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Showing results for "learned".

  1. Medical Error. | PSNet

    psnet.ahrq.gov/issue/medical-error
    August 07, 2018 - Book/Report Medical Error. Citation Text: Medical Error. National Patient Safety Agency, Medical Defence Union, Medical Protection Society. London, UK: National Patient Safety Agency; 2005. Copy Citation Save Save to your library Print Download PDF …

  2. When mistakes happen. | PSNet

    psnet.ahrq.gov/issue/when-mistakes-happen
    May 13, 2020 - Newspaper/Magazine Article When mistakes happen. Citation Text: When mistakes happen. Beck DL. ASH Clinical News. December 1, 2018. Copy Citation Save Save to your library Print Download PDF Share Facebook Twitter Linkedin C…

  3. Safety, Equity and Engagement in Maternity Services. | PSNet

    psnet.ahrq.gov/issue/safety-equity-and-engagement-maternity-services
    June 12, 2024 - Book/Report Safety, Equity and Engagement in Maternity Services. Citation Text: Safety, Equity and Engagement in Maternity Services. Newcastle upon Tyne, UK: Care Quality Commission; September 2021. Copy Citation Save Save to your library Print Downloa…

  4. Ding-a-ling-a-ling: ambulances can be dangerous places. | PSNet

    psnet.ahrq.gov/issue/ding-ling-ling-ambulances-can-be-dangerous-places
    September 20, 2017 - Newspaper/Magazine Article Ding-a-ling-a-ling: ambulances can be dangerous places. Citation Text: Ding-a-ling-a-ling: ambulances can be dangerous places. Meisel Z. Copy Citation Save Save to your library Print Download PDF Share Facebook …

  5. Lean Six Sigma reduces medication errors. | PSNet

    psnet.ahrq.gov/issue/lean-six-sigma-reduces-medication-errors
    January 18, 2023 - Commentary Lean Six Sigma reduces medication errors. Citation Text: Lean Six Sigma reduces medication errors. Esimai G. Quality Progress; 2005;38(4):51-57. Copy Citation Save Save to your library Print Download PDF Share Facebook Tw…

  6. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet

    psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
    September 09, 2015 - Book/Report The Report of the Short Life Working Group on Reducing Medication-related Harm. Citation Text: The Report of the Short Life Working Group on Reducing Medication-related Harm. Department of Health and Social Care. London, England: Crown Publishing; February 2018. Copy Citati…

  7. Solutions from Professional Regulation and Beyond. | PSNet

    psnet.ahrq.gov/issue/solutions-professional-regulation-and-beyond
    December 09, 2020 - Book/Report Solutions from Professional Regulation and Beyond. Citation Text: Solutions from Professional Regulation and Beyond. Safer Care for All. London, England:  Professional Standards Authority for Health and Social Care; 2022. Copy Citation Save Save…

  8. Managing the Costs of Clinical Negligence in Trusts. | PSNet

    psnet.ahrq.gov/issue/managing-costs-clinical-negligence-trusts
    March 28, 2018 - Book/Report Managing the Costs of Clinical Negligence in Trusts. Citation Text: Managing the Costs of Clinical Negligence in Trusts. Comptroller and Auditor General, Department of Health; London, UK: National Audit Office; 2017. ISBN: 9781786041395. Copy Citation Save …

  9. Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. | PSNet

    psnet.ahrq.gov/issue/deep-medicine-how-artificial-intelligence-can-make-healthcare-human-again
    January 07, 2019 - Book/Report Classic Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Citation Text: Deep Medicine: How Artificial Intelligence Can Make Healthcare Human Again. Topol E. New York, NY: Basic Books; 2019. ISBN: 9781541644632. Copy Citat…

  10. No Place Like Home: Advancing the Safety of Care in the Home. | PSNet

    psnet.ahrq.gov/issue/no-place-home-advancing-safety-care-home
    January 09, 2019 - Book/Report No Place Like Home: Advancing the Safety of Care in the Home. Citation Text: No Place Like Home: Advancing the Safety of Care in the Home. Boston, MA: Institute for Healthcare Improvement; 2018. Copy Citation Save Save to your library Print D…

  11. Technical Series on Safer Primary Care. | PSNet

    psnet.ahrq.gov/issue/technical-series-safer-primary-care
    November 19, 2014 - Book/Report Technical Series on Safer Primary Care. Citation Text: Technical Series on Safer Primary Care. Geneva, Switzerland: World Health Organization; 2016. Copy Citation Save Save to your library Print Download PDF Share Facebook T…

  12. Improving patient safety with team coordination: challenges and strategies of implementation. | PSNet

    psnet.ahrq.gov/issue/improving-patient-safety-team-coordination-challenges-and-strategies-implementation
    February 12, 2020 - Commentary Improving patient safety with team coordination: challenges and strategies of implementation. Citation Text: Improving patient safety with team coordination: challenges and strategies of implementation. Harris KT; Treanor CM; Salisbury ML. Copy Citation …

  13. TeamSTEPPS: the patient safety tool that needs to be implemented. | PSNet

    psnet.ahrq.gov/issue/teamstepps-patient-safety-tool-needs-be-implemented
    February 14, 2024 - Commentary TeamSTEPPS: the patient safety tool that needs to be implemented. Citation Text: Clapper TC, Kong M. TeamSTEPPS®: The Patient Safety Tool That Needs to Be Implemented. Clin Simul Nurs. 2011;8(8). doi:10.1016/j.ecns.2011.03.002. Copy Citation Format: DOI Google S…

  14. Oxford Professional Practice: Handbook of Patient Safety. | PSNet

    psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
    June 16, 2012 - Book/Report Oxford Professional Practice: Handbook of Patient Safety. Citation Text: Oxford Professional Practice: Handbook of Patient Safety. Lachman P, Runnacles J, Jayadev A et al, eds. London, England; Oxford University Press; 2022. ISBN: 9780192846877. Copy Citation …

  15. A Conversation Among Stakeholders on Medical Malpractice. | PSNet

    psnet.ahrq.gov/issue/conversation-among-stakeholders-medical-malpractice
    January 11, 2023 - Meeting/Conference Proceedings A Conversation Among Stakeholders on Medical Malpractice. Citation Text: A Conversation Among Stakeholders on Medical Malpractice. Collaborative for Accountability and Improvement. April 26, 2022. Copy Citation Save Save t…

  16. AHRQ quality and safety initiatives. | PSNet

    psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
    May 20, 2009 - Commentary AHRQ quality and safety initiatives. Citation Text: Clancy CM. AHRQ quality and safety initiatives. Jt Comm J Qual Patient Saf. 2005;31(6):354-6. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  17. The Evolution of Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/evolution-root-cause-analysis
    February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA 2 ?

  18. In Conversation With… Shantanu Nundy, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
    February 26, 2025 - One thing I learned is that everything takes pi plus 2x longer than you think it's going to take. … One is posting a teaching case: "I saw this really interesting case that I learned a lot from, and I'm

  19. In Conversation With… Gordon Schiff, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
    February 26, 2025 - RW : What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … One thing we've learned is that stories are very important.

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44022/psn-pdf
    May 28, 2015 - Initiatives to identify and mitigate medication errors in England. May 28, 2015 Cousins D, Gerrett D, Richards N, et al. Initiatives to identify and mitigate medication errors in England. Drug Saf. 2015;38(4):349-357. doi:10.1007/s40264-015-0270-3. https://psnet.ahrq.gov/issue/initiatives-identify-and-mitigate-med…
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