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Showing results for "learned".

4161. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49634/psn-pdf
      September 01, 2011 - On Wednesday morning rounds, the attending physician learned that the patient had not yet received any

4162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33655/psn-pdf
      August 01, 2007 - article will provide a brief overview of the issues we have encountered and the key lessons we have learned

4163. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      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

4164. University of California, Davis, Health CME/CEU Information | PSNet
      psnet.ahrq.gov/basic-page/ucd-cmeceu-trainee-certification
      November 01, 2019 - University of California, Davis, Health CME/CEU Information WebM&M Spotlight cases on AHRQ’s PSNet offer CME/CEU and Maintenance of Certification (MOC) credit.  Effective November 2019, each Spotlight Case and Commentary is certified for the AMA PRA Category 1 ™and maintenance of certification (MOC) through the Amer…

4165. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
      February 26, 2025 - I see the role of NPSF in this new arena as taking what's being learned from the Hospital Engagement

4166. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      March 27, 2024 - Finally, it is critically important for the organization to debrief about the event, determine lessons learned … an operational issue or crisis, we create an after-action report to identify best practices, lessons learned

4167. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - an operational issue or crisis, we create an after-action report to identify best practices, lessons learned … Finally, it is critically important for the organization to debrief about the event, determine lessons learned

4168. Enhancing Surgical Systems. | PSNet
      psnet.ahrq.gov/issue/enhancing-surgical-systems
      April 12, 2017 - Special or Theme Issue Enhancing Surgical Systems. Citation Text: Enhancing Surgical Systems. Healey AN, Catchpole K, Yule S, eds. Cogn Tech Work. 2008;10(4):249-333.   Copy Citation Save Save to your library Print Download PDF Share …

4169. Development of a patient safety climate scale in Japan. | PSNet
      psnet.ahrq.gov/issue/development-patient-safety-climate-scale-japan
      February 08, 2023 - Study Development of a patient safety climate scale in Japan. Citation Text: Matsubara S, Hagihara A, Nobutomo K. Development of a patient safety climate scale in Japan. Int J Qual Health Care. 2008;20(3):211-20. doi:10.1093/intqhc/mzn003. Copy Citation Format: DOI Google…

4170. Swiss Cheese Model. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model
      March 27, 2005 - Image/Poster Swiss Cheese Model. Citation Text: Swiss Cheese Model. Adapted from: Reason JT. Managing the Risks of Organizational Accidents. Aldershot, Hants, England: Ashgate: 1997. Copy Citation Save Save to your library Print Download PDF …

4171. Can computers help doctors reduce diagnostic errors? | PSNet
      psnet.ahrq.gov/issue/can-computers-help-doctors-reduce-diagnostic-errors
      December 18, 2019 - Newspaper/Magazine Article Can computers help doctors reduce diagnostic errors? Citation Text: Can computers help doctors reduce diagnostic errors? Shryock T. Med Econ. December 5, 2016. Copy Citation Save Save to your library Print Download PDF …

4172. Error rate greatest in hospital radiology. | PSNet
      psnet.ahrq.gov/issue/error-rate-greatest-hospital-radiology
      December 24, 2008 - Newspaper/Magazine Article Error rate greatest in hospital radiology. Citation Text: Error rate greatest in hospital radiology. Stein R; USP; United States Pharmacopeia Copy Citation Save Save to your library Print Download PDF Share Face…

4173. Annual Speak Up Data Reports. | PSNet
      psnet.ahrq.gov/issue/annual-speak-data-reports
      September 14, 2022 - Multi-use Website Annual Speak Up Data Reports. Citation Text: Annual Speak Up Data Reports. Stratford, London; The National Guardian. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin …

4174. Manchester Patient Safety Framework (MaPSaF). | PSNet
      psnet.ahrq.gov/issue/manchester-patient-safety-framework-mapsaf
      October 27, 2021 - Toolkit Manchester Patient Safety Framework (MaPSaF). Citation Text: Manchester Patient Safety Framework (MaPSaF). Manchester, UK: University of Manchester; 2006. Copy Citation Save Save to your library Print Download PDF Share Facebook …

4175. Curing our diagnostic disorder. | PSNet
      psnet.ahrq.gov/issue/curing-our-diagnostic-disorder
      December 04, 2019 - Newspaper/Magazine Article Curing our diagnostic disorder. Citation Text: Curing our diagnostic disorder. Laposata M. The Pathologist. September 2017;(34):18-27. Copy Citation Save Save to your library Print Download PDF Share Facebook …

4176. How Doctors Think. | PSNet
      psnet.ahrq.gov/issue/how-doctors-think
      January 14, 2011 - Book/Report Classic How Doctors Think. Citation Text: How Doctors Think. Groopman J. Boston, MA: Houghton Mifflin; 2007. ISBN: 0618610030. Copy Citation Save Save to your library Print Download PDF Share Facebook …

4177. Patient Safety Certificate Course. | PSNet
      psnet.ahrq.gov/issue/patient-safety-certificate-course
      August 07, 2013 - Course Material/Curriculum Patient Safety Certificate Course. Citation Text: Patient Safety Certificate Course. American Board of Quality Assurance and Utilization Review Physicians; ABQAURP. Copy Citation Save Save to your library Print Download PDF …

4178. WHO Patient Safety Curriculum Guide: Multi-Professional Edition. | PSNet
      psnet.ahrq.gov/issue/who-patient-safety-curriculum-guide-multi-professional-edition
      February 14, 2024 - Book/Report WHO Patient Safety Curriculum Guide: Multi-Professional Edition. Citation Text: WHO Patient Safety Curriculum Guide: Multi-Professional Edition. WHO Patient Safety. Geneva, Switzerland: World Health Organization; October 2011. ISBN: 9789241501958. Copy Citation …

4179. 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. | PSNet
      psnet.ahrq.gov/issue/reading-signals-maternity-and-neonatal-services-east-kent-report-independent-investigation
      February 19, 2020 - Book/Report 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Citation Text: 'Reading the Signals' : Maternity and Neonatal Services in East Kent – the Report of the Independent Investigation. Kirkup B. Department of Healt…

4180. Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. | PSNet
      psnet.ahrq.gov/issue/gosport-war-memorial-hospital-report-gosport-independent-panel
      July 25, 2018 - Government Resource Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. Citation Text: Gosport War Memorial Hospital. The Report of the Gosport Independent Panel. Gosport Independent Panel. London, England: Crown Copyright; 2018. ISBN: 9781528604062. Copy Citati…