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Showing results for "learned".

21. Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. | PSNet
    psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
    October 19, 2022 - Commentary Regulatory and policy barriers to effective clinical data exchange: lessons learned … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to clinical … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED.

22. 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.

23. 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.

24. 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

25. 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

26. 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

27. 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?

28. 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.

29. 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.

30. 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

31. 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

32. 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

33. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet
    psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose.

34. 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

35. 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

36. 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

37. 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

38. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837000/psn-pdf
    May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath … This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication

39. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations

40. 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