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Showing results for "lessons learned".

1941. Practising safely in the foundation years. | PSNet
      psnet.ahrq.gov/issue/practising-safely-foundation-years
      February 04, 2015 - May 24, 2015 Building a safer foundation: the Lessons Learnt patient safety training … January 15, 2014 Improving patient safety: lessons from rock climbing.

1942. The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. | PSNet
      psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
      January 09, 2018 - May 13, 2015 Findings and Lessons From the Improving Management of Individuals With Complex … October 2, 2013 Findings and Lessons From the Improving Quality Through Clinician Use

1943. Sociotechnical work system approach to occupational fatigue. | PSNet
      psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
      January 15, 2025 - September 13, 2023 Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. … 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

1944. 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

1945. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35518/psn-pdf
      November 30, 2005 - https://psnet.ahrq.gov/issue/aviations-gift-health-care This article reports on the lessons that medicine

1946. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863222/psn-pdf
      February 28, 2024 - https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

1947. How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. | PSNet
      psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare
      September 14, 2022 - Review How doctors think: common diagnostic errors in clinical judgment--lessons … How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare … How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare

1948. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet
      psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
      January 15, 2014 - Related Resources From the Same Author(s) Building a safer foundation: the Lessons … July 15, 2015 Case-based learning for patient safety: the Lessons Learnt program for … September 3, 2014 Building a safer foundation: the Lessons Learnt patient safety training

1949. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet
      psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
      March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons … A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. … A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy.

1950. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. | PSNet
      psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
      April 24, 2018 - Study Involving users in the design of a system for sharing lessons from adverse … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

1951. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet
      psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
      September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization … Building cultures of high reliability: lessons from the high reliability organization paradigm. … Building cultures of high reliability: lessons from the high reliability organization paradigm.

1952. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
      psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
      March 23, 2022 - Related Resources From the Same Author(s) Error reduction in trauma care: lessons … Diagnostic Safety and Quality April 26, 2023 Error reduction in trauma care: lessons

1953. Using social and behavioural science to support COVID-19 pandemic response. | PSNet
      psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response
      March 02, 2022 - Strategies to Improve Safety for People Who Use Substances October 30, 2024 Lessons … February 15, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

1954. Perioperative safety: learning, not taking, from aviation. | PSNet
      psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
      June 26, 2019 - Lessons from aviation to improve patient safety.

1955. 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?

1956. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43314/psn-pdf
      August 15, 2018 - https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

1957. What has an Airbus A380 captain got to do with OMFS? Lessons from aviation to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/what-has-airbus-a380-captain-got-do-omfs-lessons-aviation-improve-patient-safety
      October 04, 2023 - Lessons from aviation to improve patient safety. Citation Text: Davidson M, Brennan PA. … Lessons from aviation to improve patient safety. … Lessons from aviation to improve patient safety.

1958. Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations and relevant literature. | PSNet
      psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
      February 19, 2020 - Commentary Ten challenges in improving quality in healthcare: lessons from the Health … Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations … Ten challenges in improving quality in healthcare: lessons from the Health Foundation's programme evaluations

1959. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
      May 24, 2016 - Lessons discussed here can be applied to health care as it seeks to learn from accident investigation

1960. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet
      psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system
      July 29, 2020 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons