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Total Results: 3,236 records

Showing results for "lessons learned".

2961. 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

2962. Five pitfalls in decisions about diagnosis and prescribing. | PSNet
      psnet.ahrq.gov/issue/five-pitfalls-decisions-about-diagnosis-and-prescribing
      April 26, 2017 - September 27, 2023 When the lights go down in the delivery room: lessons from a ransomware

2963. A process for analysis of sentinel events due to health care–associated infection. | PSNet
      psnet.ahrq.gov/issue/process-analysis-sentinel-events-due-health-care-associated-infection
      January 22, 2014 - March 16, 2011 Designing an abstraction instrument: lessons from efforts to validate

2964. 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.

2965. 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

2966. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-390
      April 26, 2023 - Book/Report Lessons from the Covid War: An Investigative Report.

2967. 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

2968. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-400
      July 31, 2023 - Based on video recordings of bedside teaching lessons, this study explored how instructors react to and … address student mistakes during bedside teaching lessons.

2969. 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.

2970. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33878/psn-pdf
      April 01, 2019 - In the US, I first learned about them with the Lexington VA study and the early Michigan studies probably … www.ncbi.nlm.nih.gov/pubmed/16615397 https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

2971. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33797/psn-pdf
      January 01, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record.

2972. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49595/psn-pdf
      December 01, 2009 - "Superficial" Report Leads to "Deep" Problem December 1, 2009 Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem The Case A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…

2973. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33833/psn-pdf
      May 01, 2017 - I eventually learned that I'd probably harmed quite a number of patients with my well-intentioned prescribing … RW: What do you think the lessons are from this sad story for the health care system and for the field

2974. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49627/psn-pdf
      June 01, 2011 - Editorial Note: The physician (case submitter) further reflected on what he learned from this experience … These are the smaller lessons from this case.

2975. The PSNet Collection | PSNet
      psnet.ahrq.gov/psnet-collection
      January 15, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. … System failures affecting individuals or populations provide lessons for learning and improvement.

2976. 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

2977. 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.

2978. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-411
      October 31, 2023 - This article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare

2979. 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.

2980. 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.