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Showing results for "lessons learned".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74064/psn-pdf
     May 27, 2021 - Achieving zero inequity: lessons learned from patient safety. May 27, 2021 Gandhi TK. … https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety The COVID-19 pandemic … https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety https://psnet.ahrq.gov

122. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44750/psn-pdf
     January 06, 2016 - Simulation in the executive suite: lessons learned for building patient safety leadership. … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. … https://psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership … https://psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership … ://psnet.ahrq.gov/primer/patient-engagement-and-safety https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve

123. The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet
     psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
     March 04, 2015 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study. … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39389/psn-pdf
     January 03, 2017 - Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43309/psn-pdf
     August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis Wrong-site … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis https://psnet.ahrq.gov

126. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet
     psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
     June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … 21, 2017 Prospects for comparing European hospitals in terms of quality and safety: lessons … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46287/psn-pdf
     April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health- administration-and-lessons … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39801/psn-pdf
     December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned https://psnet.ahrq.gov

129. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36212/psn-pdf
     February 02, 2010 - SafetyNet: Lessons Learned from Close Calls in the OR. … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or This special issue includes a … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or https://psnet.ahrq.gov/issue/patient-worker-safety

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40523/psn-pdf
     August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing https://psnet.ahrq.gov

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37231/psn-pdf
     May 02, 2018 - Fluorouracil error ends tragically, but application of lessons learned will save lives. … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37169/psn-pdf
     October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking

133. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36383/psn-pdf
     March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths

134. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
     January 17, 2019 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … learned. … August 21, 2013 Wrong-side thoracentesis: lessons learned from root cause analysis. … April 11, 2018 Learning and sharing safety lessons to improve patient care.

135. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44073/psn-pdf
     April 15, 2015 - Clinician support: five years of lessons learned. … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned https://psnet.ahrq.gov/issue

136. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38831/psn-pdf
     August 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned … psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality- improvement-lessons … The authors provide practical learning lessons about working in rural health systems, how best to utilize … psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons

137. From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. | PSNet
     psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
     July 19, 2023 - Commentary From theory to policy in resilient health care: policy recommendations and lessons … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … In this paper, the authors share lessons learned and highlight several recommendations for policymakers … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … February 15, 2017 Lessons learned for reducing the negative impact of adverse events

138. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. | PSNet
     psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
     April 12, 2011 - Study Transition to a new electronic health record and pediatric medication safety: lessons … learned in pediatrics within a large academic health system. … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics

139. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - learned to prevent incorrect surgery. … learned. … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis. … May 12, 2021 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014 Sharing lessons learned to prevent incorrect surgery.

140. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44207/psn-pdf
     August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and- patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons