Results

Total Results: over 10,000 records

Showing results for "learned".

301. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? | PSNet
     psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
     June 25, 2014 - April 5, 2023 Governing patient safety: lessons learned from a mixed methods evaluation … January 29, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

302. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44760/psn-pdf
     July 10, 2024 - collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851068/psn-pdf
     June 28, 2023 - This report summarizes lessons learned at a series of infection prevention and control listening sessions

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844055/psn-pdf
     February 08, 2023 - unequal-treatment-confronting-racial-and-ethnic-disparities-health-care https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60624/psn-pdf
     June 24, 2020 - issue/patient-died-what-about-involvement-investigation-process https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60956/psn-pdf
     September 30, 2020 - performance, and options for practitioners with declining performance, including key features and lessons learned

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73715/psn-pdf
     September 15, 2021 - psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide

308. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854263/psn-pdf
     November 03, 2023 - improving-diagnosis-health-care https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848825/psn-pdf
     May 10, 2023 - https://psnet.ahrq.gov/issue/architecture-safety-hospital-design https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/840164/psn-pdf
     November 16, 2022 - role-racism-core-patient-safety-issue https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837213/psn-pdf
     May 25, 2022 - criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838028/psn-pdf
     September 15, 2022 - creating-communication-coaching-structure-and-support-your-crp-program https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72505/psn-pdf
     November 25, 2020 - primer/maternal-safety https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866824/psn-pdf
     September 25, 2024 - advocates for the design and adoption of new approaches to enhance patient safety that build on what was learned

315. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - There were many lessons learned from the implementation of this program. … Follow-up support We also learned the value of follow-up support. … Another lesson we learned is the importance of measurement.( 12 ) This measurement of the simulation … The final lesson learned from MTT simulation is the importance of debriefing. … November 18, 2009 Sharing lessons learned to prevent incorrect surgery.

316. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/848754
     January 01, 2025 - Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york

317. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60310/psn-pdf
     May 06, 2020 - https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep

318. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50782/psn-pdf
     January 08, 2020 - what-can-patient-safety-teach-us-about-clinician-burnout This commentary discusses how we can apply lessons learned

319. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73996/psn-pdf
     October 29, 2021 - psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

320. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned