Results

Total Results: over 10,000 records

Showing results for "learned".

301. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet
     psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
     April 03, 2017 - February 24, 2021 Lessons learned in implementing a chronic opioid therapy management … June 17, 2009 Lessons learned implementing a complex and innovative patient safety learning

302. From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. | PSNet
     psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
     May 06, 2015 - May 6, 2015 Preventing Healthcare-Associated Infections: Results and Lessons Learned … May 1, 2015 Preventing Healthcare-Associated Infections: Results and Lessons Learned

303. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
     psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
     May 20, 2009 - Citation Related Resources From the Same Author(s) Eight CT lessons that we learned … December 6, 2017 Adverse Health Care Events Reporting System: What Have We Learned?

304. Managing an acute adverse event in a radiology department. | PSNet
     psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
     June 14, 2011 - Related Resources From the Same Author(s) Missed lesions at abdominal oncologic CT: lessons learned … June 15, 2011 Missed lesions at abdominal oncologic CT: lessons learned from quality

305. Improving patient safety by practicing in a just culture. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
     June 14, 2017 - April 26, 2023 View More Related Resources Lessons learned from … March 1, 2023 Rooting an error review process in just culture: lessons learned.

306. Addressing electronic health record contributions to diagnostic error. | PSNet
     psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
     July 29, 2009 - January 2, 2017 Intravenous medication safety and smart infusion systems: lessons learned … August 26, 2020 Lessons learned implementing a complex and innovative patient safety

307. 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

308. 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

309. 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

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/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

312. ISMP Survey on the 2022-2023 Targeted Medication Safety Best Practices for Hospitals. | PSNet
     psnet.ahrq.gov/issue/ismp-survey-2022-2023-targeted-medication-safety-best-practices-hospitals
     January 26, 2023 - April 18, 2012 Lessons Learned about Human Fallibility, System Design, and Justice in … February 11, 2009 Medication Safety During the COVID-19 Pandemic: What Have We Learned … February 8, 2023 Lessons Learned about Human Fallibility, System Design, and Justice … June 24, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned in

313. 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

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866162/psn-pdf
     June 19, 2024 - surgeon-and-surgical-trainee-experiences-after-adverse-patient-events https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

315. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866256/psn-pdf
     July 10, 2024 - disclosure-programmes-us-inadequate-response-medical-error https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

316. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/850934/psn-pdf
     June 21, 2023 - when-things-go-wrong-responding-adverse-events https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned

317. 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

318. 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

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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35808/psn-pdf
     June 19, 2007 - 100k-lives-falling-short This article reports on the progress of the 100,000 Lives Campaign and what has been learned