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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35369/psn-pdf
    July 20, 2009 - Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons- learned-medsinfo-ed … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36050/psn-pdf
    January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr- overdose … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47568/psn-pdf
    March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned https://psnet.ahrq.gov
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/841764/psn-pdf
    December 21, 2022 - Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system The … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system https
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42919/psn-pdf
    February 05, 2014 - Implementing hospital-based communication-and- resolution programs: lessons learned in New York City … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … ://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs- lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … 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/74066/psn-pdf
    November 10, 2021 - Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. … https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health- … https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration … https://psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35738/psn-pdf
    July 15, 2010 - Patient safety: lessons learned. July 15, 2010 Bagian JP. Patient safety: lessons learned. … https://psnet.ahrq.gov/issue/patient-safety-lessons-learned The author summarizes the systemwide approaches … to safety that can be learned from high reliability organizations such as aviation. … https://psnet.ahrq.gov/issue/patient-safety-lessons-learned https://psnet.ahrq.gov//#highreliabilityorganizations
  8. psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
    January 13, 2021 - Webinar Medication Safety During the COVID-19 Pandemic: What Have We Learned in the … Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States … Citation Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned … June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38478/psn-pdf
    March 11, 2009 - Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation. … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned- … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35413/psn-pdf
    September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. … Lessons learned: basic evidence-based advice for preventing medication errors in children. … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37966/psn-pdf
    January 15, 2009 - Adopting electronic medical records in primary care: lessons learned from health information systems … Adopting electronic medical records in primary care: lessons learned from health information systems … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health- … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38425/psn-pdf
    January 29, 2010 - Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. … Hospitalists as emerging leaders in patient safety: lessons learned and future directions. … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future- … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions
  16. psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
    February 28, 2015 - Book/Report Adverse Health Care Events Reporting System: What Have We Learned? … Citation Text: Adverse Health Care Events Reporting System: What Have We Learned? St. … Citation Citation Text: Adverse Health Care Events Reporting System: What Have We Learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned
  17. psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data … Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data.
  18. psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
    August 30, 2023 - Commentary Developing a quality and safety curriculum for fellows: lessons learned … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship
  19. psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.
  20. psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
    May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned … Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation.

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