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Showing results for "lessons learned".

  1. 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

  2. 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

  3. 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

  4. 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

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33649/psn-pdf
    May 01, 2007 - field are beginning to find parallels with the airline industry a bit tedious, but there are many lessons … That's where we can go back to the lessons of the airline industry. … What have you learned about the commonalities and differences as you try to share patient safety learnings

  6. 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

  7. Rapid Response Teams: Lessons from the Early Experience | PSNet

    psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
    November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience William S. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet].

  8. 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.

  9. 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

  10. 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

  11. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet

    psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
    October 12, 2016 - November 11, 2020 Quality improvement priorities for safer out-of-hours palliative care: lessons … February 28, 2018 Applying lessons from social psychology to transform the culture of

  12. Ebola: Are We Ready? | PSNet

    psnet.ahrq.gov/web-mm/ebola-are-we-ready
    July 01, 2012 - 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 going … 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.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33668/psn-pdf
    May 01, 2008 - What have we learned about making effective decisions for it to work? DB: We've learned a lot. … One thing we've learned is that how to do it best does vary a lot by the specific clinical situation … What lessons have you learned from your research career that you think are applicable to other people

  14. 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

  15. Conceptualising learning from resilient performance: a scoping literature review. | PSNet

    psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
    October 09, 2024 - what has happened; learning from the factual; learning from experience; knowing how to learn the right lessons

  16. 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

  17. Deep learning is a black box, but health care won't mind. | PSNet

    psnet.ahrq.gov/issue/deep-learning-black-box-health-care-wont-mind
    October 31, 2018 - June 28, 2011 Risk mitigation in large scale systems: lessons from high reliability organizations

  18. Patient safety: what can medicine learn from aviation? | PSNet

    psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation
    October 30, 2008 - January 3, 2017 What went right: lessons for the intensivist from the crew of US Airways

  19. Learning from defects to enhance morbidity and mortality conferences. | PSNet

    psnet.ahrq.gov/issue/learning-defects-enhance-morbidity-and-mortality-conferences
    May 20, 2009 - Related Resources From the Same Author(s) Reducing health care hazards: lessons

  20. The Soil, Not the Seed: The Real Problem with Root Cause Analysis | PSNet

    psnet.ahrq.gov/perspective/soil-not-seed-real-problem-root-cause-analysis
    March 01, 2007 - The focus is on individuals, rules, and sanctions; therefore, lessons learned are not shared.
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