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  1. The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet

    psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
    March 04, 2015 - Study The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. Citation Text: Kapadia SN, Abramson EL, Carter EJ, et al. The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the Uni…

  2. Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. | PSNet

    psnet.ahrq.gov/issue/multiple-points-system-failure-underpin-continuous-subcutaneous-infusion-safety-incidents
    December 16, 2020 - Study Multiple points of system failure underpin continuous subcutaneous infusion safety incidents in palliative care: a mixed methods analysis. Citation Text: Brown AJ, Yardley S, Bowers B, et al. Multiple points of system failure underpin continuous subcutaneous infusion safety inciden…

  3. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. | PSNet

    psnet.ahrq.gov/issue/application-strong-matrix-management-and-pdca-cycle-management-severe-covid-19-patients
    March 24, 2019 - Commentary The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Citation Text: Li Y, Wang H, Jiao J. The application of strong matrix management and PDCA cycle in the management of severe COVID-19 patients. Crit Care. 2020;24(1):157. d…

  4. Broken Trust: Making Patient Safety More than Just a Promise. | PSNet

    psnet.ahrq.gov/issue/broken-trust-making-patient-safety-more-just-promise
    October 07, 2020 - October 7, 2020 Unlocking Solutions in Imaging: Working Together to Learn from Failings … Diagnostic Safety and Quality April 26, 2023 A health system that won't learn

  5. Supplemental Issue: Quality and Safety Education for Nurses (QSEN) program. | PSNet

    psnet.ahrq.gov/issue/supplemental-issue-quality-and-safety-education-nurses-qsen-program
    August 12, 2009 - August 1, 2018 Patient Safety: Committing to Learn and Acting to Improve. … July 30, 2014 Patient Safety: Committing to Learn and Acting to Improve.

  6. Benefits of AHRQ Patient Safety Organizations (PSOs): Success Stories From Hospital PSO Members (pdf file)

    pso.ahrq.gov/sites/default/files/wysiwyg/OnDemand%20Webinar%20Slides%20-%20June%2010%202015.pdf
    January 01, 2010 - • We felt we needed to learn from others – both locally (state) and nationally • 2 PSOs worked out … issues similar at many places ► Solutions come from many ideas and organizations o “All teach – all learn … ” ► The free sharing of information is the biggest win for us – we learn from everyone else 30 … • Mostly, we just listen ► And learn ---- a lot • As you listen you are inevitably drawn into the … • Report your events so we can “all teach, all learn” • How to prioritize issues?

  7. NHS Redress Act 2006. | PSNet

    psnet.ahrq.gov/issue/nhs-redress-act-2006
    June 12, 2013 - Copy Citation Related Resources From the Same Author(s) Learning how to learn … review of trauma crew resource management training: what can the United States and the United Kingdom learn

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43506/psn-pdf
    September 10, 2014 - 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 … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  9. Risk, Safety and Reliability Special Issue. | PSNet

    psnet.ahrq.gov/issue/risk-safety-and-reliability-special-issue
    January 15, 2014 - Related Resources From the Same Author(s) Patient Safety: Committing to Learn … May 11, 2011 Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn

  10. Safety First: a Report for Patients, Clinicians and Healthcare Managers. | PSNet

    psnet.ahrq.gov/issue/safety-first-report-patients-clinicians-and-healthcare-managers
    June 13, 2012 - July 1, 2009 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients … January 29, 2015 Learning how to learn: compliance with patient safety alerts in the

  11. Hard Truths: the Journey to Putting Patients First. | PSNet

    psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
    December 04, 2015 - March 28, 2018 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients … May 22, 2023 A Promise to Learn—a Commitment to Act: Improving the Safety of Patients

  12. Screening for Speech and Language Delay and Disorders in Children Aged 5 Years or Younger (pdf file)

    www.uspreventiveservicestaskforce.org/home/getfilebytoken/dHBxfHscnw-SSdmjgNQYC3
    July 01, 2015 - Some speech and language problems can make it hard for a child to learn and do well in school. … Task Force recommendations can help you learn about screening tests, counseling services, and preventive … To learn more, visit the Task Force Web site. … Click Here to Learn More About Speech and Language Delays Watch for Signs of Speech or Language

  13. Second Victim: Error, Guilt, Trauma, and Resilience. | PSNet

    psnet.ahrq.gov/issue/second-victim-error-guilt-trauma-and-resilience
    April 13, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

  14. Partnering with Patients to Disseminate Research Products (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/sadwin.pdf
    January 01, 2011 - § Push Hard and Fast in the Center Slide 15 Photograph: Photo of various chests with the words "Learn … Healthcare/Researchers Photograph: Image of 5 health care professionals, with the words 'Focus on Quality, Learn

  15. Research Summary | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-summary
    January 01, 2019 - Learn More   Key Research Findings The Digital Healthcare Research Program funds research to … Learn more about the impact and key findings here.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33640/psn-pdf
    September 01, 2006 - What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … What Can the Rest of the Health Care System Learn from the VA's Quality and Safety Transformation? … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety- transformation … through each of these in greater https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation … https://psnet.ahrq.gov/perspective/what-can-rest-health-care-system-learn-vas-quality-and-safety-transformation

  17. Compensation of chief executive officers at nonprofit US hospitals. | PSNet

    psnet.ahrq.gov/issue/compensation-chief-executive-officers-nonprofit-us-hospitals
    December 18, 2018 - January 22, 2014 Informal learning from error in hospitals: what do we learn, how do … we learn and how can informal learning be enhanced?

  18. Spotlight Case [MONTH] 2003 (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.131_slideshow.ppt
    August 01, 2006 - Use your five senses….Learn to see, learn to hear, learn to feel, learn to smell, and know that by practice

  19. Pharmacy student knowledge and communication of medication errors. | PSNet

    psnet.ahrq.gov/issue/pharmacy-student-knowledge-and-communication-medication-errors
    June 24, 2009 - Related Resources From the Same Author(s) Reflection and analysis of how pharmacy students learn … February 16, 2011 Reflection and analysis of how pharmacy students learn to communicate

  20. Employee / Staff Pre-Go-Live Expectations / Perceptions Clinical Information Systems Survey (pdf file)

    digital.ahrq.gov/sites/default/files/docs/survey/cis-survey-pre-go-live-physician.pdf
    December 27, 2004 - My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources have been provided for me to learn to use the new systems [ ] [ ] [ ] [ … My ability to learn about and improve our patient care processes. [ ] [ ] [ ] [ ] [ ] [ ] … Sufficient resources were provided for me to learn to use the new systems. [ ] [ ] [ ] [
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