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  1. 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
  2. psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
    July 29, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned
  3. psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned
    January 08, 2020 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Usability of a human factors-based clinical decision support in the emergency department: lessons learned
  4. 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
  5. 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
  6. 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:/
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37231/psn-pdf
    May 02, 2018 - Fluorouracil error ends tragically, but application of lessons learned will save lives. … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives
  8. 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?
  9. 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.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37169/psn-pdf
    October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36383/psn-pdf
    March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
  12. psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals
    December 31, 2014 - Study Lessons learned from implementation of computerized provider order entry in … Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a … Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a
  13. psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
    March 04, 2015 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned
  14. psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
    January 17, 2019 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … August 21, 2013 Wrong-side thoracentesis: lessons learned from root cause analysis.
  15. psnet.ahrq.gov/issue/radiologist-errors-modality-anatomic-region-and-pathology-16-million-exams-what-we-have
    October 18, 2023 - Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned … Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned … Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44073/psn-pdf
    April 15, 2015 - Clinician support: five years of lessons learned. … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned https://psnet.ahrq.gov/issue
  17. psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
    February 01, 2023 - hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned … hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned … hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned
  18. psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
    August 24, 2022 - U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned
  19. psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
    August 04, 2021 - Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in
  20. psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical
    March 06, 2019 - Resources From the Same Author(s) Trends in anesthesia-related liability and lessons learned … May 11, 2022 Communication-and-resolution programs: the challenges and lessons learned … 15, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … April 4, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

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