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Showing results for "learned".

  1. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. | PSNet

    psnet.ahrq.gov/issue/skin-deep-diagnosis-affective-bias-and-zebra-retreat-complicating-diagnosis-systemic
    July 29, 2020 - Commentary Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Citation Text: Miller CS. Skin-deep diagnosis: affective bias and zebra retreat complicating the diagnosis of systemic sclerosis. Am J Med Sci. 2013;345(1):53-6. doi:10.1…

  2. Two decades since To Err Is Human: progress, but still a "chasm". | PSNet

    psnet.ahrq.gov/issue/two-decades-err-human-progress-still-chasm
    January 23, 2019 - Special or Theme Issue Two decades since To Err Is Human: progress, but still a "chasm". Citation Text: Dzau VJ, Shine KI. Two Decades Since To Err Is Human. JAMA. 2020;324(24):2489-2490. doi:10.1001/jama.2020.23151. Copy Citation Format: DOI Google Scholar BibTeX EndNote X…

  3. One system's journey in creating a disclosure and apology program. | PSNet

    psnet.ahrq.gov/issue/one-systems-journey-creating-disclosure-and-apology-program
    May 27, 2011 - Commentary One system's journey in creating a disclosure and apology program. Citation Text: Peto RR, Tenerowicz LM, Benjamin EM, et al. One system's journey in creating a disclosure and apology program. Jt Comm J Qual Patient Saf. 2009;35(10):487-96. Copy Citation Format: …

  4. Pump up the volume: tips for increasing error reporting and decreasing patient harm. | PSNet

    psnet.ahrq.gov/issue/pump-volume-tips-increasing-error-reporting-and-decreasing-patient-harm
    January 27, 2021 - Newspaper/Magazine Article Pump up the volume: tips for increasing error reporting and decreasing patient harm. Citation Text: Pump up the volume: tips for increasing error reporting and decreasing patient harm. ISMP Medication Safety Alert! Acute care edition. August 26, 2021;26(17);1-5…

  5. Tolerance of uncertainty and the practice of emergency medicine. | PSNet

    psnet.ahrq.gov/issue/tolerance-uncertainty-and-practice-emergency-medicine
    May 25, 2022 - Commentary Tolerance of uncertainty and the practice of emergency medicine. Citation Text: Platts-Mills TF, Nagurney JM, Melnick ER. Tolerance of uncertainty and the practice of emergency medicine. Ann Emerg Med. 2020;75(6):715-720. doi:10.1016/j.annemergmed.2019.10.015. Copy Citation …

  6. The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? | PSNet

    psnet.ahrq.gov/issue/emperors-new-clothes-or-whatever-happened-human-error
    March 27, 2005 - Meeting/Conference Proceedings The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Citation Text: The Emperor’s New Clothes: Or Whatever Happened To “Human Error”? Hollnagel E, Amalberti R. Chapter In: Dekker SWA, ed.  Proceedings of the 4th International Workshop…

  7. Work-arounds in health care settings: literature review and research agenda. | PSNet

    psnet.ahrq.gov/issue/work-arounds-health-care-settings-literature-review-and-research-agenda
    October 02, 2013 - Review Work-arounds in health care settings: literature review and research agenda. Citation Text: Halbesleben JRB, Wakefield DS, Wakefield BJ. Work-arounds in health care settings: literature review and research agenda. Health Care Manage Rev. 2008;33(1):2-12. doi:10.1097/01.hmr.0000304…

  8. Improving patient care. My right knee. | PSNet

    psnet.ahrq.gov/issue/improving-patient-care-my-right-knee
    August 04, 2021 - Commentary Improving patient care. My right knee. Citation Text: Berwick DM. Improving patient care. My right knee. Ann Intern Med. 2005;142(2):121-5. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…

  9. Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. | PSNet

    psnet.ahrq.gov/issue/does-simulation-improve-patient-safety-self-efficacy-competence-operational-performance-and
    May 25, 2016 - Commentary Does simulation improve patient safety?: self-efficacy, competence, operational performance, and patient safety. Citation Text: Nishisaki A, Keren R, Nadkarni V. Does simulation improve patient safety? Self-efficacy, competence, operational performance, and patient safety. A…

  10. New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. | PSNet

    psnet.ahrq.gov/issue/new-horizons-patient-safety-safe-communication-evidence-based-core-competencies-case-studies
    November 19, 2018 - Book/Report New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Citation Text: New Horizons in Patient Safety. Safe Communication: Evidence-based Core Competencies with Case Studies from Nursing. Hannawa AF, Wendt AL, Day L…

  11. The Canadian Quality and Patient Safety Framework for Health and Social Services. | PSNet

    psnet.ahrq.gov/issue/canadian-quality-and-patient-safety-framework-health-and-social-services
    December 09, 2020 - Multi-use Website The Canadian Quality and Patient Safety Framework for Health and Social Services. Citation Text: The Canadian Quality and Patient Safety Framework for Health and Social Services. Canadian Patient Safety Institute and Health Standards Organization. Copy Citation …

  12. How nursing homes’ worst offenses are hidden from the public. | PSNet

    psnet.ahrq.gov/issue/how-nursing-homes-worst-offenses-are-hidden-public
    September 22, 2021 - Newspaper/Magazine Article How nursing homes’ worst offenses are hidden from the public. Citation Text: How nursing homes’ worst offenses are hidden from the public. Gebeloff R, Thomas K, Silver-Greenberg J. New York Times. December 9, 2021. Copy Citation Save …

  13. Recent Evidence That Health IT Improves Patient Safety: Issue Brief. | PSNet

    psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
    June 29, 2016 - Book/Report Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Citation Text: Recent Evidence That Health IT Improves Patient Safety: Issue Brief. Banger A, Graber ML. Washington, DC: Office of the National Coordinator for Health Information Technology; February 2015. …

  14. Improving care by using patient feedback. | PSNet

    psnet.ahrq.gov/issue/improving-care-using-patient-feedback
    April 19, 2017 - Book/Report Improving care by using patient feedback. Citation Text: Improving care by using patient feedback. National Institute for Health Research. Southampton, UK: NIHR Dissemination Centre; December 2019. Copy Citation Save Save to your library Print …

  15. ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. | PSNet

    psnet.ahrq.gov/issue/i-felt-i-was-dying-how-women-postpartum-depression-fall-through-cracks-us-health-care
    February 15, 2023 - Newspaper/Magazine Article ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Citation Text: ‘I felt like I was dying’: how women with postpartum depression fall through the cracks of U.S. health care. Gammon K. STAT. June 26, 202…

  16. Human and organizational biases affecting the management of safety. | PSNet

    psnet.ahrq.gov/issue/human-and-organizational-biases-affecting-management-safety
    May 29, 2014 - Commentary Human and organizational biases affecting the management of safety. Citation Text: Reiman T, Rollenhagen C. Human and organizational biases affecting the management of safety. Reliab Eng Syst Saf. 2011;96(10). doi:10.1016/j.ress.2011.05.010. Copy Citation Format: …

  17. HCUP-US Home Page

    hcup-us.ahrq.gov/
    September 01, 2025 - What is HCUP? The Healthcare Cost and Utilization Project (HCUP) includes the largest collection of longitudinal hospital care data in the United States. Overview of HCUP Online HCUP Overview Course is an interactive course that provides information a…

  18. Long-Term Care | Digital Healthcare Research

    digital.ahrq.gov/type-care/long-term-care
    January 01, 2023 - Long-Term Care A Roadmap for Research: The International Summit on Innovation and Technology in Care of Older People (IS-ITCOP) Description This conference convenes interdisciplinary experts from the United States and abroad to define priorities and goals for researching techn…

  19. The Basics of FMEA. 2nd ed. | PSNet

    psnet.ahrq.gov/issue/basics-fmea-2nd-edition
    October 23, 2013 - Book/Report Classic The Basics of FMEA. 2nd ed. Citation Text: The Basics of FMEA. 2nd ed. McDermott RE, Mikulak RJ, Beauregard MR. New York, NY: CRC Press; 2009. ISBN: 9781563273773. Copy Citation Save Save to your library Print …

  20. Physician liability in the age of data reliance and errors. | PSNet

    psnet.ahrq.gov/issue/physician-liability-age-data-reliance-and-errors
    March 18, 2020 - Commentary Physician liability in the age of data reliance and errors. Citation Text: Physician liability in the age of data reliance and errors. Montesantos L. Ann Health Law Life Sci. 2022;31(Spring):179-215. Copy Citation Save Save to your library Print…
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