Results

Total Results: over 10,000 records

Showing results for "learned".

161. Diversion is a Threat to Patient Safety: Adopting Best Practices. | PSNet
     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

162. Psn-Pdf (pdf file)
     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

163. 2012 ISMP International Medication Safety Self Assessment for Oncology. | PSNet
     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

164. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet
     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

165. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet
     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

166. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. | PSNet
     psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
     July 17, 2019 - May 24, 2006 Lessons learned implementing a complex and innovative patient safety learning … July 29, 2020 Apology laws and malpractice liability: what have we learned? … July 22, 2011 What have we learned about interventions to reduce medical errors?

167. In Conversation With… Timothy B. McDonald, MD, JD | PSNet
     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.

168. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
     psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
     December 11, 2024 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis.

169. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
     May 11, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned … November 11, 2020 Lessons learned from a systems approach to engaging patients and families … Usability of a human factors-based clinical decision support in the emergency department: lessons learned

170. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
     September 25, 2019 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … December 19, 2014 Quality improvement lessons learned from National Implementation of … April 12, 2023 Lessons learned from the RaDonda Vaught ruling.

171. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45386/psn-pdf
     November 23, 2016 - collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

172. Patient Safety Culture: Theory, Methods and Application. | PSNet
     psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
     August 24, 2016 - key concepts involved such as behavior change, measurement and assessment processes, and lessons learned … May 8, 2013 What have we learned about interventions to reduce medical errors?

173. The complexity of team training: what we have learned from aviation and its applications to medicine. | PSNet
     psnet.ahrq.gov/issue/complexity-team-training-what-we-have-learned-aviation-and-its-applications-medicine
     December 09, 2009 - Commentary The complexity of team training: what we have learned from aviation and … The complexity of team training: what we have learned from aviation and its applications to medicine. … The complexity of team training: what we have learned from aviation and its applications to medicine. … View More Related Resources Understanding ultrarare adverse events - lessons learned

174. What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety | PSNet
     psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
     March 01, 2017 - What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety … What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety … What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety … What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve Patient Safety

175. From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. | PSNet
     psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
     July 19, 2023 - In this paper, the authors share lessons learned and highlight several recommendations for policymakers … February 15, 2017 Lessons learned for reducing the negative impact of adverse events

176. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38009/psn-pdf
     August 27, 2008 - 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

177. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43797/psn-pdf
     January 07, 2015 - A recent AHRQ WebM&M perspective covered lessons learned throughout implementation of the program. … african-partnerships-patient-safety https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned

178. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44979/psn-pdf
     April 06, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

179. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38831/psn-pdf
     August 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned

180. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet
     psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
     April 13, 2022 - interviewed clinicians attending surgical M&M conferences to explore the types, and recurrence of, lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned