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Showing results for "learned".

341. 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

342. 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

343. Psychology of error in relation to medical practice. | PSNet
     psnet.ahrq.gov/issue/psychology-error-relation-medical-practice
     January 11, 2006 - May 1, 2013 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … April 29, 2015 Sharing lessons learned to prevent incorrect surgery. … June 15, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … March 27, 2019 Trends in anesthesia-related liability and lessons learned.

344. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36421/psn-pdf
     August 05, 2008 - what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons the airline industry has learned

345. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36067/psn-pdf
     September 28, 2010 - a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessons learned

346. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47308/psn-pdf
     December 21, 2018 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned

347. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47314/psn-pdf
     November 24, 2018 - measuring-communication-surgical-icu-better-communication-equals-better-care https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

348. 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

349. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47638/psn-pdf
     February 06, 2019 - clinical-review-checklists-translating-evidence-practice https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program

350. Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience | PSNet
     psnet.ahrq.gov/perspective/organizational-change-face-highly-public-errors-i-dana-farber-cancer-institute
     December 23, 2020 - First, we learned that safety–if it was to be a core property of our system of care rather than an empty … Fourth, we learned that we could not do this work alone. … We learned a lot from our colleagues in the Massachusetts Coalition for the Prevention of Medical Errors … Sixth, and most important, we learned that the work of creating safe care is never finished.

351. 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

352. 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

353. Periodic Issue | PSNet
     psnet.ahrq.gov/periodic-issue/periodic-issue-446
     May 29, 2024 - Study Quality improvement lessons learned from National Implementation of the " … This qualitative study explored lessons learned and opportunities for improvement based on nationwide … Study Quality improvement lessons learned from National Implementation of the " … This qualitative study explored lessons learned and opportunities for improvement based on nationwide

354. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35932/psn-pdf
     October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons learned

355. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36857/psn-pdf
     January 22, 2017 - The authors describe a hospital system's initiative to improve perioperative safety and the lessons learned

356. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41314/psn-pdf
     September 27, 2016 - medical-apology-making-it-right-when-things-go-wrong Articles in this special issue highlight lessons learned

357. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35135/psn-pdf
     July 06, 2005 - building systemic awareness through role play, after-event analysis, and discussions of how lessons learned

358. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/860393/psn-pdf
     January 10, 2024 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned

359. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39409/psn-pdf
     March 31, 2010 - learning-mechanisms-limit-medication-administration-errors This study evaluated the mechanisms by which hospital wards learned

360. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42756/psn-pdf
     November 20, 2013 - https://psnet.ahrq.gov/issue/removing-me-md Recounting what one medical student learned by shadowing