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psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
September 17, 2010 - Study
Improving safety culture results in Rhode Island ICUs: lessons learned from … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented
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psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge
March 04, 2015 - Study
Lessons learned from implementation of a computerized application for pending … Lessons learned from implementation of a computerized application for pending tests at hospital discharge … Lessons learned from implementation of a computerized application for pending tests at hospital discharge
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psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
January 07, 2015 - Review
Adopting electronic medical records in primary care: lessons learned from … Adopting electronic medical records in primary care: lessons learned from health information systems … Adopting electronic medical records in primary care: lessons learned from health information systems
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psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
January 09, 2008 - Commentary
Intravenous medication safety and smart infusion systems: lessons learned … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.
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psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
July 14, 2010 - Study
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future … Hospitalists as emerging leaders in patient safety: lessons learned and future directions. … Hospitalists as emerging leaders in patient safety: lessons learned and future directions.
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - Study
Implementing hospital-based communication-and-resolution programs: lessons learned … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.
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psnet.ahrq.gov/node/837146/psn-pdf
May 18, 2022 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned … https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - February 23, 2022
Lessons Learned about Human Fallibility, System Design, and Justice … October 5, 2022
Lessons Learned about Human Fallibility, System Design, and Justice in … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - issue/medwatch
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states … https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
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psnet.ahrq.gov/node/74005/psn-pdf
October 27, 2021 - 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
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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.
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psnet.ahrq.gov/node/764403/psn-pdf
March 02, 2022 - 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
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - February 18, 2014
Medication Safety During the COVID-19 Pandemic: What Have We Learned … May 24, 2015
Lessons Learned about Human Fallibility, System Design, and Justice in the … Related Resources
Fluorouracil error ends tragically, but application of lessons learned
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psnet.ahrq.gov/perspective/conversation-timothy-b-mcdonald-md-jd
February 26, 2025 - We spoke with him about lessons learned over the years regarding event reporting and his insights regarding … What are the lessons learned over the years regarding event reporting? … The physicians learned this is a great number to call because you're going to get all that support. … RW : What have we learned about teaching health care professionals how to have these conversations and … That is a big lesson we've learned.
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psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
September 24, 2018 - Study
Eight CT lessons that we learned the hard way: an analysis of current patterns … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error
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psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
December 18, 2017 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership.
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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
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients … Lessons learned for reducing the negative impact of adverse events on patients, health professionals … Lessons learned for reducing the negative impact of adverse events on patients, health professionals