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Total Results: 3,005 records

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. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851068/psn-pdf
     June 28, 2023 - This report summarizes lessons learned at a series of infection prevention and control listening sessions

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. 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

309. 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

310. 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

311. 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

312. 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

313. 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

314. 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

315. 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.

316. 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 lessons … learned from disclosure and apology in health care.

317. 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 lessons … learned can be applied to daily practice.

318. 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 lessons … learned from implementation at two alpha sites.

319. 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

320. 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