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Showing results for "learned".

361. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865707/psn-pdf
     May 01, 2024 - Respondents reported that institutional support had increased; they felt like the organization learned

362. 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

363. 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

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33810/psn-pdf
     June 01, 2016 - Although taking an exam is challenging for an experienced professional, I found that I learned a lot … Through the CPPS course of study, I learned to more effectively implement important components of reaching

365. Impact of vendor computerized physician order entry in community hospitals. | PSNet
     psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
     December 31, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry … February 12, 2014 Lessons learned from implementation of computerized provider order

366. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
     June 04, 2014 - 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

367. A systematic review of patient safety measures in adult primary care. | PSNet
     psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
     March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … September 25, 2019 Quality improvement lessons learned from National Implementation of

368. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
     psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
     December 21, 2014 - October 11, 2010 Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

369. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet
     psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
     January 02, 2017 - October 21, 2020 Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

370. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet
     psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
     November 26, 2014 - December 31, 2014 Lessons learned from implementation of computerized provider order … February 12, 2014 Lessons learned from implementation of computerized provider order

371. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837852/psn-pdf
     August 17, 2022 - neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

372. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/50816/psn-pdf
     January 29, 2020 - identifying-potential-patient-safety-issues-federal-electronic-health-record-surveillance https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

373. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72574/psn-pdf
     December 16, 2020 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned

374. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60352/psn-pdf
     January 01, 2021 - stakeholders-safety-patient-reports-unsafe-clinical-behaviors-distinguish-hospital-mortality https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

375. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61109/psn-pdf
     November 11, 2020 - making-communication-and-resolution-programmes-mission-critical-healthcare-organisations https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

376. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60198/psn-pdf
     April 08, 2020 - The findings from this review reinforce the concept that communication is a learned skill that requires

377. 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

378. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/867229/psn-pdf
     January 01, 2025 - improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned

379. 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

380. 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