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psnet.ahrq.gov/issue/harm-pharmacy-misfills
October 03, 2017 - September 9, 2009
IOM panel reviews lessons for medication safety.
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psnet.ahrq.gov/web-mm/empty-handoff
August 01, 2017 - Despite very clear contextual differences, every complex system aims for improvement, and translating lessons … Handoff strategies in settings with high consequences for failure: lessons for health care operations
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psnet.ahrq.gov/web-mm/spinal-epidural-abscess
November 13, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional collaborative project. … Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons
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psnet.ahrq.gov/web-mm/or
August 22, 2013 - Shortly after making their decision, the surgeons learned that the stress echocardiogram showed marked … Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.
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psnet.ahrq.gov/node/33626/psn-pdf
January 01, 2006 - RW: How has your training program evolved and what lessons have you learned as you've actually gone … Certainly there are some
technical things that could be learned, but because of the current state of
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psnet.ahrq.gov/node/33651/psn-pdf
June 01, 2007 - We asked her to speak with us about the Minnesota initiative and some of the broader lessons for
state … So we feel like we're really able to focus on
what's causing these events, what's being learned from … One thing that we've learned is that there are a lot
of reasons why these events happen and why they
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psnet.ahrq.gov/node/33806/psn-pdf
April 01, 2016 - These experiences led me to
pursue fellowship training, where I learned the importance of tying the … Key lessons
learned were that in order to ensure transformational change of something as culturally … With the multisite study, we learned that there are still constraints in terms of how
these systems
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psnet.ahrq.gov/node/33766/psn-pdf
May 01, 2014 - RW: What have we learned about the use of bigger sticks that might be either public reporting (beyond … RW: What lessons from hand hygiene are relevant to trying to increase compliance with other safety
practices … What we learned with hand hygiene was
that system change was a definite prerequisite to the success … What we learned from our
experience is now spreading all over the world.
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psnet.ahrq.gov/node/857060/psn-pdf
November 27, 2023 - Safety concepts can be
integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations
One of the most difficult parts of a nurse’s education is translating the theory learned
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psnet.ahrq.gov/issue/opportunities-improve-patient-safety-advancing-us-innovation-and-innovation-hubs
September 13, 2023 - this webinar discussed the impact of errors on families , adverse event prevalence , aviation safety lessons
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psnet.ahrq.gov/issue/resilience-engineering-practice-guidebook
February 06, 2019 - October 12, 2016
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psnet.ahrq.gov/issue/woman-works-end-black-maternal-health-crisis-after-daughter-dies-after-giving-birth
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psnet.ahrq.gov/issue/hospital-preparedness-covid-19-surge-assessment-tool
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"At home, with care": lessons from New York City home-based primary care