-
psnet.ahrq.gov/node/45264/psn-pdf
September 01, 2016 - perceived-factors-associated-sustained-improvement-following-participation-multicenter
https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
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psnet.ahrq.gov/node/45444/psn-pdf
December 04, 2016 - The authors summarize the results of the project and lessons learned.
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psnet.ahrq.gov/node/38976/psn-pdf
October 07, 2009 - issue/radiology-errors-are-we-learning-our-mistakes
https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
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psnet.ahrq.gov/issue/rx-drug-error-may-affect-2000-patients
September 02, 2009 - August 23, 2006
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing
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psnet.ahrq.gov/node/40427/psn-pdf
May 04, 2011 - Although initial uptake
was low, the study reports on many lessons learned through initial implementation
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psnet.ahrq.gov/node/45579/psn-pdf
November 01, 2017 - discrepancies-between-home-interviews-and-electronic-medical-records-regularly-used-drugs
https://psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
-
psnet.ahrq.gov/node/44280/psn-pdf
July 15, 2015 - innovation-practice-multidisciplinary-medication-safety-initiative
https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
-
psnet.ahrq.gov/node/44901/psn-pdf
March 30, 2016 - coordinate activities such as incident reporting and investigation, documenting and
communicating lessons learned
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psnet.ahrq.gov/node/43283/psn-pdf
June 25, 2014 - standardized curriculum for improving the quality
of signouts, along with preliminary outcomes and lessons learned
-
psnet.ahrq.gov/node/46047/psn-pdf
May 17, 2017 - health-care-associated-infections
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
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psnet.ahrq.gov/node/36086/psn-pdf
June 14, 2011 - probabilistic risk assessment, a case example is provided to illustrate the use of these tools and what is
learned
-
psnet.ahrq.gov/node/43294/psn-pdf
April 25, 2016 - when-things-go-wrong-responding-adverse-events
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/43521/psn-pdf
November 05, 2014 - science-implementation-ahrqs-program-prevent-hais-results-and-lessons
https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
-
psnet.ahrq.gov/node/43971/psn-pdf
April 25, 2016 - why-empathy-may-be-best-risk-management-strategy
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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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
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psnet.ahrq.gov/node/33652/psn-pdf
June 01, 2007 - strive to
improve patient safety through analysis and dissemination of best practices and lessons learned … https://psnet.ahrq.gov//#ref1
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned … in the form of trends, stories, and lessons learned? … Five years after To Err Is Human: what have we learned? JAMA.
2005;293:2384-2390. … Lessons learned from the evolution of mandatory adverse event
reporting systems.
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psnet.ahrq.gov/node/43472/psn-pdf
September 03, 2014 - single-center
This study revealed that cross-coverage, in which physicians care for patients they have learned
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psnet.ahrq.gov/node/43662/psn-pdf
November 05, 2014 - This newsletter article reveals the lessons learned from
one hospital that implemented best practices
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psnet.ahrq.gov/node/45627/psn-pdf
April 26, 2017 - The students then applied skills learned to real patients.
-
psnet.ahrq.gov/node/35159/psn-pdf
January 02, 2017 - The authors offer a series of lessons learned from their
implementation experience and suggest that