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Total Results: 3,005 records

Showing results for "lessons learned".

2741. In Conversation with...Joseph Britto, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
      February 01, 2007 - The essential difference is that it treats the physician as the "learned intermediary" (to borrow a phrase … read about—diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons … learned and recent advances. … Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic

2742. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49487/psn-pdf
      August 21, 2005 - Our experience was telling, and we share it in hopes that the lessons will be relevant to others who

2743. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
      February 01, 2007 - Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic … The essential difference is that it treats the physician as the "learned intermediary" (to borrow a phrase … read about—diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons … learned and recent advances.

2744. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - there is an operational issue or crisis, we create an after-action report to identify best practices, lessons … learned, and the plan for the future. … 10 Finally, it is critically important for the organization to debrief about the event, determine lessons … learned, and develop a plan for carrying out action items.

2745. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      March 27, 2024 - 10 Finally, it is critically important for the organization to debrief about the event, determine lessons … learned, and develop a plan for carrying out action items. … there is an operational issue or crisis, we create an after-action report to identify best practices, lessons … learned, and the plan for the future.

2746. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - your initiative and its intersection with the COVID-19 response – how are you using the work and the lessons … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … We are not New York, so some lessons didn’t apply. … While management of the infection has improved as the pandemic has continued and facilities have learned … Hood about Remote Patient Monitoring March 15, 2023 The Lancet Commission on lessons

2747. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - that may be missed without effective reporting and analysis in combination with dissemination of the lessons … learned. … You just must establish trust with the partners and have the willingness to share what is learned.

2748. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - RW: During my training years, I learned precisely nothing about culture. … MDW: I would probably challenge you and say you learned an awful lot about culture as a medical student … So articulating that, codifying it, and saying, "Here are the lessons you can learn from the pain we

2749. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
      November 01, 2017 - Wanda Pratt : A lot of my work brings in material that we have learned from the field of human–computer … Yet the patient has been dealing with it for a long time, read about it on their own, and learned a … February 15, 2023 Lessons learned implementing a complex and innovative patient safety

2750. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
      psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
      November 13, 2024 - Over its 17 years in operation, the High-Risk Pregnancy Program has gained a number of valuable lessons … learned that are particularly advantageous when reviewing this innovation for replication in other areas … The following lessons learned offer guidance in launching and sustaining this innovation: Identify

2751. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33820/psn-pdf
      December 01, 2016 - We spoke with him about the RCA2 report and what we have learned about root cause analysis in health … RW: What do you think the lessons of the last 15 or so years have been as we've tried to apply this

2752. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
      psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
      July 23, 2024 - Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed. … Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed.

2753. Workplace Safety in Health Care | PSNet
      psnet.ahrq.gov/perspective/workplace-safety-health-care
      January 01, 2017 - To build a better hospital, Virginia Mason takes lessons from Toyota plants. Seattle PI. … themselves discovered that, because they had all gone to different nursing schools and thought they had learned … PO : I think there are more businesses that have learned the ideas of continuous learning and continuous … demonstrated things in my own work environments when I was Secretary of the Treasury that I had first learned … One thing I've learned in health and medical care is they have this wonderful dodge; if you hurt your

2754. In Conversation With… Paul H. O'Neill, MPA | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-h-oneill-mpa
      January 01, 2017 - themselves discovered that, because they had all gone to different nursing schools and thought they had learned … PO : I think there are more businesses that have learned the ideas of continuous learning and continuous … demonstrated things in my own work environments when I was Secretary of the Treasury that I had first learned … One thing I've learned in health and medical care is they have this wonderful dodge; if you hurt your … To build a better hospital, Virginia Mason takes lessons from Toyota plants. Seattle PI.

2755. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - August 14, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2756. Reconciling Records | PSNet
      psnet.ahrq.gov/web-mm/reconciling-records
      September 01, 2017 - Initial lessons from the first national demonstration project on practice transformation to a patient-centered … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

2757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850678/psn-pdf
      June 14, 2023 - The lessons learned from the pilot were then applied to a staggered deployment of the innovation to

2758. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Resources From the Same Author(s) Patterns of errors contributing to trauma mortality: lessons … learned from 2,594 deaths.

2759. An Obstructed View | PSNet
      psnet.ahrq.gov/web-mm/obstructed-view
      August 07, 2019 - January 10, 2024 Patients' perspectives on quality and patient safety failures: lessons … learned from an inquiry into transvaginal mesh in Australia.

2760. Triage Time Bomb | PSNet
      psnet.ahrq.gov/web-mm/triage-time-bomb
      September 01, 2008 - Failure to Latch September 1, 2008 Changing smart pump vendors: lessons … learned.