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Showing results for "lessons learned".

2101. Raising awareness of cognitive biases during diagnostic reasoning. | PSNet
      psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
      February 03, 2021 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons … February 23, 2011 Lessons learnt from incidents reported by postgraduate trainees in

2102. Addressing systemic racism in nursing homes: a time for action. | PSNet
      psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
      November 18, 2020 - 2021 Integrating principles of safety culture and just culture into nursing homes: lessons … 21, 2012 View More Related Resources The Lancet Commission on lessons

2103. Curated Article Libraries | PSNet
      psnet.ahrq.gov/curated-article-libraries
      March 18, 2025 - ) Organizational learning is an environmental state that ensures lessons … ) Organizational learning is an environmental state that ensures lessons

2104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38863/psn-pdf
      August 12, 2009 - handoffs-and-signouts https://psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

2105. Swiss Cheese Model. | PSNet
      psnet.ahrq.gov/issue/swiss-cheese-model
      March 27, 2005 - March 27, 2005 "At home, with care": lessons from New York City home-based primary care

2106. Health care serial murder: a patient safety orphan. | PSNet
      psnet.ahrq.gov/issue/health-care-serial-murder-patient-safety-orphan
      July 28, 2014 - August 17, 2011 Implementing a national strategy for patient safety: lessons from the

2107. Patient safety: do nursing and medical curricula address this theme? | PSNet
      psnet.ahrq.gov/issue/patient-safety-do-nursing-and-medical-curricula-address-theme
      September 14, 2011 - July 9, 2014 Improving patient safety: lessons from rock climbing.

2108. ReCASTing the RCA: an improved model for performing root cause analyses. | PSNet
      psnet.ahrq.gov/issue/recasting-rca-improved-model-performing-root-cause-analyses
      November 10, 2010 - March 21, 2012 Reducing health care hazards: lessons from the Commercial Aviation Safety

2109. The problem of engaging hospital doctors in promoting safety and quality in clinical care. | PSNet
      psnet.ahrq.gov/issue/problem-engaging-hospital-doctors-promoting-safety-and-quality-clinical-care
      August 18, 2017 - July 3, 2016 Quality improvement priorities for safer out-of-hours palliative care: lessons

2110. Economics of Medication Safety. Improving Medication Safety Through Collective, Real-time Learning. | PSNet
      psnet.ahrq.gov/issue/economics-medication-safety-improving-medication-safety-through-collective-real-time-learning
      October 07, 2020 - October 11, 2023 Lessons from the Covid War: An Investigative Report.

2111. The COVID-19 pandemic: resilient organisational response to a low-chance, high-impact event. | PSNet
      psnet.ahrq.gov/issue/covid-19-pandemic-resilient-organisational-response-low-chance-high-impact-event
      October 07, 2020 - June 8, 2022 Crisis management for surgical teams and their leaders, lessons from the

2112. Caught in the middle: a resident perspective on influences from the learning environment that perpetuate mistreatment. | PSNet
      psnet.ahrq.gov/issue/caught-middle-resident-perspective-influences-learning-environment-perpetuate-mistreatment
      September 04, 2019 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

2113. ‘I am not the doctor for you’: physicians’ attitudes about caring for people with disabilities. | PSNet
      psnet.ahrq.gov/issue/i-am-not-doctor-you-physicians-attitudes-about-caring-people-disabilities
      February 10, 2015 - June 7, 2023 Lessons from the Covid War: An Investigative Report.

2114. Team safety and innovation by learning from errors in long-term care settings. | PSNet
      psnet.ahrq.gov/issue/team-safety-and-innovation-learning-errors-long-term-care-settings
      March 05, 2010 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2115. Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study. | PSNet
      psnet.ahrq.gov/issue/patient-safety-when-receiving-telephone-advice-primary-care-swedish-qualitative-interview
      October 13, 2021 - February 2, 2022 "At home, with care": lessons from New York City home-based primary

2116. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33783/psn-pdf
      April 01, 2015 - But we've learned a lot since then. … If you're a central administrator of a province, a state, a hospital, or of Medicare—what are the lessons … They had learned from their own experience it wasn't easy. … They've learned over the last 10 years how to get this to happen. … We have trained up a large cadre of patient safety people who have learned how to make change, who are

2117. In Conversation With… Lucian Leape, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-lucian-leape-md
      June 12, 2019 - But we've learned a lot since then. … If you're a central administrator of a province, a state, a hospital, or of Medicare—what are the lessons … They had learned from their own experience it wasn't easy. … They've learned over the last 10 years how to get this to happen. … We have trained up a large cadre of patient safety people who have learned how to make change, who are

2118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33646/psn-pdf
      February 01, 2007 - The essential difference is that it treats the physician as the "learned intermediary" (to borrow a … diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons learned

2119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33733/psn-pdf
      July 01, 2012 - health IT equals patient safety, and more health IT equals more patient safety.(7) Paradoxically, we've learned … H.I.T. or Miss: Lessons Learned from Health Information Technology Implementations.

2120. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33720/psn-pdf
      November 01, 2011 - RW: As you entered health care, what concepts or lessons did you find worked perfectly well in health … I think that just about 80% of what we learned in the military about team performance and teamwork transfers … I learned that what is different is equipment or the setting, but the behaviors, conditions, and attitudes … the new skills, and of course with time, people revert back to old methods and don't apply the newly learned … carefully about this and hit the pause button really is that this violates a pattern that I've either learned