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Showing results for "lessons learned".

  1. psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
    June 23, 2009 - tool for building systemic awareness through role play, after-event analysis, and discussions of how lessonslearned can be applied to daily practice. … Related Resources From the Same Author(s) Health Care Quality and Disparities: Lessons
  2. psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
    September 01, 2021 - June 2, 2021 Lessons learned from a systems approach to engaging patients and families … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessonslearned.
  3. psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
    January 12, 2022 - December 18, 2014 Communication-and-resolution programs: the challenges and lessons learned … December 11, 2013 Lessons learned from implementation of computerized provider order
  4. psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
    February 03, 2021 - January 16, 2025 Quality improvement lessons learned from National Implementation of … July 7, 2021 Lessons learned from a systems approach to engaging patients and families
  5. psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
    May 25, 2022 - May 4, 2022 Lessons learned from a systems approach to engaging patients and families … August 21, 2024 Exploring the impact of safety culture on incident reporting: lessonslearned from machine learning analysis of NHS England staff survey and incident data.
  6. 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
  7. 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
  8. 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
  9. 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
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35135/psn-pdf
    July 06, 2005 - tool for building systemic awareness through role play, after-event analysis, and discussions of how lessonslearned can be applied to daily practice.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36857/psn-pdf
    January 22, 2017 - eliminating-perioperative-adverse-events-ascension-health The authors describe a hospital system's initiative to improve perioperative safety and the lessonslearned from implementation at two alpha sites.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41314/psn-pdf
    September 27, 2016 - issue/medical-apology-making-it-right-when-things-go-wrong Articles in this special issue highlight lessonslearned from disclosure and apology in health care.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866162/psn-pdf
    June 19, 2024 - surgeon-and-surgical-trainee-experiences-after-adverse-patient-events https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866256/psn-pdf
    July 10, 2024 - disclosure-programmes-us-inadequate-response-medical-error https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
  15. psnet.ahrq.gov/issue/personal-nursing-care-experiences-provide-lessons-patient-safety
    March 01, 2023 - Commentary Personal nursing care experiences provide lessons on patient safety. … Personal nursing care experiences provide lessons on patient safety. … Personal nursing care experiences provide lessons on patient safety. … October 20, 2010 What have we learned about interventions to reduce medical errors? … January 22, 2014 Communication-and-resolution programs: the challenges and lessons learned
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60310/psn-pdf
    May 06, 2020 - they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-emergency https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73996/psn-pdf
    October 29, 2021 - psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38348/psn-pdf
    December 30, 2014 - The author discusses a conceptual framework, implementation steps, and lessons learned.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - harnessing-power-medical-malpractice-data-improve-patient-care https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

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