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Showing results for "learned".

21. Lessons learned in implementing a chronic opioid therapy management system. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
    July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … July 13, 2022 Lessons learned implementing a complex and innovative patient safety learning

22. Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
    July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation … Lessons learned from a national hospital antibiotic stewardship implementation project. … Lessons learned from a national hospital antibiotic stewardship implementation project.

23. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet
    psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
    January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. … qualitative study, researchers interviewed hospitalists at five hospitals to examine clinical lessons learned … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.

24. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
    psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
    August 21, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis.

25. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/863208/psn-pdf
    February 28, 2024 - Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. … https://psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors … qualitative study, researchers interviewed hospitalists at five hospitals to examine clinical lessons learned … https://psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes

26. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48081/psn-pdf
    January 01, 2021 - Sharing lessons learned to prevent adverse events in anesthesiology nationwide. … Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide … Of participants who had been aware of lessons learned, 90% shared them with staff and 75% described … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide

27. Lessons learned from a systems approach to engaging patients and families in patient safety transformation. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
    February 12, 2020 - Study Lessons learned from a systems approach to engaging patients and families in … Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation … This article describes lessons learned during the six years after a large regional health care system … Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation

28. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/866191/psn-pdf
    June 26, 2024 - Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community … Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community … https://psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety … This qualitative study explored lessons learned and opportunities for improvement based on nationwide … https://psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community

29. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50887/psn-pdf
    February 12, 2020 - Lessons learned from a systems approach to engaging patients and families in patient safety transformation … Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient- … This article describes lessons learned during the six years after a large regional health care system … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

30. What Have We Learned About Safe Inpatient Handovers? | PSNet
    psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
    March 01, 2011 - What Have We Learned About Safe Inpatient Handovers? … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. … RW: Over the last several years, what have we learned about handoffs? … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet].

31. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet
    psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
    March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient … Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community … This qualitative study explored lessons learned and opportunities for improvement based on nationwide … Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community … Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned

32. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865807/psn-pdf
    May 08, 2024 - Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry

33. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865971/psn-pdf
    May 29, 2024 - Lessons learned from a national hospital antibiotic stewardship implementation project. … Lessons learned from a national hospital antibiotic stewardship implementation project. … https://psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation- … https://psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project … https://psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project

34. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - 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 … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

35. A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. | PSNet
    psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
    March 06, 2005 - Audiovisual Presentation A Hospital Accident: Lessons Learned – A Death, A Conviction … Citation Text: A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … Cite Citation Citation Text: A Hospital Accident: Lessons Learned … September 7, 2022 Lessons Learned about Human Fallibility, System Design, and Justice … August 19, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned

36. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
    psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

37. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853065/psn-pdf
    August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

38. Lessons learned from medical malpractice claims involving critical care nurses. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
    July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses … Lessons learned from medical malpractice claims involving critical care nurses. … Lessons learned from medical malpractice claims involving critical care nurses.

39. What have we learned about interventions to reduce medical errors? | PSNet
    psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
    June 26, 2019 - Review What have we learned about interventions to reduce medical errors? … What have we learned about interventions to reduce medical errors? … What have we learned about interventions to reduce medical errors?

40. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet
    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.