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Showing results for "lessons learned".

201. 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

202. 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

203. 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

204. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33657/psn-pdf
     September 01, 2007 - This redesign fosters a culture of safety by constantly reinforcing the lessons learned at the weekly … This is a talent and a skill that can be learned. … How can a department assure itself that these lessons are being learned? … Since so many lessons are covered each year, new members no longer have to rediscover gravity! … from real-life cases, and to make those lessons into a living curriculum.

205. The "top 10" drug errors and how to prevent them. | PSNet
     psnet.ahrq.gov/issue/top-10-drug-errors-and-how-prevent-them
     April 15, 2015 - Related Resources From the Same Author(s) Clinician support: five years of lessons … learned. … 28, 2024 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons … December 14, 2016 Preventing Healthcare-Associated Infections: Results and Lessons Learned … June 24, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned in

206. “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

207. 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.

208. 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 - November 7, 2018 Lessons learned from a death outside a hospital's doorstep. … March 22, 2023 Lessons learned from a systems approach to engaging patients and families

209. 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.

210. 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.

211. 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

212. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851869/psn-pdf
     July 31, 2023 - learning organizations use high-reliability principles, develop feedback loops, and share findings and lessons … learned with other learning systems. … Debriefing skills learned in simulation can also be applied to actual patient care. … learned. … learned is the concern for potential litigation and liability.

213. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33775/psn-pdf
     December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned December 1, 2014 Syed SS. … African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014. … https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned Perspective … health workers in Africa and https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned … APPS focused on influencing national patient safety initiatives by highlighting what had been learned

214. 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.

215. How policy makers can smooth the way for communication-and-resolution programs. | PSNet
     psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
     December 19, 2018 - December 19, 2018 Communication-and-resolution programs: the challenges and lessons learned … January 7, 2015 Communication-and-resolution programs: the challenges and lessons learned

216. 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

217. 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

218. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet
     psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
     September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons … Administrative compensation for medical injuries: lessons from three foreign systems. … Administrative compensation for medical injuries: lessons from three foreign systems. … October 11, 2017 Apology laws and malpractice liability: what have we learned?

219. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | PSNet
     psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
     June 09, 2011 - Although initial uptake was low, the study reports on many lessons learned through initial implementation … July 10, 2008 Lessons learned implementing a complex and innovative patient safety learning

220. Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. | PSNet
     psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
     May 18, 2017 - Special or Theme Issue Lessons for Work-Life Wellness in Academic Medicine: Parts … Citation Text: Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. … Linkedin Copy URL Cite Citation Citation Text: Lessons … March 8, 2023 Lessons learned from the RaDonda Vaught ruling.