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Showing results for "learned".

  1. Use of simulation to test systems and prepare staff for a new hospital transition. | PSNet

    psnet.ahrq.gov/issue/use-simulation-test-systems-and-prepare-staff-new-hospital-transition
    May 31, 2017 - Study Use of simulation to test systems and prepare staff for a new hospital transition. Citation Text: Adler MD, Mobley BL, Eppich W, et al. Use of Simulation to Test Systems and Prepare Staff for a New Hospital Transition. J Patient Saf. 2018;14(3):143-147. doi:10.1097/PTS.000000000000…

  2. Patient safety: do nursing and medical curricula address this theme? | PSNet

    psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address-theme
    September 14, 2011 - Commentary Patient safety: do nursing and medical curricula address this theme? Citation Text: Wakefield A, Attree M, Braidman I, et al. Patient safety: do nursing and medical curricula address this theme? Nurse Educ Today. 2005;25(4):333-40. Copy Citation Format: Google …

  3. A system analysis of a suboptimal surgical experience. | PSNet

    psnet.ahrq.gov/issue/system-analysis-suboptimal-surgical-experience
    March 23, 2011 - Study A system analysis of a suboptimal surgical experience. Citation Text: Lee R, Cooke DL, Richards MR. A system analysis of a suboptimal surgical experience. Patient Saf Surg. 2009;3(1):1. doi:10.1186/1754-9493-3-1. Copy Citation Format: DOI Google Scholar PubMed BibTe…

  4. What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. | PSNet

    psnet.ahrq.gov/issue/what-if-transforming-diagnostic-research-leveraging-diagnostic-process-map-engage-patients
    October 27, 2021 - Book/Report What if?: Transforming Diagnostic Research by Leveraging a Diagnostic Process Map to Engage Patients in Learning from Errors. Citation Text: Sheridan S, Merryweather P, Rusz D, et al. What If?: Transforming Diagnostic Research By Leveraging A Diagnostic Process Map To Engage …

  5. Applying hierarchical task analysis to medication administration errors. | PSNet

    psnet.ahrq.gov/issue/applying-hierarchical-task-analysis-medication-administration-errors
    December 18, 2017 - Commentary Applying hierarchical task analysis to medication administration errors. Citation Text: Lane R, Stanton NA, Harrison DA. Applying hierarchical task analysis to medication administration errors. Appl Ergon. 2006;37(5):669-79. Copy Citation Format: Google Scholar…

  6. What is patient safety culture? A review of the literature. | PSNet

    psnet.ahrq.gov/issue/what-patient-safety-culture-review-literature
    July 19, 2023 - Review What is patient safety culture? A review of the literature. Citation Text: Sammer CE, Lykens K, Singh KP, et al. What is patient safety culture? A review of the literature. J Nurs Scholarsh. 2010;42(2):156-65. doi:10.1111/j.1547-5069.2009.01330.x. Copy Citation Format: …

  7. Conspicuous by its absence: diagnostic expert testing under uncertainty. | PSNet

    psnet.ahrq.gov/issue/conspicuous-its-absence-diagnostic-expert-testing-under-uncertainty
    February 28, 2024 - Commentary Conspicuous by its absence: diagnostic expert testing under uncertainty. Citation Text: Dai T, Singh S. Conspicuous by Its absence: diagnostic expert testing under uncertainty. Market Sci. 2020;39(3):540-563. doi:10.1287/mksc.2019.1201. Copy Citation Format: DOI …

  8. Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. | PSNet

    psnet.ahrq.gov/issue/operating-management-system-high-reliability-leadership-accountability-learning-and
    July 01, 2016 - Commentary Operating management system for high reliability: leadership, accountability, learning and innovation in healthcare. Citation Text: Day RM, Demski RJ, Pronovost PJ, et al. Operating management system for high reliability: Leadership, accountability, learning and innovation in …

  9. Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. | PSNet

    psnet.ahrq.gov/issue/medical-harm-historical-conceptual-and-ethical-dimensions-iatrogenic-illness
    May 13, 2020 - Book/Report Classic Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Citation Text: Medical Harm: Historical, Conceptual, and Ethical Dimensions of Iatrogenic Illness. Sharpe VA, Faden AI. Cambridge NY; Cambridge University…

  10. Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. | PSNet

    psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
    October 07, 2020 - Book/Report Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. Citation Text: Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. de Bienassis K, Esmail L, Lopert R, Klazinga N for the O…

  11. Patient safety and professional discourses: implications for interprofessionalism. | PSNet

    psnet.ahrq.gov/issue/patient-safety-and-professional-discourses-implications-interprofessionalism
    March 08, 2023 - Study Patient safety and professional discourses: implications for interprofessionalism. Citation Text: Rowland P, Kitto S. Patient safety and professional discourses: implications for interprofessionalism. J Interprof Care. 2014;28(4):331-8. doi:10.3109/13561820.2014.891574. Copy Cita…

  12. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet

    psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
    November 10, 2010 - Commentary ReCASTing the RCA: an improved model for performing root cause analyses. Citation Text: Pham JC, Kim GR, Natterman JP, et al. ReCASTing the RCA: An Improved Model for Performing Root Cause Analyses. American Journal of Medical Quality. 2010;25(3). doi:10.1177/1062860609359533…

  13. Changing the patient safety mindset: can safety cases help? | PSNet

    psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help
    July 14, 2021 - Commentary Changing the patient safety mindset: can safety cases help? Citation Text: Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. Copy Citation Format: DOI Google Scholar BibT…

  14. The path to diagnostic excellence includes feedback to calibrate how clinicians think. | PSNet

    psnet.ahrq.gov/issue/path-diagnostic-excellence-includes-feedback-calibrate-how-clinicians-think
    May 04, 2022 - Commentary Emerging Classic The path to diagnostic excellence includes feedback to calibrate how clinicians think. Citation Text: Meyer AND, Singh H. The Path to Diagnostic Excellence Includes Feedback to Calibrate How Clinicians Think. JAMA. 2019;321(8):737-738…

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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

  20. 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
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