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psnet.ahrq.gov/node/854257/psn-pdf
October 04, 2023 - This
article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Citation
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The safety journal: lessons learned … November 2, 2011
The safety journal: lessons learned with an error reporting tool to
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psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
February 22, 2010 - November 3, 2021
Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022
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Lessons learned from
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - December 4, 2019
What have we learned about interventions to reduce medical errors? … November 13, 2019
Lessons learned from implementing a principled approach to resolution
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - March 9, 2011
What have we learned about interventions to reduce medical errors? … April 1, 2010
Adopting electronic medical records in primary care: lessons learned from
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psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
July 09, 2018 - July 9, 2018
Apology laws and malpractice liability: what have we learned? … July 14, 2010
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - April 12, 2019
Lessons learned for reducing the negative impact of adverse events on … December 29, 2014
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … February 2, 2011
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/node/45034/psn-pdf
February 25, 2019 - integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis
https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
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psnet.ahrq.gov/node/73922/psn-pdf
October 06, 2021 - harnessing-power-medical-malpractice-data-improve-patient-care
https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
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psnet.ahrq.gov/node/74118/psn-pdf
January 01, 2022 - psnet.ahrq.gov/primer/high-reliability
https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
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psnet.ahrq.gov/node/866354/psn-pdf
July 24, 2024 - Participants also highlighted lessons learned, including leadership buy-in and the
need for protected
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psnet.ahrq.gov/node/865707/psn-pdf
May 01, 2024 - Respondents reported that institutional support had increased; they felt like the
organization learned
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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
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psnet.ahrq.gov/node/851913/psn-pdf
August 02, 2023 - hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies
https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned
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psnet.ahrq.gov/node/73392/psn-pdf
June 16, 2021 - This study evaluates diagnostic
“shortcuts” learned by AI systems in detecting COVID-19 in chest radiographs
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psnet.ahrq.gov/node/74724/psn-pdf
February 02, 2022 - Challenges,
facilitators, and lessons learned are discussed.