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  1. Disclosing clinical adverse events to patients: can practice inform policy? | PSNet

    psnet.ahrq.gov/issue/disclosing-clinical-adverse-events-patients-can-practice-inform-policy
    September 29, 2017 - Study Disclosing clinical adverse events to patients: can practice inform policy? Citation Text: Sorensen R, Iedema R, Piper D, et al. Disclosing clinical adverse events to patients: can practice inform policy? Health Expect. 2010;13(2):148-59. doi:10.1111/j.1369-7625.2009.00569.x. Cop…

  2. Preventing and mitigating radiology system failures: a guide to disaster planning. | PSNet

    psnet.ahrq.gov/issue/preventing-and-mitigating-radiology-system-failures-guide-disaster-planning
    November 23, 2016 - Commentary Preventing and mitigating radiology system failures: a guide to disaster planning. Citation Text: Gibney BT, Roberts JM, D'Ortenzio RM, et al. Preventing and mitigating radiology system failures: a guide to disaster planning. RadioGraphics. 2021;41(7):2111-2126. doi:10.1148/rg…

  3. Epidemiology of adverse events in air medical transport. | PSNet

    psnet.ahrq.gov/issue/epidemiology-adverse-events-air-medical-transport
    July 03, 2014 - Study Epidemiology of adverse events in air medical transport. Citation Text: MacDonald RD, Banks BA, Morrison M. Epidemiology of adverse events in air medical transport. Acad Emerg Med. 2008;15(10):923-931. doi:10.1111/j.1553-2712.2008.00241.x. Copy Citation Format: DOI Go…

  4. Who makes prescribing decisions in hospital inpatients? An observational study. | PSNet

    psnet.ahrq.gov/issue/who-makes-prescribing-decisions-hospital-inpatients-observational-study
    January 30, 2013 - Study Who makes prescribing decisions in hospital inpatients? An observational study. Citation Text: Ross S, Hamilton L, Ryan C, et al. Who makes prescribing decisions in hospital inpatients? An observational study. Postgrad Med J. 2012;88(1043):507-10. doi:10.1136/postgradmedj-2011-13…

  5. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. | PSNet

    psnet.ahrq.gov/issue/discrepant-perceptions-communication-teamwork-and-situation-awareness-among-surgical-team
    August 12, 2020 - Study Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. Citation Text: Wauben LSGL, van Doorn CMD-, van Wijngaarden JDH, et al. Discrepant perceptions of communication, teamwork and situation awareness among surgical team members. In…

  6. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. | PSNet

    psnet.ahrq.gov/issue/impact-tele-icu-provider-attitudes-about-teamwork-and-safety-climate
    May 25, 2016 - Study The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Citation Text: Chu-Weininger MYL, Wueste L, Lucke JF, et al. The impact of a tele-ICU on provider attitudes about teamwork and safety climate. Qual Saf Health Care. 2010;19(6):e39. doi:10.1136/qshc.…

  7. Communication of preclinical emergency teams in critical situations: a nationwide study. | PSNet

    psnet.ahrq.gov/issue/communication-preclinical-emergency-teams-critical-situations-nationwide-study
    January 23, 2019 - Study Communication of preclinical emergency teams in critical situations: a nationwide study. Citation Text: Zimmer M, Czarniecki DM, Sahm S. Communication of preclinical emergency teams in critical situations: a nationwide study. PLoS One. 2021;16(5):e0250932. doi:10.1371/journal.pone.…

  8. Diagnostic errors in paediatric cardiac intensive care. | PSNet

    psnet.ahrq.gov/issue/diagnostic-errors-paediatric-cardiac-intensive-care
    June 24, 2020 - Study Diagnostic errors in paediatric cardiac intensive care. Citation Text: Bhat PN, Costello JM, Aiyagari R, et al. Diagnostic errors in paediatric cardiac intensive care. Cardiol Young. 2018;28(5):675-682. doi:10.1017/S1047951117002906. Copy Citation Format: DOI Google S…

  9. Exclusion of residents from surgery-intensive care team communication: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exclusion-residents-surgery-intensive-care-team-communication-qualitative-study
    December 04, 2015 - Study Exclusion of residents from surgery-intensive care team communication: a qualitative study. Citation Text: Conn LG, Haas B, Rubenfeld GD, et al. Exclusion of Residents From Surgery-Intensive Care Team Communication: A Qualitative Study. J Surg Educ. 2016;73(4):639-47. doi:10.1016/j…

  10. Medication prescribing errors in a teaching hospital. | PSNet

    psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
    December 23, 2008 - Study Classic Medication prescribing errors in a teaching hospital. Citation Text: Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA. 1990;263(17):2329-34. Copy Citation Format: Google Scholar P…

  11. Identification by families of pediatric adverse events and near misses overlooked by health care providers. | PSNet

    psnet.ahrq.gov/issue/identification-families-pediatric-adverse-events-and-near-misses-overlooked-health-care
    November 23, 2016 - Study Identification by families of pediatric adverse events and near misses overlooked by health care providers. Citation Text: Daniels JP, Hunc K, Cochrane D, et al. Identification by families of pediatric adverse events and near misses overlooked by health care providers. CMAJ. 2012…

  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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