Results

Total Results: over 10,000 records

Showing results for "learned".

201. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
     November 16, 2022 - The authors noted that the lessons learned from the initial implementation problems were essential to … July 3, 2016 Project BOOST implementation: lessons learned.

202. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
     psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
     March 13, 2013 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009 Sharing lessons learned to prevent incorrect surgery.

203. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet
     psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
     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 … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis.

204. The Good, The Bad, and The Ugly: Patient Experiences with CRPs. | PSNet
     psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
     February 28, 2024 - September 7, 2022 Lessons Learned about Human Fallibility, System Design, and Justice … June 26, 2019 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing

205. 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

206. 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

207. 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

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. 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

211. 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

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33877/psn-pdf
     April 01, 2019 - 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.

213. 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

214. 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.

215. 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 - November 7, 2018 Lessons learned from a death outside a hospital's doorstep. … March 22, 2023 Lessons learned from a systems approach to engaging patients and families

216. 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

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. 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

219. 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

220. 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?