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Showing results for "lessons learned".

1881. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet
      psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
      July 02, 2014 - Sustaining quality improvement and patient safety training in graduate medical education: lessons … Sustaining quality improvement and patient safety training in graduate medical education: lessons from … Sustaining quality improvement and patient safety training in graduate medical education: lessons from

1882. 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

1883. 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.

1884. Pediatric emergency nurses self-reported medication safety practices. | PSNet
      psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
      March 03, 2019 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons … August 4, 2010 Lessons learned: basic evidence-based advice for preventing medication

1885. 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.

1886. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44783/psn-pdf
      January 13, 2016 - black-box-thinking-why-most-people-never-learn-their-mistakes-some-do https://psnet.ahrq.gov/issue/error-management-lessons-aviation

1887. 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

1888. 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

1889. 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

1890. 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

1891. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33753/psn-pdf
      August 22, 2013 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented

1892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72614/psn-pdf
      March 01, 2021 - Structured communication techniques: Participants learned structured communication, teamwork and situational … Participants also received and learned to use forms to document communication. … Chair of the Department of Obstetrics and Gynecology and now Director of PROMPT for North America, learned … Adoption Considerations Lessons Learned The PROMPT program has won numerous awards in the United Kingdom … Lessons from a series of research on teamwork, leadership and team training.

1893. 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

1894. 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

1895. Lessons from the war on cancer: the need for basic research on safety. | PSNet
      psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
      July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. … Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. … Linkedin Copy URL Cite Citation Citation Text: Lessons

1896. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
      psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
      August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation … Three Australian whistleblowing sagas: lessons for internal and external regulation. … Three Australian whistleblowing sagas: lessons for internal and external regulation.

1897. 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?

1898. 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

1899. 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?

1900. 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?