-
psnet.ahrq.gov/node/42456/psn-pdf
September 09, 2013 - commentary describes a medication reconciliation improvement toolkit, along with results and lessons
learned
-
psnet.ahrq.gov/node/42153/psn-pdf
April 03, 2013 - incident reports, this
study describes the barriers that had to be overcome and the initial lessons learned
-
psnet.ahrq.gov/node/43569/psn-pdf
April 25, 2016 - The authors
review the results and lessons learned in the 4 years following the intervention.
-
psnet.ahrq.gov/node/44270/psn-pdf
July 01, 2015 - Lessons learned include the
value of engaging leadership, utilizing debriefing as a learning mechanism
-
psnet.ahrq.gov/node/34748/psn-pdf
March 07, 2005 - their collective learning experience, from planning for improvement, testing
ideas, studying what they learned
-
psnet.ahrq.gov/node/45070/psn-pdf
October 03, 2017 - risk-management-extreme-honesty-may-be-best-policy
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
-
psnet.ahrq.gov/node/39735/psn-pdf
January 03, 2017 - describes one hospital's experience implementing Failure Mode and Effects Analysis and
highlights lessons learned
-
psnet.ahrq.gov/node/42903/psn-pdf
September 29, 2017 - how-policy-makers-can-smooth-way-communication-and-resolution-programs
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
-
psnet.ahrq.gov/node/45545/psn-pdf
October 05, 2016 - strategies that focused on effective testing, user assessment of EHR safety,
and sharing of lessons learned
-
psnet.ahrq.gov/node/46268/psn-pdf
September 27, 2017 - thinking in health care and suggests that examining how an
organization has effectively responded and learned
-
psnet.ahrq.gov/node/43640/psn-pdf
November 12, 2014 - patient-safety-emergency-medicine
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
-
psnet.ahrq.gov/node/44224/psn-pdf
June 10, 2015 - when-doctors-dont-listen
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
-
psnet.ahrq.gov/node/44090/psn-pdf
November 21, 2016 - https://psnet.ahrq.gov/primer/handoffs-and-signouts
https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
-
psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
December 15, 2011 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … September 1, 2018
Quality improvement lessons learned from National Implementation of
-
psnet.ahrq.gov/node/44417/psn-pdf
January 25, 2016 - https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
-
psnet.ahrq.gov/node/43618/psn-pdf
October 22, 2014 - focus-society-cardiovascular-anesthesiologists-initiative-improve-quality-and-
safety
This commentary describes lessons learned
-
psnet.ahrq.gov/node/38782/psn-pdf
August 01, 2009 - psnet.ahrq.gov/issue/prescribing-errors-pediatric-emergency-department
https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
-
psnet.ahrq.gov/node/46102/psn-pdf
May 31, 2017 - patient-safety-begins-proper-planning-quantitative-method-improve-hospital-design
https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
-
psnet.ahrq.gov/node/46813/psn-pdf
March 14, 2018 - This editorial recommends that lessons learned during efforts to improve opioid prescribing
should be
-
psnet.ahrq.gov/node/45782/psn-pdf
January 18, 2017 - shift-change-handovers-and-subsequent-interruptions-potential-impacts-quality-care
https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers