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Showing results for "learned".

341. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet
     psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
     January 18, 2013 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … November 10, 2010 Quality improvement lessons learned from National Implementation of

342. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864866/psn-pdf
     March 20, 2024 - Lessons learned are included to enhance the resilience of the health care system for future emergencies

343. 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

344. 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

345. Psn-Pdf (pdf file)
     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

346. 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

347. Psn-Pdf (pdf file)
     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

348. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33721/psn-pdf
     November 01, 2011 - https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 Lessons Learned … 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 is … The final lesson learned from MTT simulation is the importance of debriefing.

349. 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

350. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74724/psn-pdf
     February 02, 2022 - Challenges, facilitators, and lessons learned are discussed.

351. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837431/psn-pdf
     June 15, 2022 - 25-pioneering-success-safety-25th-anniversary-provokes https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide

352. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854257/psn-pdf
     October 04, 2023 - This article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare

353. Psn-Pdf (pdf file)
     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

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74704/psn-pdf
     January 26, 2022 - improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

355. In Conversation with... Regina Hoffman about Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/conversation-regina-hoffman-about-building-capacity-patient-safety
     July 31, 2023 - Healthcare facilities may share information and lessons learned within their own institutions and system … It could be a simple process where information is entered, there is an investigation, and a  lesson learned … While some healthcare leaders and risk managers will share lessons learned and action steps internally … While many hospitals and health systems are very transparent, many lessons learned remain behind closed … Debriefing skills learned in simulation can also be applied to actual patient care.

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866354/psn-pdf
     July 24, 2024 - Participants also highlighted lessons learned, including leadership buy-in and the need for protected

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73699/psn-pdf
     September 15, 2021 - able to develop a theoretical framework integrating safety training engagement and application of learned

358. Psn-Pdf (pdf file)
     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

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866808/psn-pdf
     September 25, 2024 - issue/what-safety-leadership-systematic-review-definitions https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866812/psn-pdf
     September 25, 2024 - patient's decision to be involved in the investigation or not, communicating to the patient what was learned