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Showing results for "learned".

201. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33755/psn-pdf
     September 01, 2013 - 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 … https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect- … A story https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve … https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve

202. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
     October 24, 2018 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis.

203. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
     August 02, 2015 - Related Resources From the Same Author(s) Wrong-side thoracentesis: lessons learned … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

204. Building a community engagement approach for patient safety improvement. | PSNet
     psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
     April 01, 2010 - A recent AHRQ WebM&M perspective covered lessons learned throughout implementation of the program. … Download Citation Related Resources From the Same Author(s) What have we learned

205. Important Actions Community Pharmacists Need to Take Now to Reduce Potentially Harmful Dispensing Errors. | PSNet
     psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
     June 30, 2021 - March 6, 2024 Lessons Learned about Human Fallibility, System Design, and Justice in … November 4, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned

206. Recognizing Unsafe Care: What It Is and How to Report It. | PSNet
     psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
     April 22, 2020 - June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in … May 8, 2017 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing

207. Patient, Medical, and Legal Perspectives of Unsafe Care. | PSNet
     psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
     July 20, 2021 - 1, 2021 The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … September 7, 2022 Lessons Learned about Human Fallibility, System Design, and Justice

208. CANDOR Webinar Series. | PSNet
     psnet.ahrq.gov/issue/candor-webinar-series
     June 01, 2023 - 20, 2021 The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … September 7, 2022 Lessons Learned about Human Fallibility, System Design, and Justice

209. The lurking danger in the “business case” for patient safety | PSNet
     psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
     May 13, 2020 - August 26, 2020 Apology laws and malpractice liability: what have we learned? … September 18, 2019 Lessons learned from implementing a principled approach to resolution

210. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35979/psn-pdf
     September 17, 2010 - do we harm patients, how often do patients receive the appropriate interventions, how do we know we learned … err-human-building-safer-health-system https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

211. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - December 19, 2012 Lessons learned from a death outside a hospital's doorstep. … March 22, 2023 Lessons learned from a systems approach to engaging patients and families

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851869/psn-pdf
     July 31, 2023 - organizations use high-reliability principles, develop feedback loops, and share findings and lessons learned … Debriefing skills learned in simulation can also be applied to actual patient care. … CUSP) or Schwartz Rounds, can improve healthcare workers’ openness to reporting and sharing lessons learned … interdisciplinary staff is key.3 Another challenge that organizations may face when sharing lessons learned

213. Emergency physicians and disclosure of medical errors. | PSNet
     psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
     October 19, 2022 - February 10, 2015 Communication-and-resolution programs: the challenges and lessons learned … July 23, 2010 What have we learned about interventions to reduce medical errors?

214. Creating a Communication Coaching Structure and Support for your CRP Program. | PSNet
     psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
     January 25, 2023 - October 19, 2022 View More Related Resources Lessons Learned about … June 26, 2019 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing

215. Smart pumps: implications for nurse leaders. | PSNet
     psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
     February 02, 2022 - February 29, 2012 Intravenous medication safety and smart infusion systems: lessons learned … March 22, 2011 Intravenous medication safety and smart infusion systems: lessons learned

216. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43695/psn-pdf
     August 02, 2015 - claims-errors-and-compensation-payments-medical-malpractice-litigation 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

217. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47008/psn-pdf
     October 13, 2018 - alert-fatigue https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned … https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

218. Criminal liability for nursing and medical harm. | PSNet
     psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
     August 10, 2022 - August 26, 2020 Support opportunities for second victims lessons learned: a qualitative … August 3, 2020 Apology laws and malpractice liability: what have we learned?

219. Video capture of clinical care to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
     March 28, 2012 - The investigators outline their approach in capturing 270 operating room cases with lessons learned and … October 6, 2016 Sharing lessons learned to prevent incorrect surgery.

220. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | PSNet
     psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
     June 09, 2011 - Although initial uptake was low, the study reports on many lessons learned through initial implementation … July 10, 2008 Lessons learned implementing a complex and innovative patient safety learning