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Total Results: over 10,000 records

Showing results for "learned".

8921. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. | PSNet
      psnet.ahrq.gov/issue/characterisations-adverse-events-detected-university-hospital-4-year-study-using-global
      December 09, 2020 - Study Characterisations of adverse events detected in a university hospital: a 4-year study using the Global Trigger Tool method. Citation Text: Rutberg H, Risberg MB, Sjödahl R, et al. Characterisations of adverse events detected in a university hospital: a 4-year study using the Global…

8922. Electronic health record adoption and rates of in-hospital adverse events. | PSNet
      psnet.ahrq.gov/issue/electronic-health-record-adoption-and-rates-hospital-adverse-events
      August 02, 2023 - Study Electronic health record adoption and rates of in-hospital adverse events. Citation Text: Furukawa MF, Eldridge N, Wang Y, et al. Electronic Health Record Adoption and Rates of In-hospital Adverse Events. J Patient Saf. 2020;16(2):137-142. doi:10.1097/pts.0000000000000257. Copy C…

8923. Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. | PSNet
      psnet.ahrq.gov/issue/effect-changes-hospital-nursing-resources-improvements-patient-safety-and-quality-care-panel
      July 19, 2023 - Study Emerging Classic Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. Citation Text: Sloane DM, Smith HL, McHugh MD, et al. Effect of Changes in Hospital Nursing Resources on Improvements in …

8924. Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' | PSNet
      psnet.ahrq.gov/issue/patient-safety-reporting-qualitative-study-thoughts-and-perceptions-experts-15-years-after
      June 16, 2021 - Study Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.' Citation Text: Mitchell I, Schuster A, Smith K, et al. Patient safety incident reporting: a qualitative study of thoughts and perceptions of experts 15 years after…

8925. A perinatal care quality and safety initiative: are there financial rewards for improved quality? | PSNet
      psnet.ahrq.gov/issue/perinatal-care-quality-and-safety-initiative-are-there-financial-rewards-improved-quality
      April 27, 2019 - Study A perinatal care quality and safety initiative: are there financial rewards for improved quality? Citation Text: Kozhimannil KB, Sommerness SA, Rauk P, et al. A perinatal care quality and safety initiative: are there financial rewards for improved quality? Jt Comm J Qual Patient …

8926. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. | PSNet
      psnet.ahrq.gov/issue/malpractice-cases-breast-surgery-assessment-litigation-involving-surgeons
      August 04, 2021 - Study Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Citation Text: Fan B, Pardo J, Yu-Moe CW, et al. Malpractice cases in breast surgery: an assessment of litigation involving surgeons. Ann Surg Oncol. 2021;28(13):8109-8115. doi:10.1245/s10434-021-1…

8927. Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/safety-implications-different-forms-understaffing-among-nurses-during-covid-19-pandemic
      May 05, 2021 - Study Emerging Classic Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic. Citation Text: Andel SA, Tedone AM, Shen W, et al. Safety implications of different forms of understaffing among nurses during the COVID‐19 …

8928. The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-impact-potentially-inappropriate-prescribing-among-older-persons-primary-care
      July 24, 2019 - Review Emerging Classic The prevalence and impact of potentially inappropriate prescribing among older persons in primary care settings: multilevel meta-analysis. Citation Text: Liew TM, Lee CS, Goh SKL, et al. The prevalence and impact of potentially inappropri…

8929. What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. | PSNet
      psnet.ahrq.gov/issue/what-stage-are-low-income-and-middle-income-countries-lmics-patient-safety-curriculum
      October 23, 2019 - Study What stage are low-income and middle-income countries (LMICs) at with patient safety curriculum implementation and what are the barriers to implementation? A two-stage cross-sectional study. Citation Text: Ginsburg LR, Dhingra-Kumar N, Donaldson LJ. What stage are low-income and mi…

8930. How and when organization identification promotes safety voice among healthcare professionals. | PSNet
      psnet.ahrq.gov/issue/how-and-when-organization-identification-promotes-safety-voice-among-healthcare-professionals
      September 15, 2021 - Study How and when organization identification promotes safety voice among healthcare professionals. Citation Text: Hu X, Casey T. How and when organization identification promotes safety voice among healthcare professionals. J Adv Nurs. 2021;77(9):3733-3744. doi:10.1111/jan.14868. Cop…

