Results

Total Results: 3,236 records

Showing results for "lessons learned".

3001. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73302/psn-pdf
      May 26, 2021 - I learned root-cause analysis when I was the Director of Clinical Services at MedStar (Mobile Healthcare

3002. Teamwork and total quality management: a durable partnership. | PSNet
      psnet.ahrq.gov/issue/teamwork-and-total-quality-management-durable-partnership
      September 11, 2019 - Lessons from aviation to improve patient safety.

3003. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848107/psn-pdf
      April 26, 2023 - //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

3004. Technology as a Tool for Improving Patient Safety | PSNet
      psnet.ahrq.gov/perspective/technology-tool-improving-patient-safety
      April 26, 2023 - The authors also presented evidence that it was cost-effective and detailed implementation lessons learned

3005. Reflecting on change. | PSNet
      psnet.ahrq.gov/issue/reflecting-change
      December 02, 2009 - A guide to evaluation of quality improvement and patient safety educational programs: lessons

3006. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49872/psn-pdf
      August 08, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional collaborative project.

3007. In Conversation With... Ann Gaffey, RN, MSN, CPHRM and Bruce Spurlock, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
      March 30, 2020 - SH: What is the area of the report that you personally learned the most from, either from reviewing or … adverse drug events, and others. [5] This edition of the report also includes contextual factors and lessons … learned that support successful implementation for each PSP.

3008. Making Healthcare Safer III Report | PSNet
      psnet.ahrq.gov/perspective/making-healthcare-safer-iii-report
      March 30, 2020 - adverse drug events, and others. [5] This edition of the report also includes contextual factors and lessons … learned that support successful implementation for each PSP. … SH: What is the area of the report that you personally learned the most from, either from reviewing or

3009. