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Showing results for "learned".

  1. psnet.ahrq.gov/issue/event-reporting-value-nonpunitive-approach
    June 16, 2011 - Commentary Event reporting: the value of a nonpunitive approach. Citation Text: Youngberg BJ. Event reporting: the value of a nonpunitive approach. Clin Obstet Gynecol. 2008;51(4):647-55. doi:10.1097/GRF.0b013e3181899a05. Copy Citation Format: DOI Google Scholar PubMed Bi…
  2. psnet.ahrq.gov/issue/pandemic-imperiled-non-english-speakers-more-others
    January 15, 2020 - Newspaper/Magazine Article Pandemic imperiled non-English speakers more than others. Citation Text: Pandemic imperiled non-English speakers more than others. Bebinger M. WBUR and Kaiser Health News. April 27, 2021. Copy Citation Save Save to your library …
  3. psnet.ahrq.gov/issue/ask-me-if-i-cleaned-my-hands
    December 07, 2022 - Commentary Ask me if I cleaned my hands. Citation Text: Gordon SC. A piece of my mind. Ask me if I cleaned my hands. JAMA. 2012;307(15):1591-2. doi:10.1001/jama.2012.474. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged Pu…
  4. psnet.ahrq.gov/issue/randomized-field-study-leadership-walkrounds-based-intervention
    May 24, 2016 - Book/Report A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Citation Text: A Randomized Field Study of a Leadership WalkRounds-Based Intervention. Tucker AL, Singer SJ. Cambridge, MA: Harvard Business School; June 25, 2012. HBS Working Paper No. 12-113. Cop…
  5. psnet.ahrq.gov/issue/creating-culture-safety-coaching-clinicians-competence
    January 10, 2024 - Commentary Creating a culture of safety by coaching clinicians to competence. Citation Text: Duff B. Creating a culture of safety by coaching clinicians to competence. Nurse Educ Today. 2013;33(10):1108-11. doi:10.1016/j.nedt.2012.05.025. Copy Citation Format: DOI Googl…
  6. psnet.ahrq.gov/issue/new-covid-boosters-look-lot-old-ones-doctors-worry-could-lead-errors
    April 26, 2023 - Newspaper/Magazine Article New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Citation Text: New Covid boosters look a lot like the old ones. Doctors worry that could lead to errors. Lovelace Jr, B. NBC News. September 7, 2022. Copy Citation …
  7. psnet.ahrq.gov/issue/theoretical-approaches-investigating-patient-safety
    September 15, 2009 - Commentary Theoretical approaches for investigating patient safety.   Citation Text: Thomas MB, Houston S. Theoretical approaches for investigating patient safety. Clin Nurse Spec. 2005;19(3):129-134. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNo…
  8. psnet.ahrq.gov/issue/measuring-team-performance-healthcare-review-research-and-implications-patient-safety
    November 20, 2019 - Review Measuring team performance in healthcare: review of research and implications for patient safety. Citation Text: Jeffcott SA, Mackenzie CF. Measuring team performance in healthcare: review of research and implications for patient safety. J Crit Care. 2008;23(2):188-96. doi:10.10…
  9. psnet.ahrq.gov/issue/finding-patient-patient-safety
    November 17, 2014 - Commentary Finding the patient in patient safety. Citation Text: Hor S-Y, Godbold N, Collier A, et al. Finding the patient in patient safety. Health (London). 2013;17(6):567-83. doi:10.1177/1363459312472082. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X…
  10. psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
    April 18, 2011 - Study Identifying violation-provoking conditions in a healthcare setting. Citation Text: Phipps D, Parker D, Pals EJM, et al. Identifying violation-provoking conditions in a healthcare setting. Ergonomics. 2008;51(11):1625-42. doi:10.1080/00140130802331617. Copy Citation Form…
  11. psnet.ahrq.gov/issue/risk-mistaken-dnr-orders
    October 19, 2022 - Study Risk of mistaken DNR orders. Citation Text: Rohrer JE, Esler WV, Saeed Q, et al. Risk of mistaken DNR orders. Supportive Care in Cancer. 2006;14(8). doi:10.1007/s00520-006-0023-z. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tag…
  12. psnet.ahrq.gov/issue/involuntary-automaticity-work-system-induced-risk-safe-health-care
    June 22, 2009 - Commentary Involuntary automaticity: a work-system induced risk to safe health care. Citation Text: Toft B, Mascie-Taylor H. Involuntary automaticity: a work-system induced risk to safe health care. Health Serv Manage Res. 2005;18(4):211-6. Copy Citation Format: Google Sc…
  13. psnet.ahrq.gov/issue/sleep-science-and-policy-change
    September 21, 2022 - Commentary Sleep, science, and policy change. Citation Text: Wylie D. Sleep, science, and policy change. N Engl J Med. 2005;352(2):196-7. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citatio…
  14. psnet.ahrq.gov/issue/11-medicine-mistakes-avoid
    March 20, 2024 - Newspaper/Magazine Article 11 medicine mistakes to avoid. Citation Text: Crouch M. 11 medicine mistakes to avoid. AARP. August 06, 2024; Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Download Citation …
  15. psnet.ahrq.gov/issue/audit-handover-ent-unit
    October 28, 2020 - Study Audit of handover in an ENT unit. Citation Text: Ellul D, Robson AK. Audit of handover in an ENT unit. J Laryngol Otol. 2011;125(9):924-7. doi:10.1017/S0022215111000880. Copy Citation Format: DOI Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagg…
  16. psnet.ahrq.gov/issue/piece-my-mind-changing-narrative
    December 13, 2023 - Commentary A piece of my mind. Changing the narrative. Citation Text: Allen-Dicker J. Changing the Narrative. JAMA. 2016;316(3). doi:10.1001/jama.2016.3029. Copy Citation Format: DOI Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Do…
  17. psnet.ahrq.gov/issue/kenneth-w-kizer-md-mph-health-care-quality-evangelist
    July 28, 2014 - Commentary Kenneth W. Kizer, MD, MPH: health care quality evangelist. Citation Text: Kizer KW. Kenneth W. Kizer, MD, MPH: health care quality evangelist. Interview by Brian Vastag. JAMA. 2001;285(7):869-71. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML E…
  18. psnet.ahrq.gov/issue/interview-peter-pronovost
    July 01, 2017 - Award Recipient An interview with Peter Pronovost Citation Text: Pronovost P. An interview with Peter Pronovost. Jt Comm J Qual Saf. 2004;30(12):659-64. Copy Citation Format: Google Scholar PubMed BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS Dow…
  19. www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
    January 01, 2025 - delivery that depend on teamwork; and (2) provide regular communications on progress and lessons learned … Researchers learned that even the largest healthcare organizations typically have only one person in … The most common and important lesson learned was that the revised LTC curriculum was a highly effective
  20. www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
    January 01, 2025 - Lessons learned from a national pathology patient safety database. Mod Pathol 2004;17;348A. … Lessons learned from a national cytology errors database. … Lessons learned from a national pathology patient safety database. … Patient safety in pathology: lessons learned. … Lessons learned from a national cytology errors database.