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Showing results for "learned".

  1. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet

    psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
    March 27, 2024 - an operational issue or crisis, we create an after-action report to identify best practices, lessons learned … Finally, it is critically important for the organization to debrief about the event, determine lessons learned

  2. "Recurrent" Appendicitis | PSNet

    psnet.ahrq.gov/web-mm/recurrent-appendicitis
    January 15, 2020 - What have we learned over the past 20 years about appendicitis in the elderly?

  3. Improving ambulatory patient safety: learning from the last decade, moving ahead in the next. | PSNet

    psnet.ahrq.gov/issue/improving-ambulatory-patient-safety-learning-last-decade-moving-ahead-next
    November 15, 2018 - Commentary Improving ambulatory patient safety: learning from the last decade, moving ahead in the next. Citation Text: Wynia MK, Classen DC. Improving Ambulatory Patient Safety. JAMA. 2011;306(22):2504-2505. doi:10.1001/jama.2011.1820. Copy Citation Format: DOI Google Sc…

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/848124/psn-pdf
    April 26, 2023 - In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring April 26, 2023 In Conversation with.. Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring. PSNet [internet]. 2023. https://psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-ab…

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs. 

  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33664/psn-pdf
    March 01, 2008 - In Conversation with...Bradley T. Rosen, MD, MBA March 1, 2008 In Conversation with..Bradley T. Rosen, MD, MBA. PSNet [internet]. 2008. https://psnet.ahrq.gov/perspective/conversation-withbradley-t-rosen-md-mba Editor's note: Dr. Rosen is Medical Director of the Inpatient Specialty Program (ISP) Hospitalist service…

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33744/psn-pdf
    February 01, 2013 - In Conversation With… Beverley H. Johnson February 1, 2013 In Conversation With… Beverley H. Johnson. PSNet [internet]. 2013. https://psnet.ahrq.gov/perspective/conversation-beverley-h-johnson Editor's note: Beverley H. Johnson is the President and Chief Executive Officer of the Institute for Patient- and Family-…

  8. Falling Through the Crack (in the Bedrails) | PSNet

    psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
    February 19, 2020 - We learned from existing research that anticipated physiological falls can be prevented by following … July 29, 2020 Lessons learned implementing a complex and innovative patient safety learning

  9. Multiple Levels Involved in Prescribing the Wrong Medication | PSNet

    psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
    December 23, 2020 - would have been to ask open-ended questions, utilize the teach-back method or ‘repeat what you have learned … the medication and verify you are receiving a medication for that indication  Repeat what you have learned

  10. In Conversation With… Karl Bilimoria, MD, MS | PSNet

    psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
    December 01, 2017 - drawing and trying to explain their point of how they would do this differently or some other trick they learned … We should have learned from experience never to do this.… The [other] guilty party is the chief resident

  11. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet

    psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
    March 27, 2024 - Lessons learned from the Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention: Sustainability and lessons learned.

  12. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
    March 30, 2020 - SH: What is the area of the report that you personally learned the most from, either from reviewing or … drug events, and others. [5] This edition of the report also includes contextual factors and lessons learned

  13. Removing Insult from Injury—Disclosing Adverse Events | PSNet

    psnet.ahrq.gov/perspective/removing-insult-injury-disclosing-adverse-events
    February 01, 2006 - We learned this in medical ethics, and we know in our hearts that it is the right thing to do.( 1 ) Still … , and everything you said this morning was diametrically opposed to everything that I know and have learned

  14. In Conversation with…John Banja, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-withjohn-banja-phd
    February 01, 2006 - , and everything you said this morning was diametrically opposed to everything that I know and have learned … We learned this in medical ethics, and we know in our hearts that it is the right thing to do.( 1 ) Still

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60977/psn-pdf
    January 08, 2020 - would have been to ask open-ended questions, utilize the teach-back method or ‘repeat what you have learned … the medication and verify you are receiving a medication for that indication  Repeat what you have learned

  16. Making Healthcare Safer III Report | PSNet

    psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
    March 30, 2020 - drug events, and others. [5] This edition of the report also includes contextual factors and lessons learned … SH: What is the area of the report that you personally learned the most from, either from reviewing or

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33708/psn-pdf
    March 01, 2011 - RW: Over the last several years, what have we learned about handoffs? … VA: The major thing we've learned is that handoffs are risky and variable.

  18. In Conversation With… Maureen Bisognano | PSNet

    psnet.ahrq.gov/perspective/conversation-maureen-bisognano
    February 26, 2025 - What have we learned from trying to do that? MB : I think we've put a human face on a problem. … So what have you learned as the leader that you didn't know as second in command?

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33686/psn-pdf
    August 01, 2009 - While rivals were in the mindset of planning, command, and control, Toyota had learned that no amount … several months, they started tackling this problem, these constant breakdowns in care, in the ways we learned

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33789/psn-pdf
    August 01, 2015 - RW: I learned something from each interview, and it made it an incredibly rich experience. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned
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