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Showing results for "lessons learned".

1981. 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.

1982. 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

1983. 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

1984. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33714/psn-pdf
      July 01, 2011 - Are there lessons learned at the national level that flow back to the individual PSOs? … we'd like to be able to compare their performance and understand what other people are doing, share lessons … learned, and essentially participate in a larger learning community.

1985. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33671/psn-pdf
      July 01, 2008 - The focus is on individuals, rules, and sanctions; therefore, lessons learned are not shared.

1986. 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

1987. 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

1988. Situational (Un)Awareness | PSNet
      psnet.ahrq.gov/web-mm/situational-unawareness
      August 01, 2009 - On Wednesday morning rounds, the attending physician learned that the patient had not yet received any … The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study.

1989. Don’t Bite Your Tongue. | PSNet
      psnet.ahrq.gov/web-mm/dont-bite-your-tongue
      September 18, 2024 - September 18, 2024 The safety journal: lessons learned with an error reporting tool to … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

1990. Special Edition Perspective: Technology Responses to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/special-edition-perspective-technology-responses-covid-19
      August 31, 2020 - have expanded their telehealth capabilities, augmented patient safety considerations, and generated lessons … learned. … learned and changes made during the COVID-19 pandemic.  … How did you expedite that transition and what were some of the lessons learned?   Dr. … What are some of the lessons learned about providing care this way, particularly in a rural environment

1991. Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database. | PSNet
      psnet.ahrq.gov/issue/quality-improvement-priorities-safer-out-hours-palliative-care-lessons-mixed-methods-analysis
      July 03, 2016 - Study Quality improvement priorities for safer out-of-hours palliative care: lessons … Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis … Quality improvement priorities for safer out-of-hours palliative care: Lessons from a mixed-methods analysis

1992. Error reduction in trauma care: lessons from an anonymized, national, multicenter mortality reporting system. | PSNet
      psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting
      March 24, 2021 - Study Error reduction in trauma care: lessons from an anonymized, national, multicenter … Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting … Error reduction in trauma care: Lessons from an anonymized, national, multicenter mortality reporting

1993. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33650/psn-pdf
      May 01, 2007 - It described the NHS as having an old- fashioned approach to learning lessons when things go wrong and … Mechanisms for ensuring that, where lessons are identified, the necessary changes are put into practice … 2001, charged with establishing a national reporting and learning system for adverse events, taking lessons

1994. Developing health care organizations that pursue learning and exploration of diagnostic excellence: an action plan. | PSNet
      psnet.ahrq.gov/issue/developing-health-care-organizations-pursue-learning-and-exploration-diagnostic-excellence
      October 28, 2020 - September 1, 2021 Ebola US Patient Zero: lessons on misdiagnosis and effective use of

1995. Surprise Wire | PSNet
      psnet.ahrq.gov/web-mm/surprise-wire
      July 15, 2020 - Our experience was telling, and we share it in hopes that the lessons will be relevant to others who … Related Resources Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

1996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33862/psn-pdf
      July 01, 2018 - You've given us the micro lessons. … What macro lessons from that failure have been important to you in your career? … One thing I learned is that everything takes pi plus 2x longer than you think it's going to take. … One is posting a teaching case: "I saw this really interesting case that I learned a lot from, and I'm

1997. Toward learning from patient safety reporting systems. | PSNet
      psnet.ahrq.gov/issue/toward-learning-patient-safety-reporting-systems
      January 02, 2017 - January 22, 2017 Reducing health care hazards: lessons from the Commercial Aviation Safety

1998. Establishing a global learning community for incident-reporting systems. | PSNet
      psnet.ahrq.gov/issue/establishing-global-learning-community-incident-reporting-systems
      May 24, 2012 - May 24, 2012 Reducing health care hazards: lessons from the Commercial Aviation Safety

1999. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - primer/human-factors-engineering https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

2000. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33570/psn-pdf
      June 15, 2024 - As applied to health care, we have learned that clinicians frequently use heuristics (shortcuts or " … analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review