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Showing results for "experiences".

  1. When I say…diagnostic error. | PSNet

    psnet.ahrq.gov/issue/when-i-saydiagnostic-error
    January 26, 2022 - Commentary When I say…diagnostic error. Citation Text: Hautz WE. When I say… diagnostic error. Med Educ. 2018. doi:10.1111/medu.13602. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation…

  2. Radically redesigning patient safety. | PSNet

    psnet.ahrq.gov/issue/radically-redesigning-patient-safety
    November 13, 2024 - Newspaper/Magazine Article Radically redesigning patient safety. Citation Text: Radick LE. Radically Redesigning Patient Safety. Healthcare executive. 2016;31(2):32-4, 36-40, 42. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged …

  3. Recurrent wrong-route drug error – a professional shame. | PSNet

    psnet.ahrq.gov/issue/recurrent-wrong-route-drug-error-professional-shame
    July 22, 2020 - Commentary Recurrent wrong-route drug error – a professional shame. Citation Text: Bell D. Recurrent wrong-route drug error - a professional shame. Anaesthesia. 2007;62(6):541-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagge…

  4. Ambiguities of chronic illness management and challenges to the medical error paradigm. | PSNet

    psnet.ahrq.gov/issue/ambiguities-chronic-illness-management-and-challenges-medical-error-paradigm
    July 02, 2014 - Study Ambiguities of chronic illness management and challenges to the medical error paradigm. Citation Text: Lutfey KE, Freese J. Ambiguities of chronic illness management and challenges to the medical error paradigm. Soc Sci Med. 2007;64(2):314-25. Copy Citation Format: …

  5. Evaluating the effectiveness of health care teams. | PSNet

    psnet.ahrq.gov/issue/evaluating-effectiveness-health-care-teams
    September 20, 2023 - Review Evaluating the effectiveness of health care teams. Citation Text: Mickan SM. Evaluating the effectiveness of health care teams. Aust Health Rev. 2005;29(2):211-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedI…

  6. Systems science: a primer on high reliability. | PSNet

    psnet.ahrq.gov/issue/systems-science-primer-high-reliability
    March 23, 2022 - Review Systems science: a primer on high reliability. Citation Text: Roberson DW, Kirsh ER. Systems science: a primer on high reliability. Otolaryngol Clin North Am. 2019;52(1):1-9. doi:10.1016/j.otc.2018.08.001. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XM…

  7. Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. | PSNet

    psnet.ahrq.gov/issue/managing-unexpected-sustained-performance-complex-world-3rd-edition
    November 04, 2015 - Book/Report Classic Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Citation Text: Managing the Unexpected: Sustained Performance in a Complex World, Third Edition. Weick KE, Sutcliffe KM. San Francisco, CA: Jossey-Bass; 2015. I…

  8. Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. | PSNet

    psnet.ahrq.gov/issue/making-healthcare-safer-iv-continuous-updating-patient-safety-harms-and-practices
    December 10, 2024 - Book/Report Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Citation Text: Making Healthcare Safer IV: A Continuous Updating of Patient Safety Harms and Practices. Rockville, MD: Agency for Healthcare Research and Quality: July 2023 - Jan 2025. …

  9. Peer support for clinicians: a programmatic approach. | PSNet

    psnet.ahrq.gov/issue/peer-support-clinicians-programmatic-approach
    July 25, 2018 - Commentary Peer support for clinicians: a programmatic approach. Citation Text: Shapiro J, Galowitz P. Peer Support for Clinicians: A Programmatic Approach. Acad Med. 2016;91(9):1200-4. doi:10.1097/ACM.0000000000001297. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  10. Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. | PSNet

    psnet.ahrq.gov/issue/understanding-why-quality-initiatives-succeed-or-fail-sociotechnical-systems-perspective
    March 10, 2021 - Commentary Understanding why quality initiatives succeed or fail: a sociotechnical systems perspective. Citation Text: Wiegmann DA. Understanding Why Quality Initiatives Succeed or Fail: A Sociotechnical Systems Perspective. Ann Surg. 2016;263(1):9-11. doi:10.1097/SLA.0000000000001333. …

  11. How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. | PSNet

    psnet.ahrq.gov/issue/how-safe-your-care-measurement-and-monitoring-safety-through-eyes-patients-and-their-care
    August 16, 2016 - Book/Report How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Citation Text: How Safe is Your Care? Measurement and Monitoring of Safety Through the Eyes of Patients and Their Care Partners. Jefs L, Kuluski K, MacLaurin A, e…

  12. Improving Quality and Safety in Healthcare. | PSNet

    psnet.ahrq.gov/issue/improving-quality-and-safety-healthcare
    November 30, 2016 - Special or Theme Issue Improving Quality and Safety in Healthcare. Citation Text: Improving Quality and Safety in Healthcare. Dixon-Woods M, Martin G, eds. Cambridge, UK: Cambridge University Press; 2022-2025. Copy Citation Save Save to your library Print …

  13. An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. | PSNet

    psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
    June 12, 2013 - Book/Report Classic An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events in the NHS Chaired by the Chief Medical Officer. Citation Text: An Organisation with a Memory: Report of an Expert Group on Learning from Adverse Events …

  14. The incidence of diagnostic error in medicine. | PSNet

    psnet.ahrq.gov/issue/incidence-diagnostic-error-medicine
    July 15, 2015 - Review The incidence of diagnostic error in medicine. Citation Text: Graber ML. The incidence of diagnostic error in medicine. BMJ Qual Saf. 2013;22 Suppl 2:ii21-ii27. doi:10.1136/bmjqs-2012-001615. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML End…

  15. Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. | PSNet

    psnet.ahrq.gov/issue/engineering-learning-healthcare-system-look-future-workshop-summary
    June 15, 2011 - Book/Report Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Citation Text: Engineering a Learning Healthcare System: A Look at the Future: Workshop Summary. Grossmann C, Goolsby WA, Olsen L, McGinnis JM; Institute of Medicine and National Academy of …

  16. Respectful Management of Serious Clinical Adverse Events. Second Edition. | PSNet

    psnet.ahrq.gov/issue/respectful-management-serious-clinical-adverse-events-second-edition
    January 27, 2016 - Book/Report Classic Respectful Management of Serious Clinical Adverse Events. Second Edition. Citation Text: Respectful Management of Serious Clinical Adverse Events. Second Edition. Conway J, Federico F, Stewart K, Campbell MJ. Cambridge, MA: Institute for Heal…

  17. A concept analysis of systems thinking. | PSNet

    psnet.ahrq.gov/issue/concept-analysis-systems-thinking
    August 20, 2018 - Review A concept analysis of systems thinking. Citation Text: Stalter AM, Phillips JM, Ruggiero JS, et al. A Concept Analysis of Systems Thinking. Nurs Forum. 2017;52(4):323-330. doi:10.1111/nuf.12196. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML En…

  18. A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. | PSNet

    psnet.ahrq.gov/issue/national-trauma-care-system-integrating-military-and-civilian-trauma-systems-achieve-zero
    September 12, 2018 - Book/Report A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Citation Text: A National Trauma Care System: Integrating Military and Civilian Trauma Systems to Achieve Zero Preventable Deaths After Injury. Nat…

  19. Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. | PSNet

    psnet.ahrq.gov/issue/advancing-maternal-health-equity-and-reducing-maternal-mortality-workshop
    May 19, 2021 - Meeting/Conference Proceedings Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. Citation Text: Advancing Maternal Health Equity and Reducing Maternal Mortality Workshop. National Academies of Sciences, Engineering, and Medicine. June 7-8, 2021. Copy Citatio…

  20. Twelve tips on engaging learners in checking health care decisions. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-engaging-learners-checking-health-care-decisions
    February 27, 2014 - Commentary Twelve tips on engaging learners in checking health care decisions. Citation Text: Sibbald M, de Bruin A, van Merrienboer JJG. Twelve tips on engaging learners in checking health care decisions. Med Teach. 2014;36(2):111-5. doi:10.3109/0142159X.2013.847910. Copy Citation …
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