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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - clinical-review-checklists-translating-evidence-practice https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47314/psn-pdf
    November 24, 2018 - measuring-communication-surgical-icu-better-communication-equals-better-care https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44901/psn-pdf
    March 30, 2016 - coordinate activities such as incident reporting and investigation, documenting and communicating lessons learned
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47308/psn-pdf
    December 21, 2018 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    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
  13. Psn-Pdf (pdf file)

    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
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33657/psn-pdf
    September 01, 2007 - This redesign fosters a culture of safety by constantly reinforcing the lessons learned at the weekly … This is a talent and a skill that can be learned. … How can a department assure itself that these lessons are being learned?
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45627/psn-pdf
    April 26, 2017 - The students then applied skills learned to real patients.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45640/psn-pdf
    September 01, 2018 - case-outcomes-communication-and-resolution-program-new-york-hospitals https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47525/psn-pdf
    October 31, 2018 - peer-training-using-cognitive-rehearsal-promote-culture-safety-health-care Unprofessional behavior detracts from safety culture and is often learned
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35736/psn-pdf
    May 27, 2011 - The investigators outline their approach in capturing 270 operating room cases with lessons learned
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45791/psn-pdf
    September 01, 2018 - disclosure-errors https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45697/psn-pdf
    August 29, 2018 - challenges-implementing-communication-and-resolution-program-where-multiple-organizations https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

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