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psnet.ahrq.gov/node/40191/psn-pdf
May 28, 2014 - liability and less shame associated with close calls, they may be easier for clinicians
to talk about and learn
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psnet.ahrq.gov/node/48139/psn-pdf
July 17, 2019 - Participants had positive
perceptions of patient safety research and expressed a desire that others learn
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psnet.ahrq.gov/node/44397/psn-pdf
September 30, 2015 - incidence-versus-prevalence-based-measures-inappropriate-prescribing-veterans-health
https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation
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psnet.ahrq.gov/node/47596/psn-pdf
March 27, 2019 - bias-vs-systems
Morbidity and mortality (M&M) conferences were traditionally promoted as a strategy to learn
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psnet.ahrq.gov/node/35418/psn-pdf
June 14, 2011 - process outlined resembles in many ways the efforts of reporting systems in
general as a mechanism to learn
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psnet.ahrq.gov/node/46939/psn-pdf
July 23, 2018 - underdiagnosis-dementia-observational-study-patterns-diagnosis-and-awareness-us-older-adults
https://psnet.ahrq.gov/issue/patient-safety-community-dementia-services-what-can-we-learn-experiences-caregivers-and
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psnet.ahrq.gov/node/46728/psn-pdf
March 27, 2018 - near-miss-event-analysis-enhances-barcode-medication-administration-
process
Near misses provide unique opportunities to identify and learn
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psnet.ahrq.gov/node/47673/psn-pdf
January 09, 2019 - understanding-diagnostic-safety-emergency-medicine-case-case-review-closed-ed-malpractice
https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
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psnet.ahrq.gov/node/46000/psn-pdf
April 26, 2017 - /reducing-diagnostic-errors-why-now
https://psnet.ahrq.gov/issue/using-voluntary-reports-physicians-learn-diagnostic-errors-emergency-medicine
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - The second argument is that it does require a certain dedication to learn the science. … The first is recognizing that most of us are best able to learn in an experiential fashion. … We're going to learn on our schedule rather than sitting in a classroom, and we're going to learn by … But the reality is I wanted to put myself to the test and learn those areas where I needed to do more … Earning the CPPS credential is a wonderful way to learn and validate experience, knowledge, and skill
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psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md
September 01, 2006 - RW: What did you learn about the issue of authority gradients, when you as an intern saw something that … That enabled us, for instance, to learn that 44% of incorrect surgeries were right-left mix-ups, versus … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … [go to PubMed]
Errors and Near Misses: What Health Care Could Learn … instructive to look again at what insights might be gained from the approaches used in aviation to learn
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psnet.ahrq.gov/node/39444/psn-pdf
June 28, 2010 - found that hospitals
with stronger safety leadership structures demonstrated a greater capacity to learn
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psnet.ahrq.gov/node/34085/psn-pdf
February 09, 2011 - Traditional morbidity and mortality conferences were designed to focus on educational opportunities to
learn
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psnet.ahrq.gov/perspective/safety-considerations-building-point-care-ultrasound-program
June 01, 2018 - Teach Learn Med. 2013;25:84-88. [go to PubMed]
8. Kobal SL, Trento L, Baharami S, et al. … did not have time to learn ultrasound. … They also wanted to learn guided procedures and AAA [abdominal aortic aneurysm] screening. … We look at what they can learn, what they can learn well, but also want them to appreciate what the limitations … much about heart sounds and they learn to only trust the echo.
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - Book/Report
Learning Not Blaming.
Citation Text:
Learning Not Blaming. Department of Health and Social Care. London, England: Crown Publishing; July 2015. ISBN: 9781474123716.
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psnet.ahrq.gov/node/34998/psn-pdf
June 22, 2009 - cause-and-effect-analysis-closed-claims-obstetrics-and-gynecology
In the setting of an existing litigious environment and using the opportunity to learn
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psnet.ahrq.gov/node/40940/psn-pdf
December 31, 2011 - The authors highlight that the United States in particular can learn effective payment innovation
strategies
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psnet.ahrq.gov/node/37448/psn-pdf
January 06, 2017 - have been employed to bring senior executives to the bedside and engage them
with frontline staff to learn
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psnet.ahrq.gov/node/45519/psn-pdf
November 01, 2017 - quality
Morbidity and mortality (M&M) conferences were developed to enable clinicians to discuss and learn
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psnet.ahrq.gov/node/44742/psn-pdf
January 06, 2016 - They also recommend that attending physicians and other leaders learn to
avoid language that evokes