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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned https://psnet.ahrq.gov
  2. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.
  3. psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
    March 18, 2019 - Classic Five years after 'To Err is Human': what have we learned … Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. … Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.
  4. psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
    September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … We've learned that even really well-designed software can be made very challenging for clinicians when … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet].
  5. psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data … Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data.
  6. psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
    February 21, 2024 - Study Exploring the impact of safety culture on incident reporting: lessons learned … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39389/psn-pdf
    January 03, 2017 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
  8. psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - Congressional Testimony Lessons Learned? … Citation Text: Lessons Learned? … Copy URL Cite Citation Citation Text: Lessons Learned
  9. psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
    August 30, 2023 - Commentary Developing a quality and safety curriculum for fellows: lessons learned … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship
  10. psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
    March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative
  11. psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594
  12. psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
    September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43309/psn-pdf
    August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis Wrong-site … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis https://psnet.ahrq.gov
  14. psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
    September 28, 2017 - Study Patients' perspectives on quality and patient safety failures: lessons learned … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal … April 14, 2021 Apology laws and malpractice liability: what have we learned?
  15. psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
    August 18, 2010 - The authors share the practical development of the tool, its application, and lessons learned from implementation … August 18, 2010 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … May 9, 2018 Sharing lessons learned to prevent incorrect surgery.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35032/psn-pdf
    February 03, 2011 - Five years after 'To Err is Human': what have we learned? February 3, 2011 Leape L, Berwick DM. … Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. … https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned Two of the leaders in the … https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned https://psnet.ahrq.gov/issue
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39801/psn-pdf
    December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned https://psnet.ahrq.gov
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38393/psn-pdf
    October 03, 2017 - Adverse Health Care Events Reporting System: What Have We Learned? October 3, 2017 St. … https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned Through … https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned https:/
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40523/psn-pdf
    August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing https://psnet.ahrq.gov
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36212/psn-pdf
    February 02, 2010 - SafetyNet: Lessons Learned from Close Calls in the OR. … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or This special issue includes a … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or https://psnet.ahrq.gov/issue/patient-worker-safety

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