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psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify … Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic.
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psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
August 01, 2014 - RW : Are there any other differences that make it hazardous to extrapolate things we've learned from … RW : You mentioned that some lessons from other industries that seem to be at least somewhat useful in … Are there lessons from other industries that do translate very well to the ambulatory side? … Perspective
African Partnerships for Patient Safety: Lessons … Learned
December 1, 2014
Perspective
Overuse
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psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
January 01, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record. … MG : We didn't know either, but after a few calls to the Institute of Medicine we learned. … Also I'm a huge fan of the AHRQ WebM&M conferences, and there are many, many valuable lessons in there … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders … August 7, 2024
The safety journal: lessons learned with an error reporting tool to stimulate
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psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
February 28, 2024 - RW: What are some of the lessons you've learned about evidence to practice? … discussions at Michigan, but I'll say that most of the times, there is genuine surprise regarding what is learned … Much of what I've learned about PICCs, about vascular catheters, I have learned from that group. … the right place, about number of lumens, about catheter-to-vein ratios, things that you and I never learned
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psnet.ahrq.gov/node/852700/psn-pdf
August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their
experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all
organizations to reset and fortify
-
psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic. … We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify
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psnet.ahrq.gov/node/850675/psn-pdf
June 14, 2023 - www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html
https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation … emergency as a conduit of information between
hospitals, patients, families, and communities is one lesson learned
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psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
June 14, 2023 - I quickly learned that families were the experts. … There were some positive lessons learned about family presence during the COVID-19 pandemic. … We learned that we could conduct rounds in the hospital with families present via technology. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .
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psnet.ahrq.gov/perspective/patient-and-family-roles-safety
June 14, 2023 - I quickly learned that families were the experts. … There were some positive lessons learned about family presence during the COVID-19 pandemic. … We learned that we could conduct rounds in the hospital with families present via technology. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .
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psnet.ahrq.gov/node/33874/psn-pdf
February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically
result from … conducive environment to not only teach the foundations of health systems science, but to reinforce these
lessons
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psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
September 01, 2006 - JB: Well, it wasn't just what I learned at NASA. … Everybody learned from a particular person or an institution—which led to, you know, this is the Penn … JB: I learned that most people were reluctant to bring things up because they would often get treated … What lessons are generalizable for the rest of the system? … JB: I think our lessons are uniformly generalizable, I'll say that at the outset.
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - may be seeking interactions with colleagues to raise questions associated with COVID care and share lessons … learned and best practices. … available for both members and non-members to raise questions associated with COVID care and share lessons … learned and best practices. … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
June 16, 2021 - September 2, 2009
Culture and behaviour in the English National Health Service: overview of lessons
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psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
August 04, 2021 - April 17, 2019
Quality improvement priorities for safer out-of-hours palliative care: lessons
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psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
October 23, 2019 - March 22, 2017
How doctors think: common diagnostic errors in clinical judgment--lessons
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psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
November 16, 2022 - April 19, 2017
"At home, with care": lessons from New York City home-based primary care
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psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
September 08, 2010 - February 23, 2011
Lessons learnt from incidents reported by postgraduate trainees in
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psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
February 14, 2024 - September 23, 2020
Lessons from walking the medical distancing tightrope.
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psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
November 03, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons
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psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
June 22, 2022 - Related Resources
Culture and behaviour in the English National Health Service: overview of lessons