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Showing results for "lessons learned".

301. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/863224/psn-pdf
     February 28, 2024 - //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

302. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
     psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
     September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative … Computer crash--lessons from a system failure. N Engl J Med. 2003;348:881-882.

303. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844055/psn-pdf
     February 08, 2023 - unequal-treatment-confronting-racial-and-ethnic-disparities-health-care https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety

304. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60624/psn-pdf
     June 24, 2020 - psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

305. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60956/psn-pdf
     September 30, 2020 - performance, and options for practitioners with declining performance, including key features and lessons … learned from early adopters of late career practitioner programs.

306. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73715/psn-pdf
     September 15, 2021 - psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide

307. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36067/psn-pdf
     September 28, 2010 - describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessons … learned since implementation.

308. Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. | PSNet
     psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
     July 17, 2019 - May 24, 2006 Lessons learned implementing a complex and innovative patient safety learning … July 29, 2020 Apology laws and malpractice liability: what have we learned? … July 22, 2011 What have we learned about interventions to reduce medical errors?

309. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854263/psn-pdf
     November 03, 2023 - psnet.ahrq.gov/issue/improving-diagnosis-health-care https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

310. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/848825/psn-pdf
     May 10, 2023 - health-care-facility-design-safety-risk-assessment-toolkit https://psnet.ahrq.gov/issue/architecture-safety-hospital-design https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep

311. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837213/psn-pdf
     May 25, 2022 - criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication

312. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/838028/psn-pdf
     September 15, 2022 - creating-communication-coaching-structure-and-support-your-crp-program https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

313. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/72505/psn-pdf
     November 25, 2020 - psnet.ahrq.gov/primer/maternal-safety https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

314. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35932/psn-pdf
     October 03, 2017 - injury-research-volunteers-clinical-research-nightmare The authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons … learned can minimize future occurrences.

315. A systematic review of patient safety measures in adult primary care. | PSNet
     psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
     March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … September 25, 2019 Quality improvement lessons learned from National Implementation of

316. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
     psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
     December 21, 2014 - October 11, 2010 Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

317. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet
     psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
     November 26, 2014 - December 31, 2014 Lessons learned from implementation of computerized provider order … February 12, 2014 Lessons learned from implementation of computerized provider order

318. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet
     psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
     January 02, 2017 - October 21, 2020 Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

319. Impact of vendor computerized physician order entry in community hospitals. | PSNet
     psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
     December 31, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry … February 12, 2014 Lessons learned from implementation of computerized provider order

320. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
     June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of