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Showing results for "learned".

5081. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34584/psn-pdf
      July 08, 2014 - Advocate Health Care: a systemwide approach to quality and safety. July 8, 2014 Willeumier D. Advocate health care: a systemwide approach to quality and safety. Jt Comm J Qual Patient Saf. 2004;30(10):559-566. https://psnet.ahrq.gov/issue/advocate-health-care-systemwide-approach-quality-and-safety Advocate is a l…

5082. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49702/psn-pdf
      March 01, 2014 - Tough Call: Addressing Errors From Previous Providers March 1, 2014 Martinez W, Hickson GB. Tough Call: Addressing Errors From Previous Providers. PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/tough-call-addressing-errors-previous-providers Case Objectives Define what it means to be a professional. Identi…

5083. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33809/psn-pdf
      June 01, 2016 - In Conversation With… Gregg S. Meyer, MD, MSc June 1, 2016 In Conversation With… Gregg S. Meyer, MD, MSc. PSNet [internet]. 2016. https://psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc Editor's note: Dr. Meyer is Chief Clinical Officer of Partners Healthcare System, the large Boston-based system tha…

5084. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons learned

5085. Rethinking Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/rethinking-root-cause-analysis
      August 21, 2016 - Annual Perspective Rethinking Root Cause Analysis Kiran Gupta, MD, MPH, and Audrey Lyndon, PhD | January 1, 2016  View more articles from the same authors. Citation Text: Gupta K, Lyndon A. Rethinking Root Cause Analysis. PSNet [internet]. Rockville (MD): Age…

5086. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50859/psn-pdf
      January 31, 2020 - In Conversation With... David Gruen, MD January 31, 2020 In Conversation With.. David Gruen, MD. PSNet [internet]. 2020. https://psnet.ahrq.gov/perspective/conversation-david-gruen-md Editor’s note: David R. Gruen, MD, MBA, FACR is the Chief Medical Officer, Imaging at IBM Watson Health and is a thought leader and…

5087. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49722/psn-pdf
      December 01, 2014 - Medical Devices in the "Wild" December 1, 2014 Gurses AP, Doyle PA. Medical Devices in the "Wild". PSNet [internet]. 2014. https://psnet.ahrq.gov/web-mm/medical-devices-wild The Case A 75-year-old man with a history of congestive heart failure (CHF), coronary artery disease, diabetes, chronic pain, arthritis, and…

5088. Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. | PSNet
      psnet.ahrq.gov/issue/causes-death-residents-acgme-accredited-programs-2000-through-2014-implications-learning
      January 31, 2018 - Study Causes of death of residents in ACGME-accredited programs 2000 through 2014: implications for the learning environment. Citation Text: Yaghmour NA, Brigham T, Richter T, et al. Causes of Death of Residents in ACGME-Accredited Programs 2000 Through 2014. Acad Med. 2017;92(7):976-983…

5089. Leading Healthcare Quality and Safety | PSNet
      psnet.ahrq.gov/training-catalog/leading-healthcare-quality-and-safety
      September 14, 2025 - Leading Healthcare Quality and Safety Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Organization: Organization Coursera Event Description: Ensuring patient safety and…

5090. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74069/psn-pdf
      September 20, 2022 - Diagnostic Excellence. September 20, 2022 JAMA. Nov 2021-Sep 2022.  https://psnet.ahrq.gov/issue/diagnostic-excellence-0 Diagnostic excellence achievement is becoming a primary focus in health care. This 20-article series covers diagnosis as it relates to the Institute of Medicine quality domains, clinical ch…

5091. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46448/psn-pdf
      September 27, 2017 - Simulation in Otolaryngology. September 27, 2017 Malekzadeh S, ed. Otolaryngol Clin North Am. 2017;50(5):xv-xviii, 875-1036. https://psnet.ahrq.gov/issue/simulation-otolaryngology This special issue highlights areas in otolaryngology where simulation is being used to develop multidisciplinary team-based approaches…

5092. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74195/psn-pdf
      December 15, 2021 - Technology, Education and Safety. December 15, 2021 Ruskin KJ, ed. Curr Opin Anaesthesiol. 2021;34(6):720-765 https://psnet.ahrq.gov/issue/technology-education-and-safety-0 Anesthesia services are high risk despite progress made in the specialty to improve its safety. This special section covers issues that affect…

5093. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44137/psn-pdf
      May 13, 2015 - AHRQ Patient Safety YouTube Channel. May 13, 2015 Rockville, MD: Agency for Healthcare Research and Quality. https://psnet.ahrq.gov/issue/ahrq-patient-safety-youtube-channel This Web site hosts a collection of training videos to highlight two improvement strategies: the Comprehensive Unit-based Safety Program and …

5094. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60191/psn-pdf
      April 01, 2020 - Unprofessional Behavior Leads to Complications. April 1, 2020 Unprofessional Behavior Leads to Complications. JN Learning. 2020. https://psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications Disruptive behavior is a recognized deterrent to safe communication, sharing of concerns and teamwork. This educa…

5095. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35278/psn-pdf
      March 04, 2011 - Appropriateness of use of medicines in elderly inpatients: qualitative study. March 4, 2011 Spinewine A, Swine C, Dhillon S, et al. Appropriateness of use of medicines in elderly inpatients: qualitative study. BMJ. 2005;331(7522). doi:10.1136/bmj.38551.410012.06. https://psnet.ahrq.gov/issue/appropriateness-use-me…

5096. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73542/psn-pdf
      July 28, 2021 - Diagnostic safety event reporting. July 28, 2021 Carr S. ImproveDx. July 2021;8(4). https://psnet.ahrq.gov/issue/diagnostic-safety-event-reporting Adverse event reporting can clarify when mistakes happen and what reduction strategies to apply. This article describes existing efforts to examine diagnostic error thr…

5097. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46418/psn-pdf
      September 20, 2017 - Iatrogenesis in Pediatrics. September 20, 2017 Michalska-Smith M, ed. AMA J Ethics. 2017;19(8):737-842 https://psnet.ahrq.gov/issue/iatrogenesis-pediatrics Iatrogenesis—an adverse effect of medical care—is an area of focus in patient safety. Articles in this special issue explore cases involving iatrogenic harm in…

5098. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38378/psn-pdf
      September 24, 2010 - I-CaRe: a case review tool focused on improving inpatient care. September 24, 2010 Lee JH, Vidyarthi A, Sehgal NL, et al. I-CaRe: a case review tool focused on improving inpatient care. Jt Comm J Qual Patient Saf. 2009;35(2):115-119, 61. https://psnet.ahrq.gov/issue/i-care-case-review-tool-focused-improving-inpati…

5099. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42601/psn-pdf
      September 18, 2013 - 'You talking to me?' Docs and feedback. September 18, 2013 Diamond F. 'You talking to me?' Docs and feedback. Managed care (Langhorne, Pa.). 2013;22(7):30-2. https://psnet.ahrq.gov/issue/you-talking-me-docs-and-feedback Reporting on barriers to teamwork, this magazine article relates how hierarchy influences speaki…

5100. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860399/psn-pdf
      January 24, 2024 - Best Practices for Administering SOPS Surveys. January 10, 2024 Agency for Healthcare Research and Quality. January 24, 2024. https://psnet.ahrq.gov/issue/best-practices-administering-sops-surveys Patient safety culture survey projects can yield important learnings if done correctly. The webinar detailed best prac…