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  1. IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. | PSNet

    psnet.ahrq.gov/issue/it-vulnerabilities-highlighted-errors-malfunctions-veterans-medical-centers
    January 31, 2024 - Commentary IT vulnerabilities highlighted by errors, malfunctions at veterans' medical centers. Citation Text: Kuehn BM. IT Vulnerabilities Highlighted by Errors, Malfunctions at Veterans’ Medical Centers. JAMA. 2009;301(9):919. doi:10.1001/jama.2009.239. Copy Citation Format: …

  2. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. | PSNet

    psnet.ahrq.gov/issue/patients-and-families-perspectives-patient-safety-end-life-video-reflexive-ethnography-study
    December 18, 2013 - Study Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Citation Text: Collier A, Sorensen R, Iedema R. Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study. Int J Qual…

  3. Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. | PSNet

    psnet.ahrq.gov/issue/safe-medication-prescribing-training-and-experience-medical-students-and-housestaff-large
    December 22, 2008 - Study Safe medication prescribing: training and experience of medical students and housestaff at a large teaching hospital. Citation Text: Garbutt J, Highstein G, Jeffe DB, et al. Safe medication prescribing: training and experience of medical students and housestaff at a large teachin…

  4. 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

  5. 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

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33634/psn-pdf
    May 04, 2006 - www.jointcommission.org/what-we- offer/accreditation/health-care-settings/critical-access-hospital/learn … //www.jointcommission.org/what-we-offer/accreditation/health-care-settings/critical-access-hospital/learn … //www.jointcommission.org/what-we-offer/accreditation/health-care-settings/critical-access-hospital/learn

  7. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
    February 01, 2019 - RW : How has the drive to rethink the content of the curriculum (what learners needed to learn) synced … the health care system around bringing these concepts front and center into the way in which students learn … We want to learn from you, we want to evaluate together, and we want to rapidly disseminate best practices … We're worried they might feel like why did I learn all of that or why did I get invested in all of that … a state we refer to as being a systems citizen.( 6-8 ) For such a paradigm shift, providers need to learn

  8. Learning from the best. | PSNet

    psnet.ahrq.gov/issue/learning-best
    February 22, 2023 - Newspaper/Magazine Article Learning from the best. Citation Text: Grantham D. Learning from the best. Behavioral healthcare. 2010;30(4):22-4. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Cit…

  9. Patient Safety Learning. | PSNet

    psnet.ahrq.gov/issue/patient-safety-learning
    January 12, 2022 - Multi-use Website Patient Safety Learning. Citation Text: Patient Safety Learning. Patient Safety Learning. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  10. Learning From Mistakes. | PSNet

    psnet.ahrq.gov/issue/learning-mistakes
    March 28, 2018 - July 19, 2023 Unlocking Solutions in Imaging: Working Together to Learn from Failings

  11. In Conversation With… Mary Dixon-Woods, DPhil | PSNet

    psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
    March 01, 2017 - So they learn very quickly what attracts rewards, but they also learn even more importantly what gets … So I would say you learn a huge amount through this informal curriculum about culture. … Or examples of things going right that seem very obvious to me, in the same ways we don't learn about … So articulating that, codifying it, and saying, "Here are the lessons you can learn from the pain we … Anyone can learn science if they try hard enough.

  12. 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

  13. 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

  14. 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.

  15. 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

  16. 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

  17. Building a learning organization. | PSNet

    psnet.ahrq.gov/issue/building-learning-organization
    June 16, 2011 - Study Classic Building a learning organization. Citation Text: Garvin DA. Building a learning organization. Harv Bus Rev. 1993;71(4):78-91. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  18. Learning Health Systems | PSNet

    psnet.ahrq.gov/issue/learning-health-systems
    December 24, 2008 - Multi-use Website Learning Health Systems Citation Text: Learning Health Systems Agency for Health Research and Quality. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin Copy URL …

  19. Shifting the learning curve. | PSNet

    psnet.ahrq.gov/issue/shifting-learning-curve
    March 09, 2009 - Commentary Shifting the learning curve. Citation Text: Reynolds T, Kong M-L. Shifting the learning curve. BMJ. 2010;341:c6260. doi:10.1136/bmj.c6260. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  20. Learning from Investigations. | PSNet

    psnet.ahrq.gov/issue/learning-investigations
    July 28, 2013 - Book/Report Learning from Investigations. Citation Text: Learning from Investigations. Commission for Healthcare Audit and Inspection. London, England; Healthcare Commission: 2008. ISBN 9781845621636. Copy Citation Save Save to your library Print Downlo…
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