8931. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet
      psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
      June 22, 2022 - Study 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. Citation Text: Rotteau L, Shojania KG, Webster F. ‘I think we should just listen and get out’: a qualitative exploration of views and experiences of Patient…

8932. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. | PSNet
      psnet.ahrq.gov/issue/relationships-between-comprehensive-characteristics-nurse-work-schedules-and-adverse-patient
      October 06, 2010 - Review Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic literature review. Citation Text: Bae S‐H. Relationships between comprehensive characteristics of nurse work schedules and adverse patient outcomes: a systematic …

8933. Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. | PSNet
      psnet.ahrq.gov/issue/assessment-unintentional-duplicate-orders-emergency-department-clinicians-and-after
      October 19, 2022 - Study Assessment of unintentional duplicate orders by emergency department clinicians before and after implementation of a visual aid in the electronic health record ordering system. Citation Text: Horng S, Joseph JW, Calder S, et al. Assessment of Unintentional Duplicate Orders by Emerg…

8934. The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/calm-storm-utilizing-situ-simulation-evaluate-preparedness-alternative-care-hospital-during
      December 23, 2020 - Commentary The calm before the storm: utilizing in situ simulation to evaluate for preparedness of an alternative care hospital during COVID-19 pandemic. Citation Text: Petrone G, Brown L, Binder W, et al. The calm before the storm: utilizing in situ simulation to evaluate for preparedne…

8935. Habit and automaticity in medical alert override: cohort study. | PSNet
      psnet.ahrq.gov/issue/habit-and-automaticity-medical-alert-override-cohort-study
      October 05, 2022 - Study Habit and automaticity in medical alert override: cohort study. Citation Text: Wang L, Goh KH, Yeow A, et al. Habit and automaticity in medical alert override: cohort study. J Med Internet Res. 2022;24(2):e23355. doi:10.2196/23355. Copy Citation Format: DOI Google Sch…

8936. Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/effectiveness-barcode-medication-administration-system-reducing-preventable-adverse-drug
      December 14, 2022 - Study Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study. Citation Text: Morriss FH, Abramowitz PW, Nelson S, et al. Effectiveness of a barcode medication administration s…

8937. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. | PSNet
      psnet.ahrq.gov/issue/harnessing-situ-simulation-identify-human-errors-and-latent-safety-threats-adult-tracheostomy
      September 23, 2020 - Study Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Citation Text: Hassan B, Tawfik M-M, Schiff E, et al. Harnessing in situ simulation to identify human errors and latent safety threats in adult tracheostomy care. Jt Comm J …

8938. Discrimination, abuse, harassment, and burnout in surgical residency training. | PSNet
      psnet.ahrq.gov/issue/discrimination-abuse-harassment-and-burnout-surgical-residency-training
      May 06, 2020 - Study Classic Discrimination, abuse, harassment, and burnout in surgical residency training. Citation Text: Hu Y-Y, Ellis RJ, Hewitt B, et al. Discrimination, Abuse, Harassment, and Burnout in Surgical Residency Training. New Engl J Med. 2019;381(18):1741-1752. …

8939. A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. | PSNet
      psnet.ahrq.gov/issue/strategic-approach-managing-conflict-hospitals-responding-joint-commission-leadership
      December 01, 2007 - Commentary A strategic approach for managing conflict in hospitals: responding to The Joint Commission leadership standard—part 1 and part 2. Citation Text: Scott C, Gerardi D. A strategic approach for managing conflict in hospitals: responding to the Joint Commission leadership standard…

8940. Implications of electronic health record downtime: an analysis of patient safety event reports. | PSNet
      psnet.ahrq.gov/issue/implications-electronic-health-record-downtime-analysis-patient-safety-event-reports
      February 14, 2024 - Study Classic Implications of electronic health record downtime: an analysis of patient safety event reports. Citation Text: Larsen E, Fong A, Wernz C, et al. Implications of electronic health record downtime: an analysis of patient safety event reports. J Am Me…