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psnet.ahrq.gov/issue/use-failure-mode-and-effects-analysis-improve-emergency-department-handoff-processes
October 19, 2022 - Commentary
Use of failure mode and effects analysis to improve emergency department handoff processes.
Citation Text:
Sorrentino P. Use of Failure Mode and Effects Analysis to Improve Emergency Department Handoff Processes. Clin Nurse Spec. 2016;30(1):28-37. doi:10.1097/NUR.0000000000000…
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psnet.ahrq.gov/issue/addressing-taboo-medical-error-through-igbos-i-got-burnt-once
October 31, 2014 - Study
Addressing the taboo of medical error through IGBOs: I got burnt once!
Citation Text:
Dumitrescu A, Ryan A. Addressing the taboo of medical error through IGBOs: I got burnt once!. Eur J Pediatr. 2014;173(4):503-8. doi:10.1007/s00431-013-2168-3.
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psnet.ahrq.gov/issue/analgesic-related-medication-errors-reported-us-poison-control-centers
June 06, 2018 - Study
Analgesic-related medication errors reported to US Poison Control Centers.
Citation Text:
Eluri M, Spiller HA, Casavant MJ, et al. Analgesic-Related Medication Errors Reported to US Poison Control Centers. Pain Med. 2018;19(12):2357-2370. doi:10.1093/pm/pnx272.
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psnet.ahrq.gov/issue/physician-satisfaction-transition-cpoe-paper-based-prescription
January 06, 2018 - Study
Physician satisfaction with transition from CPOE to paper-based prescription.
Citation Text:
Griffon N, Schuers M, Joulakian M, et al. Physician satisfaction with transition from CPOE to paper-based prescription. Int J Med Inform. 2017;103:42-48. doi:10.1016/j.ijmedinf.2017.04.007.…
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psnet.ahrq.gov/issue/role-continuous-quality-improvement-and-psychological-safety-predicting-work-arounds
July 31, 2008 - Study
The role of continuous quality improvement and psychological safety in predicting work-arounds.
Citation Text:
Halbesleben JRB, Rathert C. The role of continuous quality improvement and psychological safety in predicting work-arounds. Health Care Manage Rev. 2008;33(2):134-44. do…
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson
February 01, 2013 - beginning when building a relationship with patients and families in primary care, clinicians need to learn … By identifying strengths, the opportunity exists for patients and families to learn, acquire information … This is an opportunity for the students and residents on your team to learn how to communicate information … We can provide these links so patients and families can learn at times and places convenient to them. … want them to be able to share their experiences candidly and constructively in ways that others can learn
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psnet.ahrq.gov/node/42924/psn-pdf
April 24, 2014 - training programs include formal curricula in error
disclosure, most residents and medical students learn
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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
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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.
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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
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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
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psnet.ahrq.gov/node/33656/psn-pdf
September 01, 2007 - embarrassment, and then the sudden recognition, ah, here is where I can find out where the best
people are and learn … the discussion in Complications, which I wrote from the perspective of
being a resident, trying to learn … how to do surgery and perhaps to learn on people. … We cannot go
to the public and say we will have to learn on patients if we don't make that happen to
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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.
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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.
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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
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psnet.ahrq.gov/issue/learning-words-they-rarely-teach-medical-school-im-sorry
February 07, 2019 - April 25, 2016
Doctors learn to say 'I'm Sorry.'
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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
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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
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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.
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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.
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