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Showing results for "learned".

5481. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74019/psn-pdf
      July 11, 2023 - PACT Collaborative: Pathway to Accountability, Compassion and Transparency. July 11, 2023 Ariadne Labs, Brigham and Women’s Hospital, Harvard TH Chan School of Public Health. https://psnet.ahrq.gov/issue/pact-collaborative-pathway-accountability-compassion-and-transparency Communication and Resolution Programs (CR…

5482. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38226/psn-pdf
      February 18, 2011 - Critical events in the lives of interns. February 18, 2011 Ackerman A, Graham M, Schmidt H, et al. Critical events in the lives of interns. J Gen Intern Med. 2009;24(1):27-32. doi:10.1007/s11606-008-0769-8. https://psnet.ahrq.gov/issue/critical-events-lives-interns Resident physicians remain at high risk for burno…

5483. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/856640/psn-pdf
      November 29, 2023 - Research from webAIRS incident reporting system. November 29, 2023 Anaesth Intensive Care. 2023;51(6):372-421. https://psnet.ahrq.gov/issue/research-webairs-incident-reporting-system Centralized de-identified reports of patient safety events serve a core purpose for learning and improvement. This article collectio…

5484. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38036/psn-pdf
      January 02, 2017 - Debriefing medical teams: 12 evidence-based best practices and tips. January 2, 2017 Salas E, Klein C, King HB, et al. Debriefing medical teams: 12 evidence-based best practices and tips. Jt Comm J Qual Patient Saf. 2008;34(9):518-527. https://psnet.ahrq.gov/issue/debriefing-medical-teams-12-evidence-based-best-pr…

5485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863003/psn-pdf
      February 21, 2024 - Positive Patient Identification. February 21, 2024 Healthcare Safety Investigation Branch (HSIB), Dorset, UK:  Health Services Safety Investigations Body; February 2024. https://psnet.ahrq.gov/issue/positive-patient-identification Patient misidentification can result in medication administration errors, …

5486. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/847731/psn-pdf
      April 19, 2023 - Lessons from health care leaders: rethinking and reinvesting in patient safety. April 19, 2023 doi:10.1056/CAT.23.0090. https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety Progress in patient safety has been disappointingly slow. This commentary shares thoughts from a…

5487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44260/psn-pdf
      November 06, 2015 - Innovative teaching in situational awareness. November 6, 2015 Gregory A, Hogg G, Ker J. Innovative teaching in situational awareness. Clin Teach. 2015;12(5):331-5. doi:10.1111/tct.12310. https://psnet.ahrq.gov/issue/innovative-teaching-situational-awareness Nontechnical skills contribute to successful teamwork an…

5488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36114/psn-pdf
      February 24, 2011 - Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. February 24, 2011 Ratanawongsa N, Bolen S, Howell EE, et al. Residents' perceptions of professionalism in training and practice: barriers, promoters, and duty hour requirements. J Gen Intern Med. 20…

5489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46592/psn-pdf
      December 19, 2017 - The evolution of procedural competency in internal medicine training. December 19, 2017 Sacks CA, Alba GA, Miloslavsky EM. The Evolution of Procedural Competency in Internal Medicine Training. JAMA Intern Med. 2017;177(12):1713-1714. doi:10.1001/jamainternmed.2017.5014. https://psnet.ahrq.gov/issue/evolution-proce…

5490. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38636/psn-pdf
      May 20, 2009 - Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident education and productivity. May 20, 2009 Jagannathan J, Vates E, Pouratian N, et al. Impact of the Accreditation Council for Graduate Medical Education work-hour regulations on neurosurgical resident …

5491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73238/psn-pdf
      May 12, 2021 - Medical Residents and Burnout May 12, 2021 Coverdale J, West CP, Roberts LW, eds. Acad Med. 2021;96(5):611-769;e14-e21. https://psnet.ahrq.gov/issue/medical-residents-and-burnout Medical training is a demanding experience that impacts a learner’s ability to provide safe care, cope, and remain healthy. This is…

5492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42955/psn-pdf
      May 11, 2016 - National Patient Safety Alerting System. May 11, 2016 National Health Service England https://psnet.ahrq.gov/issue/national-patient-safety-alerting-system In response to the Francis report, this three-stage reporting system was launched to help National Health Service organizations learn from incidents and incorpo…

5493. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60041/psn-pdf
      March 11, 2020 - Supplement on Deepening our Understanding of Quality in Australia (DUQuA). March 11, 2020 Int J Qual Health Care. 2020;32(Supp1):1-105. https://psnet.ahrq.gov/issue/supplement-deepening-our-understanding-quality-australia-duqua Quality and safety are often intertwined in large improvement efforts. This special iss…

5494. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848829/psn-pdf
      May 10, 2023 - Lessons from the Covid War: An Investigative Report. May 10, 2023 Covid Crisis Group. New York: Public Affairs; 2023. ISBN?: ?9781541703803. https://psnet.ahrq.gov/issue/lessons-covid-war-investigative-report The transfer of failure experiences to generate learning and improve service is a complicated responsibilit…

5495. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43012/psn-pdf
      January 07, 2016 - Uptake of quality-related event standards of practice by community pharmacies. January 7, 2016 Boyle TA, Bishop A, Overmars C, et al. Uptake of Quality-Related Event Standards of Practice by Community Pharmacies. J Pharm Pract. 2015;28(5):442-9. doi:10.1177/0897190014522066. https://psnet.ahrq.gov/issue/uptake-qua…

5496. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74248/psn-pdf
      January 12, 2022 - Safety, Equity and Engagement in Maternity Services. January 12, 2022 Newcastle upon Tyne, UK: Care Quality Commission; September 2021. https://psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services The safety of maternity care is threatened by inequity. This report analyzes a set of United Kingdom i…

5497. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36739/psn-pdf
      August 09, 2011 - Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) study. August 9, 2011 Van Vorst RF, Araya-Guerra R, Felzien M, et al. Rural community members' perceptions of harm from medical mistakes: a High Plains Research Network (HPRN) Study. J Am Board Fam Med. 2007;2…

5498. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46882/psn-pdf
      May 23, 2018 - How health care changes when algorithms start making diagnoses. May 23, 2018 Burt A, Volchenboum S. Harv Bus Rev. May 8, 2018. https://psnet.ahrq.gov/issue/how-health-care-changes-when-algorithms-start-making-diagnoses Use of artificial intelligence and computer algorithms as tools to improve diagnosis have both r…

5499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60935/psn-pdf
      September 23, 2020 - Resilience from a stakeholder perspective: the role of next of kin in cancer care. September 23, 2020 Bergerød IJ, Braut GS, Wiig S. Resilience from a stakeholder perspective: the role of next of kin in cancer care. J Patient Saf. 2020;16(3):e205-e210. doi:10.1097/pts.0000000000000532. https://psnet.ahrq.gov/issue…

5500. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47936/psn-pdf
      June 14, 2019 - A team disclosure of error educational activity: objective outcomes. June 14, 2019 Krumwiede KH, Wagner JM, Kirk LM, et al. A Team Disclosure of Error Educational Activity: Objective Outcomes. J Am Geriatr Soc. 2019;67(6):1273-1277. doi:10.1111/jgs.15883. https://psnet.ahrq.gov/issue/team-disclosure-error-educatio…