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Showing results for "lessons learned".

1961. 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

1962. 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.

1963. 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

1964. 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

1965. 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

1966. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - He proposes that the medical profession can learn valuable lessons from the engineering safety culture

1967. 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].

1968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74252/psn-pdf
      January 12, 2022 - also hosted Safe Table discussions, where members of the PSO share COVID-19-related safety issues and lessons … learned in a protected, safe environment. … an event analysis, we held Safe Table discussions and invited providers to come with what they had learned … KH: What have you learned about the impact of COVID-19 on patient safety? … We learned that PPE hinders communication.

1969. 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

1970. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
      February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice.

1971. Handoff strategies in settings with high consequences for failure: lessons for health care operations. | PSNet
      psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
      March 14, 2018 - Classic Handoff strategies in settings with high consequences for failure: lessons … Handoff strategies in settings with high consequences for failure: lessons for health care operations … Handoff strategies in settings with high consequences for failure: lessons for health care operations

1972. Integrating principles of safety culture and just culture into nursing homes: lessons from the pandemic. | PSNet
      psnet.ahrq.gov/issue/integrating-principles-safety-culture-and-just-culture-nursing-homes-lessons-pandemic
      October 28, 2020 - Commentary Integrating principles of safety culture and just culture into nursing homes: lessons … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic … Integrating Principles of Safety Culture and Just Culture Into Nursing Homes: Lessons From the Pandemic

1973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60174/psn-pdf
      March 30, 2020 - adverse drug events, and others.[5] This edition of the report also includes contextual factors and lessons … learned that support successful implementation for each PSP.

1974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49685/psn-pdf
      May 01, 2013 - A number of lessons can be learned from this medication error, including those associated with optimal

1975. 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

1976. 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

1977. 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

1978. Using Machine Learning to Improve Patient Safety in the Home or Remote Setting for Adults. | PSNet
      psnet.ahrq.gov/issue/using-machine-learning-improve-patient-safety-home-or-remote-setting-adults
      May 25, 2022 - November 3, 2015 Findings and Lessons From the Improving Management of Individuals With

1979. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60362/psn-pdf
      April 13, 2018 - Innovation Over its 17 years in operation, the High-Risk Pregnancy Program has gained a number of valuable lessons … learned that are particularly advantageous when reviewing this innovation for replication in other … The following lessons learned offer guidance in launching and sustaining this innovation: Identify … Adoption Considerations Lessons Learned Because of the program's value and potential for replication

1980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35426/psn-pdf
      September 15, 2009 - explain the 2002 regulation of medical malpractice in China in the context of previous laws and identify lessons