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psnet.ahrq.gov/issue/strong-surgery
October 15, 2018 - Multi-use Website
Strong for Surgery.
Citation Text:
Strong for Surgery. American College of Surgeons.
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psnet.ahrq.gov/node/44744/psn-pdf
June 21, 2016 - Can patient safety incident reports be used to compare
hospital safety? Results from a quantitative analysis of
the English National Reporting and Learning System data.
June 21, 2016
Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hospital
Safety? Results from a Quanti…
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psnet.ahrq.gov/perspective/how-identify-and-manage-problem-behaviors
December 01, 2009 - significant impact on nurse satisfaction, morale, and turnover.( 5 , 6 )
As a result of this survey, we learned … Or are these behaviors learned over time? … GH: We've learned that these processes must be run fairly.
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psnet.ahrq.gov/perspective/conversation-withgerald-b-hickson-md
December 01, 2009 - Or are these behaviors learned over time? … GH: We've learned that these processes must be run fairly. … significant impact on nurse satisfaction, morale, and turnover.( 5 , 6 )
As a result of this survey, we learned
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psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
May 01, 2014 - RW : What have we learned about the use of bigger sticks that might be either public reporting (beyond … What we learned with hand hygiene was that system change was a definite prerequisite to the success of … What we learned from our experience is now spreading all over the world.
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psnet.ahrq.gov/perspective/patient-safety-during-hospital-discharge
April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned
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psnet.ahrq.gov/perspective/conversation-amy-c-edmondson-phd-am
February 01, 2017 - If we do our jobs right, this starting point will shift as more is learned. … But, the ability to react according to a well-learned protocol that is invariant from one clinician to … The purpose of this article is to provide 10 insights about team training in health care that we have learned
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psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
August 01, 2015 - RW : I learned something from each interview, and it made it an incredibly rich experience. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned … implementations, we believe that health care systems and vendors would be well served by a library of lessons learned
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psnet.ahrq.gov/perspective/conversation-didier-pittet-md-ms
May 01, 2014 - RW : What have we learned about the use of bigger sticks that might be either public reporting (beyond … What we learned with hand hygiene was that system change was a definite prerequisite to the success of … What we learned from our experience is now spreading all over the world.
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psnet.ahrq.gov/perspective/conversation-hardeep-singh-md-mph
January 01, 2014 - I have learned from them, and at the same time I've been able to contribute to their mission to improve … Over time though, I have found common threads between the breadth of topics I studied, and I often learned … I have learned a lot of useful concepts for diagnostic error from this collaboration.
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psnet.ahrq.gov/perspective/conversation-withvineet-arora-md-ma
March 01, 2011 - RW: Over the last several years, what have we learned about handoffs? … VA: The major thing we've learned is that handoffs are risky and variable. … What Have We Learned About Safe Inpatient Handovers?
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psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
September 01, 2017 - We've learned that even really well-designed software can be made very challenging for clinicians when … Assessing the Safety of Electronic Health Records: What Have We Learned? … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative
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psnet.ahrq.gov/node/73302/psn-pdf
May 26, 2021 - I learned
root-cause analysis when I was the Director of Clinical Services at MedStar (Mobile Healthcare
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psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
October 01, 2016 - Acute Hospital Care Units
April 26, 2023
Changing smart pump vendors: lessons learned … Perspective
Assessing the Safety of Electronic Health Records: What Have We Learned
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
November 01, 2006 - We have learned a lot about how automation has been introduced to other industries, to know that it always … By being the last in line to automate, we may be able to take advantage of what we've learned from errors
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psnet.ahrq.gov/print/pdf/node/866984
January 01, 2020 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Interdisciplinary teamwork
Curated Library
Foundations
Medical teamwork and the evolution of safety science: a critical review.
Neuhaus C, Lutnæs DE, Bergström J. Cogn Technol Work. 2020;22:13-27.
In this narrative review, the authors contr…
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psnet.ahrq.gov/node/837324/psn-pdf
July 08, 2022 - Lessons Learned from Implementing a Place-Based,
Racial Justice-Centered Approach to Health Equity.
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psnet.ahrq.gov/node/33638/psn-pdf
August 01, 2006 - I learned an important lesson: enlightened,
risk-taking leadership is the only way to achieve significant
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psnet.ahrq.gov/issue/organisation-patient-safety-incident-reports
October 26, 2007 - Multi-use Website
Organisation Patient Safety Incident Reports.
Citation Text:
Organisation Patient Safety Incident Reports. National Patient Safety Agency
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psnet.ahrq.gov/issue/nhs-resolution
June 12, 2019 - Government Resource
NHS Resolution.
Citation Text:
NHS Resolution. NHS Resolution.
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March 7, 2018
NHS Res…