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Showing results for "lessons learned".

2881. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      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

2882. Building a Safety Program in a Vast Health Care Network | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
      March 01, 2019 - networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself. … tangibly now that would be different than you would have done a couple of years ago based on what you've learned

2883. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - July 2, 2019 The safety journal: lessons learned with an error reporting tool to stimulate

2884. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned.

2885. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - Case & Commentary: Part 3 The team subsequently learned that the night float resident had mistakenly … Handoff strategies in settings with high consequences for failure: lessons for health care operations

2886. The Pains of Chronic Opioid Usage | PSNet
      psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
      April 04, 2018 - Lessons learned in the abuse of pain relief medication: a focus on healthcare costs.

2887. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - KH: What would you say are some your biggest lessons learned from that engagement? … The other thing that's really important, is that what we've learned during the epidemic is that even … FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … The other interesting thing that I've learned recently was from overseeing a student who has been helping

2888. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - Lessons from plaintiff depositions. Arch Intern Med. 1994;154:1365-70.[ go to PubMed ] 2.

2889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49632/psn-pdf
      July 01, 2011 - Enhancing patient safety and resident education during the academic year- end transfer of outpatients: lessons

2890. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - Perspective African Partnerships for Patient Safety: Lessons … Learned December 1, 2014 Perspective Beyond

2891. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
      March 27, 2024 - We spoke with him about the HITECH Act and lessons learned in health care since it was enacted.

2892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

2893. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - overwhelmed as the sole recipient of the cognitive load in such environments.( 14 ) There are also lessons

2894. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - from our patients' experiences, we should learn from our mistakes, and infuse in our system those lessons … learned as quickly as possible.

2895. When Patients and Providers Speak Different Languages | PSNet
      psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
      December 08, 2021 - The provider learned that the patient was having symptoms concerning for unstable angina and determined … Achieving quality in health care through language access services: lessons from a California public hospital

2896. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation

2897. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…

2898. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49581/psn-pdf
      March 21, 2009 - Staff Education: Share the lessons from errors like this one, so nurses are alerted to the hazards of

2899. Key Issues in Developing a Successful Hospital Safety Program | PSNet
      psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
      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. … April 29, 2018 Five years after 'To Err is Human': what have we learned?

2900. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - look beyond the crisis response to the pandemic, the question becomes how COVID-19 – and what has been learned … KH: Along those lines, Anjali, what have we learned over the course of this pandemic? … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons