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Total Results: 3,004 records

Showing results for "lessons learned".

2001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838030/psn-pdf
      September 07, 2022 - rethinking-use-air-safety-principles-reduce-fatal-hospital-errors https://psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team

2002. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46564/psn-pdf
      December 06, 2017 - psnet.ahrq.gov/issue/how-aviation-improves-medical-safety https://psnet.ahrq.gov/issue/error-management-lessons-aviation

2003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47555/psn-pdf
      November 14, 2018 - how-one-hospital-improved-patient-safety-10-minutes-day https://psnet.ahrq.gov/issue/error-management-lessons-aviation

2004. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47341/psn-pdf
      August 29, 2018 - aorn-position-statement-criminalization-human-errors-perioperative-setting https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals

2005. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47970/psn-pdf
      May 01, 2019 - learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk https://psnet.ahrq.gov/issue/error-management-lessons-aviation

2006. Learning from litigation. The role of claims analysis in patient safety. | PSNet
      psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
      November 21, 2018 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2007. Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet
      psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
      December 07, 2011 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2008. 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

2009. Hard Truths: the Journey to Putting Patients First. | PSNet
      psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
      December 04, 2015 - Related Resources From the Same Author(s) Culture Change in the NHS: Applying the Lessons

2010. A Just Culture Guide. | PSNet
      psnet.ahrq.gov/issue/just-culture-guide
      July 18, 2018 - 2023 Integrating principles of safety culture and just culture into nursing homes: lessons

2011. Continuous Improvement of Patient Safety: The Case for Change in the NHS. | PSNet
      psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
      December 20, 2023 - April 6, 2016 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

2012. Working Knowledge: How Organizations Manage What They Know. | PSNet
      psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
      May 24, 2016 - August 31, 2016 Improving Healthcare Team Communication: Building on Lessons from Aviation

2013. Exploring the Potential Use of Safety Cases in Health Care. | PSNet
      psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
      May 21, 2016 - August 2, 2016 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

2014. How Professionals Make Decisions. | PSNet
      psnet.ahrq.gov/issue/how-professionals-make-decisions
      July 06, 2011 - October 24, 2018 Improving Healthcare Team Communication: Building on Lessons from Aviation

2015. Developing open disclosure strategies to medical error using simulation in final-year medical students: linking mindset and experiential learning to lifelong reflective practice. | PSNet
      psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
      September 29, 2018 - November 11, 2020 Results and lessons from a hospital-wide initiative incentivised by

2016. Towards safer healthcare: qualitative insights from a process view of organisational learning from failure. | PSNet
      psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
      July 21, 2021 - 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

2017. Artificial Intelligence in Health Care: Benefits and Challenges of Machine Learning Technologies for Medical Diagnostics. | PSNet
      psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
      October 12, 2022 - July 23, 2014 Findings and Lessons From the Improving Management of Individuals With

2018. Chronicle of a pandemic foretold: learning from the COVID-19 failure—before the next outbreak arrives. | PSNet
      psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
      June 08, 2022 - November 16, 2022 Crisis management for surgical teams and their leaders, lessons from

2019. 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.

2020. Safety skills for clinicians: an essential component of patient safety. | PSNet
      psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
      June 01, 2012 - October 31, 2011 Patient safety and acute care medicine: lessons for the future, insights