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  1. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. | PSNet

    psnet.ahrq.gov/issue/high-cost-low-frequency-events-anatomy-and-economics-surgical-mishaps
    October 19, 2022 - Study Classic The high cost of low-frequency events: the anatomy and economics of surgical mishaps. Citation Text: Couch NP, Tilney NL, Rayner AA, et al. The high cost of low-frequency events: the anatomy and economics of surgical mishaps. N Engl J Med. 1981;3…

  2. State-of-the-art usage of simulation in anesthesia: skills and teamwork. | PSNet

    psnet.ahrq.gov/issue/state-art-usage-simulation-anesthesia-skills-and-teamwork
    June 18, 2014 - Review State-of-the-art usage of simulation in anesthesia: skills and teamwork. Citation Text: Krage R, Erwteman M. State-of-the-art usage of simulation in anesthesia: skills and teamwork. Curr Opin Anaesthesiol. 2015;28(6):727-34. doi:10.1097/ACO.0000000000000257. Copy Citation Fo…

  3. Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience. | PSNet

    psnet.ahrq.gov/issue/introduction-obstetric-specific-medical-emergency-team-obstetric-crises-implementation-and
    October 19, 2022 - Study Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experience. Citation Text: Gosman GG, Baldisseri MR, Stein KL, et al. Introduction of an obstetric-specific medical emergency team for obstetric crises: implementation and experi…

  4. Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. | PSNet

    psnet.ahrq.gov/issue/closing-safety-loop-evaluation-national-patient-safety-agencys-guidance-regarding-wristband
    April 14, 2011 - Study Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients. Citation Text: Sevdalis N, Norris B, Ranger C, et al. Closing the safety loop: evaluation of the National Patient Safety Agency's guidan…

  5. The bare minimum: the reality of global anaesthesia and patient safety. | PSNet

    psnet.ahrq.gov/issue/bare-minimum-reality-global-anaesthesia-and-patient-safety
    April 22, 2015 - Commentary The bare minimum: the reality of global anaesthesia and patient safety. Citation Text: McQueen K, Coonan T, Ottaway A, et al. The Bare Minimum: The Reality of Global Anaesthesia and Patient Safety. World J Surg. 2015;39(9):2153-60. doi:10.1007/s00268-015-3101-x. Copy Citatio…

  6. In Conversation With… Beverley H. Johnson | PSNet

    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

  7. 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

  8. 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

  9. 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.

  10. 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

  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. 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…

  13. 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 …

  14. Psn-Pdf (pdf file)

    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

  15. Learning words they rarely teach in medical school: 'I'm Sorry.' | PSNet

    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.'

  16. 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

  17. 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

  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. 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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