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Showing results for "lessons learned".

1921. Resilient Health Care Series. | PSNet
      psnet.ahrq.gov/issue/resilient-health-care-series
      October 25, 2018 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … April 6, 2016 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

1922. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet
      psnet.ahrq.gov/issue/are-you-surgically-current-lessons-aviation-returning-non-urgent-surgery-following-covid-19
      September 29, 2021 - Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … March 9, 2022 Crisis management for surgical teams and their leaders, lessons from the … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

1923. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet
      psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
      May 01, 2019 - Commentary Lessons from health care leaders: rethinking and reinvesting in patient

1924. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - Safety-I and Safety-II offer complementary perspectives about what work to examine and what lessons … may be learned. … Debriefing skills learned in simulation are very applicable to real patient care circumstances. … collaborate with leadership, healthcare workers, patients, and families, to apply skills and tactics learned

1925. 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?

1926. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet
      psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
      December 21, 2017 - January 22, 2025 View More Related Resources Lessons from the Covid … May 10, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

1927. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47398/psn-pdf
      December 22, 2018 - imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse https://psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system

1928. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - RW : One of the early things you did was team up with industry to look for lessons from outside of health … As you have observed this world over the last 20 years or so, what lessons do you think are really powerful … MB : I am increasingly out in the field and looking to these other industries for new lessons in safety … What have we learned from trying to do that? MB : I think we've put a human face on a problem. … So what have you learned as the leader that you didn't know as second in command?

1929. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61031/psn-pdf
      October 14, 2020 - tools such as failure mode and effect analysis and root cause analysis may be amended to optimize how lessons

1930. Organizational learning in the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
      June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

1931. In Conversation With… Rebecca Lawton, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
      March 24, 2025 - RW : In terms of what you eventually ended up applying in patient safety, what were the general lessons … RL : The general lessons were very much around needing to understand safety in a complex system and understand … We learned that patients found it difficult to understand what you meant by safety incidents when we … What have you learned about that and whether it's acceptable to patients and whether it works? … RL : Some of this is in the published literature, and some of it is what we've learned from doing work

1932. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49721/psn-pdf
      December 01, 2014 - Each simulation teaches myriad lessons regarding our state of preparedness. … Canadian astronaut Chris Hadfield summarized this best in a TED talk entitled, "What I learned from … At Northwestern Memorial Hospital, we have learned that preparing detailed guidance is not enough—we … The Ebola Response: Lessons and Changes. October 29, 2014. [Available at] 4. Emory Healthcare. … What I learned from going blind in space. TED2014.

1933. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39063/psn-pdf
      December 17, 2009 - primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

1934. Update on Safety Culture | PSNet
      psnet.ahrq.gov/perspective/update-safety-culture
      January 22, 2020 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … December 30, 2014 Perspective What We've Learned About

1935. In Conversation with...Diane Rydrych, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
      February 26, 2025 - We asked her to speak with us about the Minnesota initiative and some of the broader lessons for state … So we feel like we're really able to focus on what's causing these events, what's being learned from … One thing that we've learned is that there are a lot of reasons why these events happen and why they … November 14, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

1936. College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist. | PSNet
      psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
      May 31, 2006 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons

1937. Implementing root cause analysis in an area health service: views of the participants. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
      December 03, 2014 - February 15, 2017 Addressing the opioid epidemic in the United States: lessons from the … , 2016 A method for prioritizing interventions following root cause analysis (RCA): lessons

1938. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
      April 19, 2017 - Sustaining quality improvement and patient safety training in graduate medical education: lessons … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

1939. Beyond "see one, do one, teach one": toward a different training paradigm. | PSNet
      psnet.ahrq.gov/issue/beyond-see-one-do-one-teach-one-toward-different-training-paradigm
      March 01, 2011 - July 19, 2023 Reducing health care hazards: lessons from the Commercial Aviation Safety … February 24, 2021 Teaching patient safety in global health: lessons from the Duke Global

1940. Patient safety: threats and solutions. | PSNet
      psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
      January 19, 2011 - 11, 2016 Culture and behaviour in the English National Health Service: overview of lessons … February 5, 2014 Building a safer foundation: the Lessons Learnt patient safety training