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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837201/psn-pdf
    May 25, 2022 - Near miss research in the healthcare system: a scoping review. May 25, 2022 Feng T-ting, Zhang X, Tan L-ling, et al. Near miss research in the healthcare system: a scoping review. J Nurs Adm. 2022;52(3):160-166. doi:10.1097/nna.0000000000001124. https://psnet.ahrq.gov/issue/near-miss-research-healthcare-system-sco…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60005/psn-pdf
    March 04, 2020 - What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. March 4, 2020 Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage Patients In Learning From Errors. Washin…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45069/psn-pdf
    June 01, 2016 - The effects of power, leadership and psychological safety on resident event reporting. June 1, 2016 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. https://psnet.ahrq.gov/issue/effe…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48018/psn-pdf
    July 31, 2019 - PEARLS for systems integration: a modified PEARLS framework for debriefing systems-focused simulations. July 31, 2019 Dubé MM, Reid J, Kaba A, et al. PEARLS for Systems Integration: A Modified PEARLS Framework for Debriefing Systems-Focused Simulations. Simul Healthc. 2019;14(5):333-342. doi:10.1097/SIH.0000000000…

  5. Using harm-based weights for the AHRQ Patient Safety for Selected Indicators composite (PSI-90): does it affect assessment of hospital performance and financial penalties in Veterans Health Administration hospitals? | PSNet

    psnet.ahrq.gov/issue/using-harm-based-weights-ahrq-patient-safety-selected-indicators-composite-psi-90-does-it
    March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … March 6, 2019 Quality improvement lessons learned from National Implementation of the

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45962/psn-pdf
    April 24, 2018 - In this study, researchers described lessons learned from creating a leadership role that bridges quality

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43796/psn-pdf
    June 02, 2015 - creating-fellowship-curriculum-patient-safety-and-quality https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45578/psn-pdf
    January 23, 2017 - The authors found that teams continued to apply what they learned long after completing the training

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - This commentary outlines lessons learned by a team that implemented a multifaceted safety intervention

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44804/psn-pdf
    November 18, 2016 - The investigators developed themes and lessons learned through semistructured interviews with hospital

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - The authors also share lessons learned from exploring similar high- complexity industries.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34848/psn-pdf
    February 17, 2011 - end-beginning-patient-safety-five-years-after-err-human https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47465/psn-pdf
    October 17, 2018 - national-survey-safe-practice-epidural-analgesia-obstetric-units https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46962/psn-pdf
    April 25, 2018 - The authors outline lessons learned such as the importance of engaging interprofessional stakeholders

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - improving-patient-safety-five-years-after-iom-report https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34735/psn-pdf
    June 16, 2014 - goals to create unified reporting mechanisms, support an open learning culture, ensure that lessons learned

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - This report discusses the need to ensure that lessons learned in military trauma care are acted on and

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37478/psn-pdf
    February 22, 2011 - adversedrugevent https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47505/psn-pdf
    March 19, 2019 - A past PSNet perspective explored insights learned from experience with the AHRQ-supported teamwork

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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