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  1. 'Bad apples': time to redefine as a type of systems problem? | PSNet

    psnet.ahrq.gov/issue/bad-apples-time-redefine-type-systems-problem
    April 19, 2017 - Commentary 'Bad apples': time to redefine as a type of systems problem? Citation Text: Shojania KG, Dixon-Woods M. 'Bad apples': time to redefine as a type of systems problem? BMJ Qual Saf. 2013;22(7):528-531. doi:10.1136/bmjqs-2013-002138. Copy Citation Format: DOI Google …

  2. Patient complaints and malpractice risk. | PSNet

    psnet.ahrq.gov/issue/patient-complaints-and-malpractice-risk
    November 08, 2013 - Study Classic Patient complaints and malpractice risk. Citation Text: Hickson GB, Federspiel CF, Pichert JW, et al. Patient complaints and malpractice risk. JAMA. 2002;287(22):2951-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 …

  3. The effects of power, leadership and psychological safety on resident event reporting. | PSNet

    psnet.ahrq.gov/issue/effects-power-leadership-and-psychological-safety-resident-event-reporting
    November 16, 2022 - Study The effects of power, leadership and psychological safety on resident event reporting. Citation Text: Appelbaum NP, Dow A, Mazmanian PE, et al. The effects of power, leadership and psychological safety on resident event reporting. Med Edu. 2016;50(3):343-350. doi:10.1111/medu.12947…

  4. The consequences of whistle-blowing: an integrative review. | PSNet

    psnet.ahrq.gov/issue/consequences-whistle-blowing-integrative-review
    November 16, 2022 - Review The consequences of whistle-blowing: an integrative review. Citation Text: Lim CR, Zhang MWB, Hussain SF, et al. The Consequences of Whistle-blowing: An Integrative Review. J Patient Saf. 2021;17(6):e497-e502. doi:10.1097/PTS.0000000000000396. Copy Citation Format: D…

  5. Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. | PSNet

    psnet.ahrq.gov/issue/utility-clinical-examination-diagnosis-emergency-department-patients-admitted-department
    April 06, 2022 - Study Utility of clinical examination in the diagnosis of emergency department patients admitted to the department of medicine of an academic hospital. Citation Text: Paley L, Zornitzki T, Cohen J, et al. Utility of clinical examination in the diagnosis of emergency department patients…

  6. Clinical and financial implications of second-opinion surgical pathology review. | PSNet

    psnet.ahrq.gov/issue/clinical-and-financial-implications-second-opinion-surgical-pathology-review
    August 04, 2021 - Study Clinical and financial implications of second-opinion surgical pathology review. Citation Text: Johnson SM, Samulski TD, O’Connor SM, et al. Clinical and financial implications of second-opinion surgical pathology review. Am J Clin Pathol. 2021;156(4):559-568. doi:10.1093/ajcp/aqaa…

  7. Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. | PSNet

    psnet.ahrq.gov/issue/patterns-disrespectful-physician-behavior-academic-medical-center-implications-training
    June 14, 2023 - Study Patterns of disrespectful physician behavior at an academic medical center: implications for training, prevention, and remediation. Citation Text: Hopkins J, Hedlin H, Weinacker A, et al. Patterns of Disrespectful Physician Behavior at an Academic Medical Center: Implications for T…

  8. Use of specific indicators to detect warfarin-related adverse events.   | PSNet

    psnet.ahrq.gov/issue/use-specific-indicators-detect-warfarin-related-adverse-events
    October 19, 2022 - Study Use of specific indicators to detect warfarin-related adverse events.   Citation Text: Hartis CE, Gum MO, Lederer JW. Use of specific indicators to detect warfarin-related adverse events. American Journal of Health-System Pharmacy. 2005;62(16). doi:10.2146/ajhp040404. Copy Cita…

  9. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. | PSNet

    psnet.ahrq.gov/issue/severity-and-probability-harm-medication-errors-intercepted-emergency-department-pharmacist
    May 04, 2012 - Study Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Citation Text: Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors intercepted by an emergency department pharmacist. Int J Pharm P…

  10. Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. | PSNet

    psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
    June 23, 2021 - Study Medication errors: an important component of nonadherence to medication in an outpatient population of lung transplant recipients. Citation Text: Irani S, Seba P, Speich R, et al. Medication errors: an important component of nonadherence to medication in an outpatient population …

  11. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. | PSNet

    psnet.ahrq.gov/issue/consequences-misdiagnosing-race-based-trauma-response-black-men-critical-examination
    November 16, 2022 - Commentary The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Citation Text: Sanders AA, Roberts JD, McDowell MC, et al. The consequences of misdiagnosing race-based trauma response in Black men: a critical examination. Soc Work Public Heal…

  12. 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…

  13. 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 …

  14. 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

  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. 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

  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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