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Total Results: over 10,000 records

Showing results for "learned".

381. 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

382. 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

383. 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

384. 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

385. Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/building-capacity-patient-safety
     July 31, 2023 - organizations use high-reliability principles, develop feedback loops, and share findings and lessons learned … Debriefing skills learned in simulation can also be applied to actual patient care. … Healthcare facilities may share information and lessons learned within their own institutions and system … 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

386. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60898/psn-pdf
     September 09, 2020 - The authors discuss lessons learned and provide insight which can inform implementation strategies at

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60054/psn-pdf
     March 18, 2020 - ensuring-successful-implementation-communication-and-resolution-programmes https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

388. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73920/psn-pdf
     October 06, 2021 - safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned

389. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837975/psn-pdf
     August 31, 2022 - analyzing-and-discussing-human-factors-affecting-surgical-patient-safety- using-innovative Leveraging lessons learned

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73887/psn-pdf
     September 29, 2021 - /issue/body-ct-technical-advances-improving-safety https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73091/psn-pdf
     March 31, 2021 - mistakes made during the pandemic (such as broken trust or ignoring disruptive behaviors) and lessons learned

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72483/psn-pdf
     November 18, 2020 - Lessons learned supporting success include assessment of the learner experience and dedication of time

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60792/psn-pdf
     August 12, 2020 - nurse-workarounds-electronic-health-record-integrative-review https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35693/psn-pdf
     May 03, 2017 - cause analysis and suggests guidelines for report- writing to ensure the dissemination of lessons learned

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38348/psn-pdf
     December 30, 2014 - The author discusses a conceptual framework, implementation steps, and lessons learned.

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - terms of rigorously applying the standard principles of measurements and data collection that I had learned … settings, where you might not think the data are as important as in an academic medical center, we have learned … We have learned there were many ways of identifying defects: M&M conferences, incident-reporting systems … Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40983/psn-pdf
     December 07, 2011 - implementation-checklists-health-care-learning-high-reliability-organisations This study explored the utility of checklists in health care settings, building on lessons learned

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38729/psn-pdf
     April 15, 2019 - https://psnet.ahrq.gov/issue/chpso This Website offers tools, a newsletter focusing on lessons learned

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35084/psn-pdf
     November 04, 2015 - articles that address the behavior of physicians in high-liability specialties and suggests that lessons learned

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36639/psn-pdf
     January 14, 2011 - application of several safety culture improvement strategies at their hospital and discuss lessons learned