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Showing results for "learned".

401. 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

402. 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

403. 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

404. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42869/psn-pdf
     January 28, 2017 - patient-engagement-and-safety https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

405. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41931/psn-pdf
     December 19, 2012 - effort to report, analyze, and reduce wrong-site procedures, this magazine article details the lessons learned

406. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39807/psn-pdf
     December 29, 2014 - This commentary describes how the WHO Patient Safety Surgical Checklist was created using lessons learned

407. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44906/psn-pdf
     February 17, 2016 - hospitals-find-way-say-im-sorry https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

408. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36464/psn-pdf
     January 07, 2011 - discussion of one hospital's effort to implement a  rapid response team, emphasizing the practical lessons learned

409. GAPS Center. | PSNet
     psnet.ahrq.gov/issue/gaps-center
     October 01, 2023 - August 18, 2010 Patient safety: lessons learned.

410. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42957/psn-pdf
     March 05, 2014 - massachusetts-alliance-communication-and-resolution-following-medical-injury https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

411. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44109/psn-pdf
     November 06, 2015 - The site provides access to project reports, overall guidance, and analysis of what was learned.

412. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45261/psn-pdf
     June 22, 2016 - ahrq-communication-and-optimal-resolution-candor-toolkit https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

413. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35452/psn-pdf
     January 05, 2017 - They report on the lessons learned 3 years after implementation of the methodology.

414. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43315/psn-pdf
     May 10, 2016 - commentary relates how two organizations implemented this strategy along with challenges and lessons learned

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73292/psn-pdf
     May 19, 2021 - The authors discuss effective practices and lessons learned preparing for and executing workforce redeployment

416. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/61067/psn-pdf
     January 01, 2021 - improving-diagnosis-improving-education-policy-brief-education-healthcare-professions https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

417. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - 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 … The final lesson learned from MTT simulation is the importance of debriefing. … November 18, 2009 Sharing lessons learned to prevent incorrect surgery.

418. 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

419. 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

420. 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