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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons … learned. … February 2, 2011
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.
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psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
February 22, 2010 - November 3, 2021
Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Citation
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The safety journal: lessons … learned with an error reporting tool to stimulate systems thinking. … November 2, 2011
The safety journal: lessons learned with an error reporting tool to
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psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
September 01, 2021 - June 2, 2021
Lessons learned from a systems approach to engaging patients and families … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.
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psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
January 12, 2022 - December 18, 2014
Communication-and-resolution programs: the challenges and lessons learned … December 11, 2013
Lessons learned from implementation of computerized provider order
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psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
February 03, 2021 - January 16, 2025
Quality improvement lessons learned from National Implementation of … July 7, 2021
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
May 25, 2022 - May 4, 2022
Lessons learned from a systems approach to engaging patients and families … August 21, 2024
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.
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psnet.ahrq.gov/node/39716/psn-pdf
August 09, 2013 - managers of Formula One auto racing teams to
determine the key elements of racing "pit stops" and draw lessons … The key lessons learned from the auto racing approach—proactive
planning, active management of the handover
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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?
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psnet.ahrq.gov/node/841489/psn-pdf
December 14, 2022 - psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm
https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
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psnet.ahrq.gov/node/38729/psn-pdf
April 15, 2019 - https://psnet.ahrq.gov/issue/chpso
This Website offers tools, a newsletter focusing on lessons learned
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psnet.ahrq.gov/node/74246/psn-pdf
January 12, 2022 - learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety
https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation
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psnet.ahrq.gov/node/73431/psn-pdf
June 23, 2021 - organizations, physicians, and pharmacists to take part in a learning network to share aggregated data,
lessons … learned, and educational opportunities to reduce medication adverse events through safe
deprescribing
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psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
October 29, 2017 - This article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare … Lessons from aviation to improve patient safety. … Lessons from aviation for returning to non-urgent surgery following COVID-19.
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psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured
February 12, 2020 - Review
Crisis management for surgical teams and their leaders, lessons from the COVID … Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic: a structured … Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic: a structured … RIS
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Lessons … learned from a systems approach to engaging patients and families in patient safety transformation.
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psnet.ahrq.gov/node/44760/psn-pdf
July 10, 2024 - collaborative-accountability-and-improvement
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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psnet.ahrq.gov/node/43670/psn-pdf
November 12, 2014 - A past AHRQ WebM&M perspective covers lessons learned from early rapid response system
implementation … psnet.ahrq.gov/primer/reporting-patient-safety-events
https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
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psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
June 23, 2009 - tool for building systemic awareness through role play, after-event analysis, and discussions of how lessons … learned can be applied to daily practice. … Related Resources From the Same Author(s)
Health Care Quality and Disparities: Lessons