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psnet.ahrq.gov/node/45302/psn-pdf
November 28, 2016 - Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical
error disclosure and prevention.
November 28, 2016
Langer T, Martinez W, Browning DM, et al. Patients and families as teachers: a mixed methods
assessment of a collaborative learning model for medical error …
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psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … March 20, 2019
The safety journal: lessons learned with an error reporting tool to stimulate
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psnet.ahrq.gov/issue/patient-safe-future
March 04, 2010 - Book/Report
A Patient-Safe Future.
Citation Text:
A Patient-Safe Future. Patient Safety Learning: London, UK; September 2018.
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psnet.ahrq.gov/issue/never-events-framework-200910
January 31, 2018 - Multi-use Website
Never Events--Framework 2010-11.
Citation Text:
Never Events--Framework 2010-11. National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2010.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
October 01, 2014 - Often, the most valuable
contributions of these meetings are the lessons learned and ideas generated … should
discuss progress made, identify technical assistance needs, share information and lessons
learned … Often, the most
valuable takeaways from these meetings are the lessons learned and
ideas generated … It was also the first time clinics saw their benchmark reports and learned how to use them for quality … The first was held halfway
through the project to allow more indepth sharing of lessons learned and
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026214-toh-final-report-2022.pdf
January 01, 2022 - Improving Missing Data Analysis in Distributed Research Networks – Final Report
Improving Missing Data Analysis in Distributed Research Networks
Principal Investigator: Darren Toh
Team Members: Jenna Wong, …
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www.ahrq.gov/hai/tools/mvp/modules/cusp/science-of-safety-slides.html
February 01, 2017 - Science of Safety and Identifying Defects in Care of Mechanically Ventilated Patients: Slide Presentation
AHRQ Safety Program for Mechanically Ventilated Patients
Slide 1: AHRQ Safety Program for Mechanically Ventilated Patients
Science of Safety and Identifying Defects in Care of Mechanically Ventilated …
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psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons the airline industry has learned
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psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and
share lessons learned
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … February 2, 2011
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
July 09, 2018 - July 9, 2018
Apology laws and malpractice liability: what have we learned? … July 14, 2010
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - April 12, 2019
Lessons learned for reducing the negative impact of adverse events on … December 29, 2014
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Citation
Related Resources From the Same Author(s)
The safety journal: lessons learned … November 2, 2011
The safety journal: lessons learned with an error reporting tool to
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
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psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - December 4, 2019
What have we learned about interventions to reduce medical errors? … November 13, 2019
Lessons learned from implementing a principled approach to resolution
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psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
February 22, 2010 - November 3, 2021
Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022
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Lessons learned from
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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - March 9, 2011
What have we learned about interventions to reduce medical errors? … April 1, 2010
Adopting electronic medical records in primary care: lessons learned from
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psnet.ahrq.gov/node/35932/psn-pdf
October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons
learned