medication errors among elderly hospital patients. Citation Text: Picone DM, Titler MG, Dochterman J, et al. Predictors of medication errors among elderly hospitalized patients. Am J Med Qual. 2008;23(2):115-127. doi:10.1177/1062860607313143. Copy Citation For…

  2. A clinical data warehouse-based process for refining medication orders alerts. | PSNet

    psnet.ahrq.gov/issue/clinical-data-warehouse-based-process-refining-medication-orders-alerts
    March 10, 2011 - Study A clinical data warehouse-based process for refining medication orders alerts. Citation Text: Boussadi A, Caruba T, Zapletal E, et al. A clinical data warehouse-based process for refining medication orders alerts. J Am Med Inform Assoc. 2012;19(5):782-5. doi:10.1136/amiajnl-2012-00…

  3. Safety Climate Survey: reliability of results from a multicenter ICU survey. | PSNet

    psnet.ahrq.gov/issue/safety-climate-survey-reliability-results-multicenter-icu-survey
    June 13, 2012 - Study Safety Climate Survey: reliability of results from a multicenter ICU survey. Citation Text: Kho ME. Safety Climate Survey: reliability of results from a multicenter ICU survey. Quality and Safety in Health Care. 2005;14(4). doi:10.1136/qshc.2005.014316. Copy Citation Format…

  4. Healthcare professionals' views on feedback of a patient safety culture assessment. | PSNet

    psnet.ahrq.gov/issue/healthcare-professionals-views-feedback-patient-safety-culture-assessment
    October 25, 2023 - Study Healthcare professionals' views on feedback of a patient safety culture assessment. Citation Text: Zwijnenberg NC, Hendriks M, Hoogervorst-Schilp J, et al. Healthcare professionals' views on feedback of a patient safety culture assessment. BMC Health Serv Res. 2016;16:199. doi:10.1…

  5. Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. | PSNet

    psnet.ahrq.gov/issue/capturing-patients-perspectives-medication-safety-development-patient-centered-medication
    February 17, 2021 - Study Capturing patients' perspectives on medication safety: the development of a patient-centered medication safety framework. Citation Text: Giles SJ, Lewis PJ, Phipps D, et al. Capturing Patients' Perspectives on Medication Safety: The Development of a Patient-Centered Medication Safe…

  6. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. | PSNet

    psnet.ahrq.gov/issue/prevalence-second-victim-syndrome-and-emotional-distress-pediatric-intensive-care-providers
    April 24, 2018 - Study The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. Citation Text: Wolf MS, Smith K, Basu M, et al. The prevalence of second victim syndrome and emotional distress in pediatric intensive care providers. J Pediatr Intensive Care. 20…

  7. Improving medication-related clinical decision support. | PSNet

    psnet.ahrq.gov/issue/improving-medication-related-clinical-decision-support
    July 01, 2017 - Review Emerging Classic Improving medication-related clinical decision support. Citation Text: Tolley CL, Slight SP, Husband AK, et al. Improving medication-related clinical decision support. Am J Health Syst Pharm. 2018;75(4):239-246. doi:10.2146/ajhp160830. …

  8. The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. | PSNet

    psnet.ahrq.gov/issue/effect-lean-quality-improvement-implementation-program-surgical-pathology-specimen
    December 03, 2014 - Study The effect of a Lean quality improvement implementation program on surgical pathology specimen accessioning and gross preparation error frequency. Citation Text: Smith ML, Wilkerson T, Grzybicki DM, et al. The effect of a Lean quality improvement implementation program on surgical …

  9. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. | PSNet

    psnet.ahrq.gov/issue/relationship-between-preventable-hospital-deaths-and-other-measures-safety-exploratory-study
    November 12, 2014 - Study Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Citation Text: Hogan H, Healey F, Neale G, et al. Relationship between preventable hospital deaths and other measures of safety: an exploratory study. Int J Qual Health Care. 2014;2…

  10. The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet

    psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
    July 03, 2016 - Review The role of morbidity and mortality rounds in medical education: a scoping review. Citation Text: Benassi P, MacGillivray L, Silver I, et al. The role of morbidity and mortality rounds in medical education: a scoping review. Med Educ. 2017;51(5):469-479. doi:10.1111/medu.13234. …

  11. Adopting high reliability organization principles to lead a large scale clinical transformation. | PSNet

    psnet.ahrq.gov/issue/adopting-high-reliability-organization-principles-lead-large-scale-clinical-transformation
    November 21, 2021 - Commentary Adopting high reliability organization principles to lead a large scale clinical transformation. Citation Text: Pozzobon LD, Lam J, Chimonides E, et al. Adopting high reliability organization principles to lead a large scale clinical transformation. Healthc Manage Forum. 2023;…

  12. Hospital computerized provider order entry adoption and quality: an examination of the United States. | PSNet

    psnet.ahrq.gov/issue/hospital-computerized-provider-order-entry-adoption-and-quality-examination-united-states
    May 20, 2020 - Study Hospital computerized provider order entry adoption and quality: an examination of the United States. Citation Text: Kazley AS, Diana ML. Hospital computerized provider order entry adoption and quality: an examination of the United States. Health Care Manage Rev. 2011;36(1):86-94…

  13. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet

    psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
    February 02, 2022 - Book/Report Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. Citation Text: Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students …

  14. Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. | PSNet

    psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident
    July 28, 2021 - Study Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study. Citation Text: Adie K, Fois RA, McLachlan AJ, et al. Medication incident recovery and prevention utilising an Australian community pharmacy incident…

  15. Huddling for high reliability and situation awareness. | PSNet

    psnet.ahrq.gov/issue/huddling-high-reliability-and-situation-awareness
    January 29, 2014 - Study Huddling for high reliability and situation awareness. Citation Text: Goldenhar LM, Brady PW, Sutcliffe K, et al. Huddling for high reliability and situation awareness. BMJ Qual Saf. 2013;22(11):899-906. doi:10.1136/bmjqs-2012-001467. Copy Citation Format: DOI Google …

  16. Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. | PSNet

    psnet.ahrq.gov/issue/uncertain-diagnoses-childrens-hospital-patient-characteristics-and-outcomes
    March 17, 2021 - Study Uncertain diagnoses in a children's hospital: patient characteristics and outcomes. Citation Text: Sump CA, Marshall TL, Ipsaro AJ, et al. Uncertain diagnoses in a children’s hospital: patient characteristics and outcomes. Diagnosis. 2021;8(3):353-357. doi:10.1515/dx-2019-0058. …

  17. Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." | PSNet

    psnet.ahrq.gov/issue/detection-adverse-events-affected-record-review-methodology-evaluation-harvard-medical
    August 05, 2020 - Study Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool." Citation Text: Unbeck M, Schildmeijer K, Henriksson P, et al. Is detection of adverse events affected by record review …

  18. Transfusion safety: the nature and outcomes of errors in patient registration. | PSNet

    psnet.ahrq.gov/issue/transfusion-safety-nature-and-outcomes-errors-patient-registration
    December 16, 2020 - Review Transfusion safety: the nature and outcomes of errors in patient registration. Citation Text: Cohen R, Ning S, Yan MTS, et al. Transfusion Safety: The Nature and Outcomes of Errors in Patient Registration. Transfus Med Rev. 2019;33(2):78-83. doi:10.1016/j.tmrv.2018.11.004. Copy …

  19. The problem with root cause analysis. | PSNet

    psnet.ahrq.gov/issue/problem-root-cause-analysis
    August 28, 2024 - Commentary The problem with root cause analysis. Citation Text: Peerally MF, Carr S, Waring J, et al. The problem with root cause analysis. BMJ Qual Saf. 2017;26(5):417-422. doi:10.1136/bmjqs-2016-005511. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML…

  20. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet

    psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
    August 12, 2015 - Study The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. Citation Text: Panesar RS, Albert B, Messina C, et al. The Effect of an Electronic SBAR Communication Tool on Documentation of Acute Events in the Pediatric In…
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