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Showing results for "lessons learned".

1861. Implementing a national strategy for patient safety: lessons from the National Health Service in England. | PSNet
      psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england
      March 02, 2011 - Commentary Implementing a national strategy for patient safety: lessons from the … Implementing a national strategy for patient safety: lessons from the National Health Service in England … Implementing a national strategy for patient safety: lessons from the National Health Service in England

1862. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/38976/psn-pdf
      October 07, 2009 - psnet.ahrq.gov/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

1863. Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet
      psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
      May 09, 2012 - August 26, 2020 Lessons learned from medical malpractice claims involving critical care … August 5, 2020 Apology laws and malpractice liability: what have we learned?

1864. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33721/psn-pdf
      November 01, 2011 - //#ref3 https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 Lessons … Learned There were many lessons learned from the implementation of this program. … Follow-up support We also learned the value of follow-up support. … The final lesson learned from MTT simulation is the importance of debriefing. … Characteristics of successful quality improvement teams: lessons from five collaborative projects in

1865. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
      psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
      November 21, 2017 - 21, 2017 Prospects for comparing European hospitals in terms of quality and safety: lessons … June 25, 2014 Governing patient safety: lessons learned from a mixed methods evaluation … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

1866. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41703/psn-pdf
      November 08, 2012 - tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

1867. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45754/psn-pdf
      September 01, 2018 - This editorial describes lessons learned from the Massachusetts PROMISES (Proactive Reduction of Outpatient

1868. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43450/psn-pdf
      May 06, 2015 - This AHRQ publication offers 19 papers that explore government-funded research into HAIs, including lessons … learned from the design and implementation of prevention efforts along with projects that sought to

1869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42011/psn-pdf
      March 06, 2013 - This article describes the iterative process and lessons learned by a university medical center during

1870. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73887/psn-pdf
      September 29, 2021 - psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

1871. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33842/psn-pdf
      January 01, 2018 - Assessing the Safety of Electronic Health Records: What Have We Learned? … Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet [internet]. 2017. … We hope that the lessons above will help us take full advantage of the enormous potential of EHRs to … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative … Computer crash--lessons from a system failure. N Engl J Med. 2003;348:881-882.

1872. Theorizing about systems: an ecological task for patient safety research. | PSNet
      psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
      August 20, 2008 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons … October 27, 2010 Patient safety: lessons learned.

1873. Briefings, checklists, geese, and surgical safety. | PSNet
      psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
      August 02, 2015 - Lessons from aviation to improve patient safety. … May 20, 2015 Sharing lessons learned to prevent incorrect surgery.

1874. Outcome of 6 years of protocol use for preventing wrong site office surgery. | PSNet
      psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
      February 10, 2012 - August 19, 2009 Adverse event reporting: lessons learned from 4 years of Florida office … September 14, 2022 How doctors think: common diagnostic errors in clinical judgment--lessons

1875. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33612/psn-pdf
      May 01, 2005 - Saul Weingart, Director of the Center for Patient Safety at DFCI, to reflect on the lessons of the past … First, we learned that safety–if it was to be a core property of our system of care rather than an empty … Fourth, we learned that we could not do this work alone. … Sixth, and most important, we learned that the work of creating safe care is never finished. … required tenacity among our leaders and the courage to face our own failures in order to learn the lessons

1876. Have we gone too far in translating ideas from aviation to patient safety? | PSNet
      psnet.ahrq.gov/issue/have-we-gone-too-far-translating-ideas-aviation-patient-safety
      March 06, 2005 - March 6, 2005 Escape Fire: Lessons for the Future of Health Care. … Improving Diagnostic Safety and Quality April 26, 2023 What went right: lessons … July 21, 2010 What have we learned about interventions to reduce medical errors?

1877. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33615/psn-pdf
      June 01, 2005 - Are there lessons there for other institutions? PP: There were a number of important factors. … What lessons from your experience with Hopkins are generalizable? … PP: One of the lessons in overseeing quality and safety at Hopkins is that our center could never be … 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

1878. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet
      psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
      October 14, 2015 - October 14, 2015 Eight CT lessons that we learned the hard way: an analysis of current … September 24, 2018 View More Related Resources Lessons from the

1879. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
      psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
      May 20, 2009 - Copy Citation Related Resources From the Same Author(s) Eight CT lessons … that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with … December 6, 2017 Adverse Health Care Events Reporting System: What Have We Learned?

1880. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
      psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
      February 09, 2011 - July 14, 2010 Escape Fire: Lessons for the Future of Health Care. … July 26, 2011 Risk mitigation in large scale systems: lessons from high reliability organizations … June 16, 2011 What have we learned about interventions to reduce medical errors?