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Showing results for "learned".

4101. In Conversation With… Amy C. Edmondson, PhD, AM | PSNet
      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

4102. In Conversation With… Robert M. Wachter, MD | PSNet
      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

4103. In Conversation With… Didier Pittet, MD, MS | PSNet
      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.

4104. In Conversation With… Hardeep Singh, MD, MPH | PSNet
      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.

4105. In Conversation with…Vineet Arora, MD, MA | PSNet
      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?

4106. In Conversation With… Andrew Gettinger, MD | PSNet
      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

4107. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. | PSNet
      psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
      March 02, 2022 - Study Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. Citation Text: Sreeramoju P, Voy-Hatter K, White C, et al. Results and lessons from a hospital-wide initiative incentivised by delivery system…

4108. Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. | PSNet
      psnet.ahrq.gov/issue/scaling-pharmacist-led-information-technology-intervention-pincer-reduce-hazardous
      December 16, 2020 - Study Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. Citation Text: Rodgers S, Taylor AC, Roberts SA, et al. Scaling-up a pharmacist-led information technology interven…

4109. 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. | PSNet
      psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
      October 31, 2014 - Study 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. Citation Text: Howell A-M, Burns EM, Bouras G, et al. Can Patient Safety Incident Reports Be Used to Compare Hosp…

4110. Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. | PSNet
      psnet.ahrq.gov/issue/patients-and-families-teachers-mixed-methods-assessment-collaborative-learning-model-medical
      July 12, 2017 - Study Patients and families as teachers: a mixed methods assessment of a collaborative learning model for medical error disclosure and prevention. Citation Text: Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods assessment of a collaborative lea…

4111. Communication between primary and secondary care: deficits and danger. | PSNet
      psnet.ahrq.gov/issue/communication-between-primary-and-secondary-care-deficits-and-danger
      September 23, 2020 - Study Communication between primary and secondary care: deficits and danger. Citation Text: Dinsdale E, Hannigan A, O’Connor R, et al. Communication between primary and secondary care: deficits and danger. Fam Pract. 2019;17(1):63-68. doi:10.1093/fampra/cmz037. Copy Citation Format…

4112. Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. | PSNet
      psnet.ahrq.gov/issue/identifying-patient-centred-recommendations-improving-patient-safety-general-practices
      April 25, 2018 - Study Identifying patient-centred recommendations for improving patient safety in General Practices in England: a qualitative content analysis of free-text responses using the Patient Reported Experiences and Outcomes of Safety in Primary Care (PREOS-PC) questionnaire. Citation Text: Ric…

4113. Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. | PSNet
      psnet.ahrq.gov/issue/association-surgical-task-during-training-team-skill-acquisition-among-surgical-residents
      March 12, 2025 - Study Association of a surgical task during training with team skill acquisition among surgical residents: the missing piece in multidisciplinary team training. Citation Text: Sparks JL, Crouch DL, Sobba K, et al. Association of a Surgical Task During Training With Team Skill Acquisition…

4114. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72911/psn-pdf
      March 15, 2021 - The patient and caregiver are thereby asked to explain, in their own words, what they have just learned

4115. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867652/psn-pdf
      February 26, 2025 - The Evolution of Root Cause Analysis February 26, 2025 Behrhorst J, Gale B, Van CM. The Evolution of Root Cause Analysis. PSNet [internet]. 2025. https://psnet.ahrq.gov/perspective/evolution-root-cause-analysis Introduction Root Cause Analysis (RCA) is a structured approach designed to uncover the direct causes of…

4116. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-473
      March 25, 2025 - March 5, 2025 Weekly Issue PSNet highlights the latest patient safety literature, news, and expert commentary, including Weekly Updates, WebM&M, and Perspectives on Safety. The current issue highlights what's new this week in patient safety literature, news, conferences, reports, …

4117. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33791/psn-pdf
      September 01, 2015 - In Conversation With… Vineet Arora, MD, MAPP September 1, 2015 In Conversation With… Vineet Arora, MD, MAPP. PSNet [internet]. 2015. https://psnet.ahrq.gov/perspective/conversation-vineet-arora-md-mapp Editor's note: Vineet Arora, MD, MAPP, is Director of GME Clinical Learning Environment Innovation, Associate Pr…

4118. How Does Health Care Simulation Affect Patient Care? | PSNet
      psnet.ahrq.gov/perspective/how-does-health-care-simulation-affect-patient-care
      August 01, 2018 - But what I've learned in academics is that nothing goes fast, and that has been true of the evolution

4119. Diagnostic Error: Is Overconfidence the Problem. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-overconfidence-problem
      January 16, 2013 - Special or Theme Issue Diagnostic Error: Is Overconfidence the Problem. Citation Text: Diagnostic Error: Is Overconfidence the Problem. Graber ML, Berner ES, eds. Amer J Med. 2008;121(5 Suppl):S1-S46.     Copy Citation Save Save to your library…

4120. Collaborative for Accountability and Improvement. | PSNet
      psnet.ahrq.gov/issue/collaborative-accountability-and-improvement
      August 14, 2018 - Multi-use Website Collaborative for Accountability and Improvement. Citation Text: Collaborative for Accountability and Improvement. University of Washington. Copy Citation Save Save to your library Print Download PDF Share Facebook Twi…