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Showing results for "lessons learned".

21. Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. | PSNet
    psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
    September 23, 2020 - Study Missed opportunities for diagnosis: lessons learned from diagnostic errors … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

22. Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
    February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution … Lessons learned from implementing a principled approach to resolution following patient harm. … Lessons learned from implementing a principled approach to resolution following patient harm. … RIS Download Citation Related Resources From the Same Author(s) Lessons … learned from a systems approach to engaging patients and families in patient safety transformation.

23. Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. | PSNet
    psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths
    March 24, 2021 - Study Patterns of errors contributing to trauma mortality: lessons learned from 2,594

24. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet
    psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
    January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. … this qualitative study, researchers interviewed hospitalists at five hospitals to examine clinical lessons … learned from diagnostic errors and successes. … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.

25. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
    psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … learned.

26. A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. | PSNet
    psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
    March 06, 2005 - Audiovisual Presentation A Hospital Accident: Lessons Learned – A Death, A Conviction … Citation Text: A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … URL Cite Citation Citation Text: A Hospital Accident: Lessons … Learned – A Death, A Conviction, and A Healing. … September 7, 2022 Lessons Learned about Human Fallibility, System Design, and Justice

27. Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. | PSNet
    psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
    October 19, 2022 - Commentary Regulatory and policy barriers to effective clinical data exchange: lessons … learned from MedsInfo-ED. … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to clinical … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED.

28. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
    psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
    February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … learned from a systems approach to engaging patients and families in patient safety transformation. … April 30, 2014 Interdisciplinary team training: five lessons learned.

29. Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. | PSNet
    psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
    January 04, 2017 - Commentary Improving the safety of intravenous admixtures: lessons learned from a … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose.

30. Lessons Learned? Building a Culture of Patient Safety Within the Veterans Health Administration. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-building-culture-patient-safety-within-veterans-health-administration
    November 06, 2019 - Congressional Testimony Lessons Learned? … Citation Text: Lessons Learned? … Linkedin Copy URL Cite Citation Citation Text: Lessons … Learned?

31. Adverse event reporting: lessons learned from 4 years of Florida office data. | PSNet
    psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
    November 16, 2022 - Study Adverse event reporting: lessons learned from 4 years of Florida office data … Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data.

32. Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication Error. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
    August 17, 2022 - Webinar Lessons Learned about Human Fallibility, System Design, and Justice in the … Citation Text: Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath … This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies … Linkedin Copy URL Cite Citation Citation Text: Lessons … October 10, 2012 Medication Safety During the COVID-19 Pandemic: What Have We Learned

33. The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. | PSNet
    psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
    January 21, 2019 - Study The safety journal: lessons learned with an error reporting tool to stimulate

34. Simulation in the executive suite: lessons learned for building patient safety leadership. | PSNet
    psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
    July 21, 2017 - Study Simulation in the executive suite: lessons learned for building patient safety … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership.

35. Medication administration process assessment: applying lessons learned from commercial aviation. | PSNet
    psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
    May 25, 2011 - Commentary Medication administration process assessment: applying lessons learned … Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation.

36. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
    psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
    April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.

37. Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. Proceedings of a Workshop–in Brief. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
    April 20, 2022 - Book/Report Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … Citation Text: Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … Linkedin Copy URL Cite Citation Citation Text: Lessons … Learned from the COVID-19 Pandemic to Improve Diagnosis. … August 5, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned in

38. Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship program. | PSNet
    psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship
    August 30, 2023 - Commentary Developing a quality and safety curriculum for fellows: lessons learned … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship

39. The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned. | PSNet
    psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned
    July 29, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned. … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned

40. Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
    August 03, 2022 - Study Lessons learned implementing a complex and innovative patient safety learning … Lessons learned implementing a complex and innovative patient safety learning laboratory project in a … Lessons learned implementing a complex and innovative patient safety learning laboratory project in a … October 20, 2021 Lessons learned in implementing a chronic opioid therapy management