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  1. Learning Not Blaming. | PSNet

    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. Copy Citation Save Save to your library Print Download PDF Share F…

  2. In Conversation With… Gregg S. Meyer, MD, MSc | PSNet

    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

  3. In Conversation with...James P. Bagian, MD | PSNet

    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

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37808/psn-pdf
    February 22, 2011 - Investigators were surprised to learn that the majority of patients were in fact not concerned about

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33809/psn-pdf
    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

  6. Safety Considerations in Building a Point-of-Care Ultrasound Program | PSNet

    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.

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38585/psn-pdf
    April 30, 2014 - Incident reporting systems are a different mechanism to learn about adverse events (AEs) and potentially

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45553/psn-pdf
    October 13, 2018 - ascribed to poor usability of the systems, the lack of interoperability, and failure to track and learn

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42924/psn-pdf
    April 24, 2014 - training programs include formal curricula in error disclosure, most residents and medical students learn

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43589/psn-pdf
    November 17, 2014 - fear-punitive-response-hospital-errors-lingers https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46196/psn-pdf
    October 13, 2018 - There is a growing recognition that surgeons must learn these nontechnical skills during training in

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41257/psn-pdf
    April 22, 2012 - framework would substantially improve our ability to not only identify contributing factors but also learn

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47208/psn-pdf
    July 19, 2018 - Hospitals share their data through SPS and have an opportunity to learn from one another.

  14. A collaborative learning network approach to improvement: the CUSP learning network. | PSNet

    psnet.ahrq.gov/issue/collaborative-learning-network-approach-improvement-cusp-learning-network
    July 21, 2017 - Commentary A collaborative learning network approach to improvement: the CUSP learning network. Citation Text: Weaver SJ, Lofthus J, Sawyer M, et al. A Collaborative Learning Network Approach to Improvement: The CUSP Learning Network. Jt Comm J Qual Patient Saf. 2015;41(4):147-159. Cop…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43253/psn-pdf
    May 01, 2015 - interim-report-review-vhas-patient-wait-times-scheduling-practices-and-alleged-patient-deaths https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Learn how diagnoses emerge from subconscious processing and the inherent biases that can lead to errors … Learn de-biasing approaches that might prevent these errors? … Learn the principles of reflective practice. … Anything that allows you to learn from your own mistakes or those of others will increase the chances

  17. Stanford cuts liability premiums with cash offers after errors. | PSNet

    psnet.ahrq.gov/issue/stanford-cuts-liability-premiums-cash-offers-after-errors
    August 24, 2011 - November 10, 2010 Patient safety: what can medicine learn from aviation?

  18. "I'm sorry": Why is that so hard for doctors to say? | PSNet

    psnet.ahrq.gov/issue/im-sorry-why-so-hard-doctors-say
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?

  19. Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-5
    February 22, 2006 - February 12, 2019 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

  20. Top 10 ways to improve patient safety now. | PSNet

    psnet.ahrq.gov/issue/top-10-ways-improve-patient-safety-now
    November 10, 2010 - August 6, 2008 Patient safety: what can medicine learn from aviation?
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