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Showing results for "learned".

6881. When missing a 'zebra' can land you in court. | PSNet
      psnet.ahrq.gov/issue/when-missing-zebra-can-land-you-court
      August 12, 2015 - Newspaper/Magazine Article When missing a 'zebra' can land you in court. Citation Text: When missing a 'zebra' can land you in court. Crane M. Medscape Business of Medicine. February 20, 2018. Copy Citation Save Save to your library Print Download PDF …

6882. Patient Safety Risk Management Playbook. | PSNet
      psnet.ahrq.gov/issue/patient-safety-risk-management-playbook
      February 17, 2016 - Book/Report Patient Safety Risk Management Playbook. Citation Text: Patient Safety Risk Management Playbook. Chicago, IL: American Society for Healthcare Risk Management; 2015. Copy Citation Save Save to your library Print Download PDF Share …

6883. NAM Scholars in Diagnostic Excellence program. | PSNet
      psnet.ahrq.gov/issue/nam-scholars-diagnostic-excellence-program
      April 28, 2021 - Press Release/Announcement NAM Scholars in Diagnostic Excellence program. Citation Text: NAM Scholars in Diagnostic Excellence program. National Academy of Medicine and the Council of Medical Specialty Societies. Copy Citation Save Save to your library Print…

6884. National Patient Safety Syllabus. | PSNet
      psnet.ahrq.gov/issue/national-patient-safety-syllabus
      March 04, 2020 - Book/Report National Patient Safety Syllabus. Citation Text: National Patient Safety Syllabus. Spurgeon P, Cross S. London, UK; Academy of Medical Royal Colleges: May 2021. Copy Citation Save Save to your library Print Download PDF Share …

6885. Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. | PSNet
      psnet.ahrq.gov/issue/most-surgery-wrong-spot-done-spine-11-such-cases-found-state-2006
      August 06, 2008 - Newspaper/Magazine Article Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. Citation Text: Most surgery in wrong spot done on spine: 11 such cases found in state since 2006. Smith S. Copy Citation Save Save to your library …

6886. Tips for Safer Surgery. | PSNet
      psnet.ahrq.gov/issue/tips-safer-surgery
      December 22, 2021 - Fact Sheet/FAQs Tips for Safer Surgery. Citation Text: Tips for Safer Surgery. Surgical Care Improvement Project. Oklahoma City, OK: Oklahoma Foundation for Medical Quality; 2006. Copy Citation Save Save to your library Print Download PDF …

6887. Doctor administered fatal dose of calcium to baby, inquest told. | PSNet
      psnet.ahrq.gov/issue/doctor-administered-fatal-dose-calcium-baby-inquest-told
      March 06, 2005 - Newspaper/Magazine Article Doctor administered fatal dose of calcium to baby, inquest told. Citation Text: Doctor administered fatal dose of calcium to baby, inquest told. Morris S. Copy Citation Save Save to your library Print Download PDF …

6888. Safely Home: What Happens When People Leave Hospital Care Settings? | PSNet
      psnet.ahrq.gov/issue/safely-home-what-happens-when-people-leave-hospital-care-settings
      August 02, 2023 - Book/Report Safely Home: What Happens When People Leave Hospital Care Settings? Citation Text: Safely Home: What Happens When People Leave Hospital Care Settings? London, UK: Healthwatch England; July 2015. Copy Citation Save Save to your library Print D…

6889. Development of a patient safety climate scale in Japan. | PSNet
      psnet.ahrq.gov/issue/development-patient-safety-climate-scale-japan
      February 08, 2023 - Study Development of a patient safety climate scale in Japan. Citation Text: Matsubara S, Hagihara A, Nobutomo K. Development of a patient safety climate scale in Japan. Int J Qual Health Care. 2008;20(3):211-20. doi:10.1093/intqhc/mzn003. Copy Citation Format: DOI Google…

6890. Working With and Supporting Practice Leaders (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-21-leadership.pdf
      September 01, 2015 - Working With and Supporting Practice Leaders Primary Care Practice Facilitation Curriculum Module 21: Working With and Supporting Practice Leaders Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov …

6891. Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/ltc-implementation-guide.pdf
      June 01, 2021 - Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care AHRQ Safety Program for Improving Antibiotic Use Implementation Guide for the Toolkit To Improve Antibiotic Use in Long-Term Care Introduction Developing an antibiotic stewardship program (ASP) or improving an existing ASP can ta…

6892. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
      January 01, 2024 - Two-Day Training Content If you teach this introductory material as part of a two-day training, you should be able to perform all the activities noted below in 60–70 minutes. Components to include in this section for a two-day training include: Introductions of trainers and participants : 10 minutes Teamw…

6893. Checklist for Working with the KID
      hcup-us.ahrq.gov/db/nation/kid/kidchecklist.jsp
      September 01, 2025 - Checklist for Working with the KID An official website of the Department of Health & Human Services Search All AHRQ Websites Careers Contact Us Espanol FAQs Email Update…

6894. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      March 27, 2024 - Finally, it is critically important for the organization to debrief about the event, determine lessons learned … an operational issue or crisis, we create an after-action report to identify best practices, lessons learned

6895. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - an operational issue or crisis, we create an after-action report to identify best practices, lessons learned … Finally, it is critically important for the organization to debrief about the event, determine lessons learned

6896. Engaging the Nurse, Physician, Patient/Family, CUSP: Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-transcript.html
      December 01, 2017 - I learned from a defect process often takes the pressure off of staff feeling like they're targeted for

6897. "Recurrent" Appendicitis | PSNet
      psnet.ahrq.gov/web-mm/recurrent-appendicitis
      January 15, 2020 - What have we learned over the past 20 years about appendicitis in the elderly?

6898. Engaging The Nurse, Physician, Patient/Family, CUSP – Learn From Defects | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/engaging-nurse-physician-patient-video.html
      December 01, 2017 - Engaging The Nurse, Physician, Patient/Family, CUSP – Learn From Defects Video Presentation Return to CAUTI Toolkit Information for Specialty Audiences

6899. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - homes (PCMHs), and then the PF returns to the practice to assist members in implementing what was learned … Share with your fellow PFs the lessons you have learned and the problems you are encountering. … • Be willing to share the challenges you are encountering and your lessons learned, with other PFs

6900. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
      January 01, 2024 - open-ended answers focused on the need for up-to-date information, shared information, such as lessons learned … Error in medicine: what have we learned? Ann Intern Med. 2000; 132(9):763- 67. 10.