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Showing results for "lessons learned".

201. Creating a Communication Coaching Structure and Support for your CRP Program. | PSNet
     psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
     January 25, 2023 - October 19, 2022 View More Related Resources Lessons Learned about … June 26, 2019 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing

202. Smart pumps: implications for nurse leaders. | PSNet
     psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
     February 02, 2022 - February 29, 2012 Intravenous medication safety and smart infusion systems: lessons learned … March 22, 2011 Intravenous medication safety and smart infusion systems: lessons learned

203. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
     June 26, 2024 - Citation Related Resources From the Same Author(s) Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation … December 14, 2010 SafetyNet: Lessons Learned from Close Calls in the OR.

204. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - December 19, 2012 Lessons learned from a death outside a hospital's doorstep. … March 22, 2023 Lessons learned from a systems approach to engaging patients and families

205. What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. | PSNet
     psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
     September 29, 2021 - the need for future research to expand beyond acute care and to investigate the sustainability of lessons … learned from CRM trainings. … View More Related Resources Understanding ultrarare adverse events - lessons … learned from a twelve-year review of intraoperative deaths at an academic medical center.

206. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
     November 16, 2022 - The authors noted that the lessons learned from the initial implementation problems were essential to … July 3, 2016 Project BOOST implementation: lessons learned.

207. Adverse Health Care Events Reporting System: What Have We Learned? | PSNet
     psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
     February 28, 2015 - Book/Report Adverse Health Care Events Reporting System: What Have We Learned? … Citation Text: Adverse Health Care Events Reporting System: What Have We Learned? St. … Citation Citation Text: Adverse Health Care Events Reporting System: What Have We Learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

208. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? | PSNet
     psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
     June 25, 2014 - April 5, 2023 Governing patient safety: lessons learned from a mixed methods evaluation … 29, 2014 Prospects for comparing European hospitals in terms of quality and safety: lessons … January 29, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

209. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43315/psn-pdf
     May 10, 2016 - this commentary relates how two organizations implemented this strategy along with challenges and lessons … learned. … psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons

210. Oversedation of a patient with obstructive sleep apnea prior to imaging. | PSNet
     psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
     September 02, 2020 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … January 17, 2017 Shaping systems for better behavioral choices: lessons learned from

211. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837975/psn-pdf
     August 31, 2022 - analyzing-and-discussing-human-factors-affecting-surgical-patient-safety- using-innovative Leveraging lessons … learned in aviation, patient safety researchers have begun exploring the use of medical data recorders … analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative https://psnet.ahrq.gov/issue/error-management-lessons-aviation

212. Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. | PSNet
     psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
     January 13, 2021 - Webinar Medication Safety During the COVID-19 Pandemic: What Have We Learned in the … Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States … Citation Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned … June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in

213. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. | PSNet
     psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
     February 28, 2024 - Download Citation Related Resources From the Same Author(s) Exploring clinical lessons … learned by experienced hospitalists from diagnostic errors and successes. … June 12, 2024 Exploring clinical lessons learned by experienced hospitalists from diagnostic

214. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43106/psn-pdf
     September 27, 2016 - The authors relate lessons learned from their experience. … sterile-cockpit-effective-approach-reducing-medication-errors https://psnet.ahrq.gov/issue/error-management-lessons-aviation

215. Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses. | PSNet
     psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration-lessons-media
     August 18, 2021 - Disclosing large scale adverse events in the US Veterans Health Administration: lessons … Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses … system, media reports did not convey specific aspects of error disclosure , such as apologies and lessons … learned. … Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses

216. Race differences in a malpractice event database in a large healthcare system. | PSNet
     psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
     December 15, 2021 - August 24, 2022 Lessons learned from a systems approach to engaging patients and families … July 15, 2020 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

217. A description of medical malpractice claims involving advanced practice providers. | PSNet
     psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
     August 19, 2020 - August 19, 2020 Lessons learned from medical malpractice claims involving critical care … September 7, 2022 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

218. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
     psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
     October 12, 2022 - October 27, 2010 Understanding ultrarare adverse events - lessons learned from a twelve-year … November 8, 2017 Changing smart pump vendors: lessons learned.

219. A roadmap to advance patient safety in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
     June 09, 2021 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … August 3, 2020 Apology laws and malpractice liability: what have we learned?

220. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet
     psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
     February 10, 2021 - July 27, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … February 10, 2010 Adverse event reporting: lessons learned from 4 years of Florida office