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Total Results: 3,005 records

Showing results for "lessons learned".

  1. Near Miss with Bedside Medications | PSNet

    psnet.ahrq.gov/web-mm/near-miss-bedside-medications
    February 01, 2006 - They are free lessons about how things go wrong and how they can be fixed before someone gets hurt. … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

  2. Implementing a Patient Safety Program at a Large National Health System | PSNet

    psnet.ahrq.gov/perspective/implementing-patient-safety-program-large-national-health-system
    January 01, 2008 - that others, particularly those in large, multisite systems, might benefit from the experiences and lessons … learned along our journey.

  3. Privacy or Safety? | PSNet

    psnet.ahrq.gov/web-mm/privacy-or-safety
    December 01, 2011 - Key lessons to consider include: Review your HIPAA and state medical privacy law policies to ensure

  4. Safety Culture in EMS | PSNet

    psnet.ahrq.gov/perspective/safety-culture-ems
    May 26, 2021 - I learned root-cause analysis when I was the Director of Clinical Services at MedStar (Mobile Healthcare

  5. In Conversation With... Chris Cebollero, BS, CCEMT-P | PSNet

    psnet.ahrq.gov/perspective/conversation-chris-cebollero-bs-ccemt-p
    May 26, 2021 - I learned root-cause analysis when I was the Director of Clinical Services at MedStar (Mobile Healthcare

  6. What Does Simulation Add to Teamwork Training? | PSNet

    psnet.ahrq.gov/perspective/what-does-simulation-add-teamwork-training
    October 01, 2004 - Creating, Implementing, and Managing Effective Training and Development: State-of-the-Art Lessons for

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73650/psn-pdf
    August 25, 2021 - defining-and-measuring-diagnostic-uncertainty-medicine-systematic-review https://psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare

  8. Bowel Injury After Laparoscopic Surgery | PSNet

    psnet.ahrq.gov/web-mm/bowel-injury-after-laparoscopic-surgery
    January 19, 2016 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72835/psn-pdf
    March 10, 2021 - KH: What are some of the lessons that you’ve learned from your work in inpatient and outpatient settings

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33785/psn-pdf
    May 01, 2015 - At least for that subset of surgeons, they learned exactly where they stood against their peers. … RW: Are there lessons from other fields with similar attributes?

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33676/psn-pdf
    November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient

  12. In Conversation With… Sigall K. Bell, MD | PSNet

    psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
    February 26, 2025 - I learned that lesson from you a few years ago. You showed a slide from JAMA at a talk.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33866/psn-pdf
    September 01, 2018 - I learned that lesson from you a few years ago. You showed a slide from JAMA at a talk.

  14. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet

    psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
    April 29, 2020 - January 26, 2022 Designing an abstraction instrument: lessons from efforts to validate … Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons

  15. In Conversation With… Charles Vincent, MPhil, PhD | PSNet

    psnet.ahrq.gov/perspective/conversation-charles-vincent-mphil-phd
    July 10, 2024 - The idea was to aggregate the existing reporting systems and learn lessons nationally.

  16. Code Status Confusion | PSNet

    psnet.ahrq.gov/web-mm/code-status-confusion
    September 01, 2006 - SPOTLIGHT CASE Code Status Confusion Citation Text: Lo B, Tulsky JA. Code Status Confusion. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2003. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndN…

  17. Wrong Catheter in the Right Patient | PSNet

    psnet.ahrq.gov/web-mm/wrong-catheter-right-patient
    May 16, 2022 - The future of interventional and neurointerventional radiology: learning lessons from the past. 

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33678/psn-pdf
    January 01, 2009 - Those last two matter a lot to patients because they want to sense that a lesson has been learned from … RW: What have you learned about providers' needs in terms of training?

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49819/psn-pdf
    February 01, 2018 - references https://psnet.ahrq.gov//#references https://psnet.ahrq.gov//#references Drawing on the lessons

  20. Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes) | PSNet

    psnet.ahrq.gov/innovation/patient-and-family-centered-i-pass-family-centered-communication-program-reduce-medical
    February 26, 2025 - Utilizing co-production to improve patient-centeredness and engagement in healthcare delivery: lessons
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