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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35896/psn-pdf
    July 23, 2010 - Work-hour restrictions as an ethical dilemma for residents. July 23, 2010 Carpenter RO, Austin MT, Tarpley JL, et al. Work-hour restrictions as an ethical dilemma for residents. Am J Surg. 2006;191(4):527-32. https://psnet.ahrq.gov/issue/work-hour-restrictions-ethical-dilemma-residents This study surveyed 170 res…

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73562/psn-pdf
    August 04, 2021 - Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National Reporting and Learning System. August 4, 2021 Alshehri GH, Keers RN, Carson-Stevens A, et al. Medication safety in mental health hospitals: a mixed- methods analysis of incidents reported to the National R…

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73141/psn-pdf
    April 14, 2021 - Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience. April 14, 2021 Øyri SF, Braut GS, Macrae C, et al. Investigating Hospital Supervision: A Case Study of Regulatory Inspectors’ Roles as Potential Co-creators of Resilience. J Patient Saf. 2021;17…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38569/psn-pdf
    May 20, 2009 - Reducing health care hazards: lessons from the Commercial Aviation Safety Team. May 20, 2009 Pronovost P, Goeschel CA, Olsen KL, et al. Reducing health care hazards: lessons from the commercial aviation safety team. Health Aff (Millwood). 2009;28(3):w479-89. doi:10.1377/hlthaff.28.3.w479. https://psnet.ahrq.gov/is…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48066/psn-pdf
    July 24, 2019 - What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectives. July 24, 2019 Wright B, Faulkner N, Bragge P, et al. What interventions could reduce diagnostic error in emergency departments? A review of evidence, practice and consumer perspectiv…

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43796/psn-pdf
    June 02, 2015 - creating-fellowship-curriculum-patient-safety-and-quality https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45578/psn-pdf
    January 23, 2017 - The authors found that teams continued to apply what they learned long after completing the training

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46182/psn-pdf
    June 28, 2017 - This commentary outlines lessons learned by a team that implemented a multifaceted safety intervention

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34642/psn-pdf
    June 24, 2015 - The authors also share lessons learned from exploring similar high- complexity industries.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34848/psn-pdf
    February 17, 2011 - end-beginning-patient-safety-five-years-after-err-human https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47465/psn-pdf
    October 17, 2018 - national-survey-safe-practice-epidural-analgesia-obstetric-units https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46962/psn-pdf
    April 25, 2018 - The authors outline lessons learned such as the importance of engaging interprofessional stakeholders

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44804/psn-pdf
    November 18, 2016 - The investigators developed themes and lessons learned through semistructured interviews with hospital

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45962/psn-pdf
    April 24, 2018 - In this study, researchers described lessons learned from creating a leadership role that bridges quality

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34849/psn-pdf
    May 14, 2012 - improving-patient-safety-five-years-after-iom-report https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34735/psn-pdf
    June 16, 2014 - goals to create unified reporting mechanisms, support an open learning culture, ensure that lessons learned

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45350/psn-pdf
    October 21, 2016 - This report discusses the need to ensure that lessons learned in military trauma care are acted on and

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37478/psn-pdf
    February 22, 2011 - adversedrugevent https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47505/psn-pdf
    March 19, 2019 - A past PSNet perspective explored insights learned from experience with the AHRQ-supported teamwork

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45490/psn-pdf
    September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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