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Showing results for "lessons learned".

2841. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
      May 01, 2017 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

2842. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33698/psn-pdf
      August 01, 2010 - RS: That's where the toolkit using lessons borrowed from Toyota is so widely applicable.

2843. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - RW : You said one of the early lessons was that you couldn't easily translate these observations from … And it goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers

2844. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - The Art of Innovation; Lessons in Creativity from IDEO, Americas Leading Design Firm. … We have learned a lot about how automation has been introduced to other industries, to know that it always … By being the last in line to automate, we may be able to take advantage of what we've learned from errors

2845. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867428/psn-pdf
      December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…

2846. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49690/psn-pdf
      September 01, 2013 - Lessons learned in the abuse of pain relief medication: a focus on healthcare costs.

2847. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - mix-ups—creative answers can be found nearly everywhere (eg, even bartender equipment might hold design lessons

2848. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient … November 8, 2023 Lessons learned in implementing a chronic opioid therapy management

2849. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - PP: One of the key lessons that I've learned is that there are different types of problems in safety … WHO surgical checklist embraced human factors principles, which helped user perception, they later learned

2850. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - WHO surgical checklist embraced human factors principles, which helped user perception, they later learned … PP: One of the key lessons that I've learned is that there are different types of problems in safety

2851. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA 2 ?

2852. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - overwhelmed as the sole recipient of the cognitive load in such environments.(14) There are also lessons

2853. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49738/psn-pdf
      August 21, 2015 - Key lessons to consider include: Review your HIPAA and state medical privacy law policies to ensure

2854. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs. 

2855. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - Creating, Implementing, and Managing Effective Training and Development: State-of-the-Art Lessons for

2856. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33748/psn-pdf
      April 01, 2013 - one sort or another, for resident coverage and now increasingly for attending coverage, what have we learned … In my mind those lessons should be incentive for all of us to try to extend safety improvement efforts

2857. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - However, we all know that healthcare requires data which is timely and interoperable; we certainly learned … establishing the systems of safety and those key tools of high-reliability organizations that we have learned … There are many lessons here, including communication strategies, culture, leadership, teamwork training

2858. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/measuring-patient-safety
      December 14, 2022 - However, we all know that healthcare requires data which is timely and interoperable; we certainly learned … establishing the systems of safety and those key tools of high-reliability organizations that we have learned … There are many lessons here, including communication strategies, culture, leadership, teamwork training

2859. In Conversation With… Richard Platt, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
      October 01, 2016 - Conversation With… Erik Hollnagel, PhD June 1, 2019 Changing smart pump vendors: lessons … learned.

2860. Innovations in Promoting Hand Hygiene Compliance | PSNet
      psnet.ahrq.gov/perspective/innovations-promoting-hand-hygiene-compliance
      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 of … What we learned from our experience is now spreading all over the world.