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Showing results for "lessons learned".

1981. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74119/psn-pdf
      November 24, 2021 - https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

1982. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33813/psn-pdf
      August 01, 2016 - efficiently detect dental charts that contain patient safety events.(2,16,17) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2.

1983. 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

1984. 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

1985. 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

1986. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73331/psn-pdf
      May 26, 2021 - cancer-diagnoses-delayed-among-prisoners-washington-state Delays and mistakes in health care for distinct patient populations hold improvement lessons

1987. 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.

1988. 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.

1989. 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

1990. Master of Healthcare Quality and Safety. | PSNet
      psnet.ahrq.gov/issue/master-healthcare-quality-and-safety
      February 05, 2014 - October 1, 2014 Building a safer foundation: the Lessons Learnt patient safety training

1991. 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

1992. 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

1993. Special Section—Association of Directors of Anatomic and Surgical Pathology Symposium. | PSNet
      psnet.ahrq.gov/issue/special-section-association-directors-anatomic-and-surgical-pathology-symposium
      February 15, 2010 - 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

1994. 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

1995. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - learning-failure-need-independent-safety-investigation-healthcare https://psnet.ahrq.gov/issue/error-management-lessons-aviation

1996. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37300/psn-pdf
      January 04, 2012 - The authors deliver key lessons from their learnings and explain how a similar system in the United

1997. Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet
      psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
      June 10, 2018 - February 12, 2020 View More Related Resources Lessons from the

1998. Changing how we think about healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
      October 09, 2024 - Author(s) From theory to policy in resilient health care: policy recommendations and lessons

1999. 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.

2000. 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.