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Showing results for "learned".

5501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44121/psn-pdf
      May 13, 2015 - Educating medical trainees on medication reconciliation: a systematic review. May 13, 2015 Ramjaun A, Sudarshan M, Patakfalvi L, et al. Educating medical trainees on medication reconciliation: a systematic review. BMC Med Educ. 2015;15:33. doi:10.1186/s12909-015-0306-5. https://psnet.ahrq.gov/issue/educating-medic…

5502. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50781/psn-pdf
      January 08, 2020 - Harnessing the power of medical malpractice data to improve patient care. January 8, 2020 Siegal D, Swift J, Forget J, et al. Harnessing the power of medical malpractice data to improve patient care. J Healthc Risk Manag. 2020;39(3):28-36. doi:10.1002/jhrm.21393. https://psnet.ahrq.gov/issue/harnessing-power-medic…

5503. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35415/psn-pdf
      December 21, 2008 - Acting Locally: Working in Clinical Microsystems CD- ROM. December 21, 2008 Oakbrook Terrance, IL: Joint Commission Resources; 2005. ISBN 9780866889865. https://psnet.ahrq.gov/issue/acting-locally-working-clinical-microsystems-cd-rom This resource represents a collection of special articles published in the Joint …

5504. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838639/psn-pdf
      October 19, 2022 - Calibrate Dx: A Resource to Improve Diagnostic Decisions. October 19, 2022 Rockville, MD: Agency for Healthcare Research and Quality; October 2022. AHRQ Publication no. 22(23)- 0047-2-EF. https://psnet.ahrq.gov/issue/calibrate-dx-resource-improve-diagnostic-decisions Delayed, wrong, and missed diagnoses are commo…

5505. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47353/psn-pdf
      October 03, 2018 - The need for cognition and the curse of cognition. October 3, 2018 Croskerry P. The need for cognition and the curse of cognition. Diagnosis (Berl). 2018;5(3):91-94. doi:10.1515/dx-2018-0072. https://psnet.ahrq.gov/issue/need-cognition-and-curse-cognition Cognitive bias is increasingly receiving recognition as a b…

5506. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866445/psn-pdf
      August 07, 2024 - Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. August 7, 2024 Diagnosis in the Era of Digital Health and Artificial Intelligence: A Workshop. https://psnet.ahrq.gov/issue/diagnosis-era-digital-health-and-artificial-intelligence-workshop Digital health is emerging as a primary techn…

5507. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837982/psn-pdf
      August 31, 2022 - Patient Safety Incident Response Framework. August 31, 2022 London, England: NHS England; August 2022. https://psnet.ahrq.gov/issue/patient-safety-incident-response-framework Effective response to medical error requires a comprehensive systemic and process-focused incident examination approach to ensure organizati…

5508. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44332/psn-pdf
      July 29, 2015 - Health IT Safety Center Roadmap. July 29, 2015 RTI International. Washington, DC: Office of the National Coordinator for Health Information Technology; July 2015. https://psnet.ahrq.gov/issue/health-it-safety-center-roadmap The Institute of Medicine called for enhanced transparency in the reporting of health IT sa…

5509. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859351/psn-pdf
      January 01, 2024 - Changing the patient safety mindset: can safety cases help? December 20, 2023 Sujan M, Habli I. Changing the patient safety mindset: can safety cases help? BMJ Qual Saf. 2024;33(3):145-148. doi:10.1136/bmjqs-2023-016652. https://psnet.ahrq.gov/issue/changing-patient-safety-mindset-can-safety-cases-help Examinatio…

5510. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836762/psn-pdf
      March 16, 2022 - Physician liability in the age of data reliance and errors. March 16, 2022 Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. https://psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors Health information technologies (HIT) and advanced learning systems, if poorly designed, used, ma…

5511. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47387/psn-pdf
      September 12, 2018 - Guideline implementation: team communication. September 12, 2018 Link T. Guideline Implementation: Team Communication: 1.8 www.aornjournal.org/content/cme. AORN J. 2018;108(2):165-177. doi:10.1002/aorn.12300. https://psnet.ahrq.gov/issue/guideline-implementation-team-communication Although team development has rec…

5512. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861287/psn-pdf
      January 24, 2024 - Organizational resilience as paradox management: a systematic review of the literature. January 24, 2024 Tekletsion BF, Gomes JFDS, Tefera B. Organizational resilience as paradox management: a systematic review of the literature. J Contingencies Crisis Manage. 2024;32(1):e12495. doi:10.1111/1468-5973.12495. https:…

5513. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35326/psn-pdf
      September 14, 2005 - Resident attitudes regarding the impact of the 80–duty- hours work standards. September 14, 2005 Zonia SC, 2nd RJLB, Stommel M, et al. Resident attitudes regarding the impact of the 80-duty-hours work standards. J Am Osteopath Assoc. 2005;105(7):307-313. https://www.degruyter.com/document/doi/10.7556/jaoa.2005.105…

5514. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46120/psn-pdf
      May 10, 2017 - Medical residents angered at extended work hours. May 10, 2017 Hurt J. https://psnet.ahrq.gov/issue/medical-residents-angered-extended-work-hours Discussions about resident work hours generate debate regarding safety and physician burnout. This magazine article reports resident physician concerns about the shift h…

5515. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/859352/psn-pdf
      December 20, 2023 - More hospitals move to confront medical errors head on. December 20, 2023 Gorenstein D. Tradeoffs. November 16, 2023. https://psnet.ahrq.gov/issue/more-hospitals-move-confront-medical-errors-head Amid governmental guidance to improve safety, front-line perspectives remain an important source for insight to make im…

5516. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46520/psn-pdf
      December 19, 2017 - The emotional fallout from the culture of blame and shame. December 19, 2017 Ferguson CC. The emotional fallout from the culture of blame and shame. JAMA Pediatr. 2017;171(12):1141. doi:10.1001/jamapediatrics.2017.2691. https://psnet.ahrq.gov/issue/emotional-fallout-culture-blame-and-shame In this commentary, a p…

5517. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43552/psn-pdf
      December 16, 2014 - Robotic-assisted surgery: focus on training and credentialing. December 16, 2014 Dubeck D. PA-PSRS Patient Saf Advis. September 2014;11:93-101. https://psnet.ahrq.gov/issue/robotic-assisted-surgery-focus-training-and-credentialing Research has documented a substantial learning curve for surgeons as they develop sk…

5518. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46462/psn-pdf
      April 11, 2018 - Speaking up: an ethical action exercise. April 11, 2018 Dwyer J, Faber-Langendoen K. Speaking Up: An Ethical Action Exercise. Acad Med. 2018;93(4):602-605. doi:10.1097/ACM.0000000000002047. https://psnet.ahrq.gov/issue/speaking-ethical-action-exercise Speaking up about concerns is a cornerstone to safety improveme…

5519. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44551/psn-pdf
      September 30, 2015 - Safety culture includes "good catches." September 30, 2015 Traynor K. Safety culture includes "good catches". Am J Health Syst Pharm. 2015;72(19):1597-1599. doi:10.2146/news150065. https://psnet.ahrq.gov/issue/safety-culture-includes-good-catches Near misses can provide opportunities for learning if there is a pro…

5520. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37847/psn-pdf
      June 18, 2008 - Effect of the 80-hour work week on resident case coverage. June 18, 2008 Shin S, Britt R, Britt LD. Effect of the 80-hour work week on resident case coverage. J Am Coll Surg. 2008;206(5):798-800; discussion 801-3. doi:10.1016/j.jamcollsurg.2007.12.028. https://psnet.ahrq.gov/issue/effect-80-hour-work-week-resident…