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Total Results: 3,006 records

Showing results for "lessons learned".

2781. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons … Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

2782. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
      July 01, 2012 - DB : What I learned was that whenever a lot of money is made available by our government for anything … So there were a whole series of things that I learned in Washington that are applicable even in this … equals patient safety, and more health IT equals more patient safety .( 7 ) Paradoxically, we've learned … H.I.T. or Miss: Lessons Learned from Health Information Technology Implementations.

2783. Patient Safety and Health Information Technology: Learning from Our Mistakes | PSNet
      psnet.ahrq.gov/perspective/patient-safety-and-health-information-technology-learning-our-mistakes
      July 01, 2012 - equals patient safety, and more health IT equals more patient safety .( 7 ) Paradoxically, we've learned … H.I.T. or Miss: Lessons Learned from Health Information Technology Implementations. … DB : What I learned was that whenever a lot of money is made available by our government for anything … So there were a whole series of things that I learned in Washington that are applicable even in this

2784. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

2785. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

2786. In Conversation with… Michael Cohen, RPh, MS, ScD (hon) | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
      April 01, 2006 - Can you share some of the lessons that you have learned through your work that are relevant to other

2787. Count and Be Counted: Preparing Future Pharmacists to Promote a Culture of Safety | PSNet
      psnet.ahrq.gov/perspective/count-and-be-counted-preparing-future-pharmacists-promote-culture-safety
      April 01, 2006 - Can you share some of the lessons that you have learned through your work that are relevant to other

2788. EHR Copy and Paste and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/ehr-copy-and-paste-and-patient-safety
      January 01, 2018 - Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation … Are there deeper lessons from what you've observed in how we use our electronic tools than simply that … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

2789. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - The lessons learned from the pilot were then applied to a staggered deployment of the innovation to an

2790. Preventable Transfer to the Hospital | PSNet
      psnet.ahrq.gov/web-mm/preventable-transfer-hospital
      March 31, 2022 - Root cause analyses of transfers of skilled nursing facility patients to acute hospitals: lessons learned

2791. DRESSed for Failure | PSNet
      psnet.ahrq.gov/web-mm/dressed-failure
      September 01, 2011 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study.

2792. Liposuction Gone Awry | PSNet
      psnet.ahrq.gov/web-mm/liposuction-gone-awry
      July 01, 2003 - Routine Goes Awry June 1, 2011 Adverse event reporting: lessons … learned from 4 years of Florida office data.

2793. Poorly Advanced Directives | PSNet
      psnet.ahrq.gov/web-mm/poorly-advanced-directives
      August 01, 2018 - August 5, 2009 The safety journal: lessons learned with an error reporting tool to stimulate

2794. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33768/psn-pdf
      June 01, 2014 - Robert Wachter, Editor, AHRQ WebM&M: What have you learned since you entered the world of medicine and … Antibiotics, what we've come to understand about cancer, and all that—we have correctly learned to worship … I learned that if you understand structural thinking—if you understand feedback loops and the cultural … Another aspect arose when I learned about the Institute of Medicine's Best Care at Lower Cost report

2795. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33635/psn-pdf
      July 01, 2006 - RW: What have you learned about physician pushback in terms of standardization, and what tips would … That's probably the most important lesson I've learned.

2796. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - RW : What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … We've been looking at malpractice cases for lessons. … One thing we've learned is that stories are very important.

2797. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - You just must establish trust with the partners and have the willingness to share what is learned. … that may be missed without effective reporting and analysis in combination with dissemination of the lessons … learned.

2798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865413/psn-pdf
      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.

2799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33861/psn-pdf
      July 01, 2018 - RW: What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … We've been looking at malpractice cases for lessons. … One thing we've learned is that stories are very important.

2800. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33789/psn-pdf
      August 01, 2015 - RW: I learned something from each interview, and it made it an incredibly rich experience. … I do think there are huge lessons to be drawn from those examples. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned