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Showing results for "learned".

  1. Patient safety answers require outreach, in-reach, and partnerships. | PSNet

    psnet.ahrq.gov/issue/patient-safety-answers-require-outreach-reach-and-partnerships
    August 23, 2023 - Commentary Patient safety answers require outreach, in-reach, and partnerships. Citation Text: Burt HA. Patient Safety Answers Require Outreach, In-reach, and Partnerships. J Hosp Librariansh. 2011;11(4). doi:10.1080/15323269.2011.611436. Copy Citation Format: DOI Google …

  2. The patient safety story. | PSNet

    psnet.ahrq.gov/issue/patient-safety-story
    February 02, 2020 - Commentary The patient safety story. Citation Text: Elwyn G, Corrigan JM. The patient safety story. BMJ. 2005;331(7512):302-304. doi:10.1136/bmj.38562.690104.43. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS …

  3. Root cause analysis. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis
    June 15, 2016 - Commentary Root cause analysis. Citation Text: Stecker MS. Root cause analysis. J Vasc Interv Radiol. 2007;18(1 Pt 1):5-8. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …

  4. Radiologists' responses to inadequate referrals. | PSNet

    psnet.ahrq.gov/issue/radiologists-responses-inadequate-referrals
    December 07, 2011 - Study Radiologists' responses to inadequate referrals. Citation Text: Lysdahl KB, Hofmann BM, Espeland A. Radiologists' responses to inadequate referrals. Eur Radiol. 2010;20(5):1227-33. doi:10.1007/s00330-009-1640-y. Copy Citation Format: DOI Google Scholar PubMed BibTeX…

  5. When should a leader apologize—and when not? | PSNet

    psnet.ahrq.gov/issue/when-should-leader-apologize-and-when-not
    October 07, 2020 - Commentary When should a leader apologize—and when not? Citation Text: Kellerman B. When should a leader apologize and when not? Harv Bus Rev. 2006;84(4):72-81; 148. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RI…

  6. Human factors and systems engineering approach to patient safety for radiotherapy. | PSNet

    psnet.ahrq.gov/issue/human-factors-and-systems-engineering-approach-patient-safety-radiotherapy
    August 07, 2013 - Commentary Human factors and systems engineering approach to patient safety for radiotherapy. Citation Text: Human factors and systems engineering approach to patient safety for radiotherapy. Rivera AJ, Karsh B-T. Int J Radiat Oncol Biol Phys. 2008;71:S174-S177. Copy Citation …

  7. Joint Commission offers warnings, advice on adopting new health care IT systems. | PSNet

    psnet.ahrq.gov/issue/joint-commission-offers-warnings-advice-adopting-new-health-care-it-systems
    September 12, 2016 - Newspaper/Magazine Article Joint Commission offers warnings, advice on adopting new health care IT systems. Citation Text: Mitka M. Joint commission offers warnings, advice on adopting new health care IT systems. JAMA. 2009;301(6):587-9. doi:10.1001/jama.2009.37. Copy Citation Fo…

  8. Diagnostic Safety Resource List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - healthcare organizations, they have tackled these complex issues and present the lessons they have learned

  9. Development and Evaluation of Socio-Technical Metricsto Inform HIT Adaptation - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024767-yen-final-report-2019.pdf
    January 01, 2019 - Development and Evaluation of Socio-Technical Metricsto Inform HIT Adaptation - Final Report R21 HS024767-02 Development and Evaluation of Socio-Technical Metrics to Inform HIT Adaptation Final P rogress Report Principal Investigator: Po-Yin Yen, PhD, RN Assistant Professor …

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865373/psn-pdf
    March 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence March 27, 2024 Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence . PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence Editor's note: Patrick Tighe, MD, MS…

  11. Chapter 4. Results and Key Findings | Agency for Healthcare Research and Quality

    www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/chapter4.html
    August 01, 2022 - Publish information on what was learned.

  12. AHRQ WebM&M—Online Medical Error Reporting and Analysis (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wachter.pdf
    March 11, 2005 - an environment in which providers can review their mistakes honestly and highlight general lessons learned … Reader-suggested improvements or enhancements included a “lessons learned” section, continuing education

  13. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center - Intro (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/1-unc-webcast-intro.pdf
    December 18, 2019 - Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center - Intro Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast December 18, 2019 2:00-3:00 PM ET Need H…

  14. What is the Network of Patient Safety Databases? | Agency for Healthcare Research and Quality

    www.ahrq.gov/npsd/what-is-npsd/index.html
    May 01, 2023 - What is the Network of Patient Safety Databases? The U.S. Department of Health & Human Services was directed in the Patient Safety and Quality Improvement Act of 2005 (PDF, 191 KB) to create and maintain a Network of Patient Safety Databases (NPSD) to provide an interactive, evidence-based management resource…

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48044/psn-pdf
    June 12, 2019 - What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. June 12, 2019 Davidson M, Brennan PA. Leading article: What has an Airbus A380 Captain got to do with OMFS? Lessons from aviation to improve patient safety. Br J Oral Maxillofac Surg. 2019;57(5):407-411. doi:10.10…

  16. Research Dissemination | Digital Healthcare Research

    digital.ahrq.gov/2019-year-review/research-dissemination
    January 01, 2019 - Research Dissemination Dissemination of key research findings from the Digital Healthcare Research Program is critical to the transfer of knowledge and the dissemination of successful digital healthcare knowledge, tools, and strategies that improve patient safety, optimize EHR design, re…

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841152/psn-pdf
    December 07, 2022 - Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Rose SC, Ashari NA, Davies JM, et al. Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department…

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/847546/psn-pdf
    March 25, 2021 - Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional intervention study at two hospital sites. March 25, 2021 Schram A, Paltved C, Christensen KB, et al. Patient safety culture improves during an in situ simulation intervention: a repeated cross-sectional interventi…

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866565/psn-pdf
    August 21, 2024 - Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. August 21, 2024 White AA, King AM, D’Addario AE, et al. Crowdsourced feedback to improve resident physician error disclosure skills: a randomized clinical trial. JAMA Netw Open. 2024;7(8):e2425923. doi:10.1001…

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837142/psn-pdf
    January 01, 2023 - Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barriers and enablers. May 18, 2022 Lackie K, Hayward K, Ayn C, et al. Creating psychological safety in interprofessional simulation for health professional learners: a scoping review of the barr…
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