Results

Total Results: over 10,000 records

Showing results for "learned".

4361. Teaching but not learning: how medical residency programs handle errors. | PSNet
      psnet.ahrq.gov/issue/teaching-not-learning-how-medical-residency-programs-handle-errors
      December 18, 2008 - Study Teaching but not learning: how medical residency programs handle errors. Citation Text: Hoff T, Pohl H, Bartfield J. Teaching but not learning: how medical residency programs handle errors. J Organ Behav. 2006;27(7). doi:10.1002/job.395. Copy Citation Format: DOI Go…

4362. An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. | PSNet
      psnet.ahrq.gov/issue/organisation-without-memory-qualitative-study-hospital-staff-perceptions-reporting-and
      July 10, 2024 - Study An organisation without a memory: a qualitative study of hospital staff perceptions on reporting and organisational learning for patient safety. Citation Text: Sujan M. An organisation without a memory: A qualitative study of hospital staff perceptions on reporting and organisation…

4363. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. | PSNet
      psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-mmsf-learning-its-implementation-canada
      September 24, 2018 - Commentary Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. Citation Text: Carthey J. Measurement and Monitoring of Safety Framework (MMSF): learning from its implementation in Canada. BMJ Qual Saf. 2023;32(8):441-443. doi:10.1136/bmjqs-2…

4364. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. | PSNet
      psnet.ahrq.gov/issue/catching-and-correcting-near-misses-collective-vigilance-and-individual-accountability-trade
      March 24, 2012 - Study Catching and correcting near misses: the collective vigilance and individual accountability trade-off. Citation Text: Jeffs LP, Lingard LA, Berta W, et al. Catching and correcting near misses: the collective vigilance and individual accountability trade-off. J Interprof Care. 201…

4365. Unprofessional Behavior Leads to Complications. | PSNet
      psnet.ahrq.gov/issue/unprofessional-behavior-leads-complications
      October 31, 2023 - Audiovisual Presentation Unprofessional Behavior Leads to Complications. Citation Text: Unprofessional Behavior Leads to Complications. JN Learning. 2020. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download…

4366. Changing how we think about healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
      October 09, 2024 - Commentary Classic Changing how we think about healthcare improvement. Citation Text: Braithwaite J. Changing how we think about healthcare improvement. BMJ. 2018;361:k2014. doi:10.1136/bmj.k2014. Copy Citation Format: DOI Google Scholar PubMed Bib…

4367. Understanding middle managers' influence in implementing patient safety culture. | PSNet
      psnet.ahrq.gov/issue/understanding-middle-managers-influence-implementing-patient-safety-culture
      March 24, 2012 - Commentary Understanding middle managers' influence in implementing patient safety culture. Citation Text: Gutberg J, Berta W. Understanding middle managers' influence in implementing patient safety culture. BMC Health Serv Res. 2017;17(1):582. doi:10.1186/s12913-017-2533-4. Copy Citat…

4368. Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. | PSNet
      psnet.ahrq.gov/issue/practice-based-learning-and-improvement-two-year-experience-reporting-morbidity-and-mortality
      August 04, 2021 - Study Practice-based learning and improvement: a two-year experience with the reporting of morbidity and mortality cases by general surgery residents. Citation Text: Falcone JL, Lee KKW, Billiar TR, et al. Practice-based learning and improvement: a two-year experience with the reporting…

4369. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. | PSNet
      psnet.ahrq.gov/issue/novel-tool-organisational-learning-and-its-impact-safety-culture-hospital-dispensary
      January 21, 2015 - Study A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Citation Text: Sujan MA. A novel tool for organisational learning and its impact on safety culture in a hospital dispensary. Reliab Eng Syst Saf. 2012;101:21-34. doi:10.1016/j.ress…

4370. When should students learn about ethics, professionalism and patient safety? | PSNet
      psnet.ahrq.gov/issue/when-should-students-learn-about-ethics-professionalism-and-patient-safety
      June 26, 2019 - Commentary When should students learn about ethics, professionalism and patient safety? Citation Text: Walton M, Jeffery H, Van Staalduinen S, et al. When should students learn about ethics, professionalism and patient safety? Clin Teach. 2013;10(4):224-9. doi:10.1111/tct.12029. Copy C…

4371. The role of South--North partnerships in promoting shared learning and knowledge transfer. | PSNet
      psnet.ahrq.gov/issue/role-south-north-partnerships-promoting-shared-learning-and-knowledge-transfer
      July 29, 2020 - Commentary The role of South--North partnerships in promoting shared learning and knowledge transfer. Citation Text: Basu L, Pronovost P, Molello NE, et al. The role of South-North partnerships in promoting shared learning and knowledge transfer. Global Health. 2017;13(1):64. doi:10.1186…

4372. The next phase of health care improvement: what can we learn from social movements? | PSNet
      psnet.ahrq.gov/issue/next-phase-health-care-improvement-what-can-we-learn-social-movements
      July 22, 2010 - Commentary The next phase of health care improvement: what can we learn from social movements? Citation Text: Bate P, Robert G, Bevan H. The next phase of healthcare improvement: what can we learn from social movements? Qual Saf Health Care. 2004;13(1):62-6. Copy Citation Format:…

4373. Safety learning system development--incident reporting component for family practice. | PSNet
      psnet.ahrq.gov/issue/safety-learning-system-development-incident-reporting-component-family-practice
      March 21, 2012 - Review Safety learning system development--incident reporting component for family practice. Citation Text: O'Beirne M, Sterling P, Reid R, et al. Safety learning system development--incident reporting component for family practice. Qual Saf Health Care. 2010;19(3):252-7. doi:10.1136/q…

4374. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - All of the lessons learned from these projects are helping health care providers move closer to a fully … We have learned that safety is a changing, emergent property of systems, and as our health care system … The promising beginnings and lessons learned in the first decade will serve us well as we undertake the

4375. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
      November 01, 2022 - Be sure to capture their lessons learned. … Look at your data and summarize what was learned. … • Act – Act on what was learned from the test and prepare for the next test or rollout on a larger

4376. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
      January 01, 2024 - results in the eight hospitals, the Ohio SPS received a CMMI grant to spread the methods and lessons learned … The lessons learned will be applicable not only to the care of children with chronic disease but also … Development of process and outcome measures for improvement: lessons learned in a quality improvement

4377. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - A discussion of lessons learned and how staff will alter the plan next time. … The establishment of a method to formally change the existing plan to incorporate lessons learned. … Frame problems in terms of personal experience and lessons learned.

4378. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
      December 27, 2021 - If so, please describe what you did and the three most important lessons you learned using the process … With the large group, ask a member of each group to share two lessons learned from facilitating or … problem they are trying to solve, have them identify changes they would like to try based on what they learned

4379. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned … safety culture may be more likely to foster opportunities for physicians to use knowledge and skills learned … This was a “train‑the‑trainer” approach in which the attendees learned about disclosure coaching and

4380. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35932/psn-pdf
      October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons learned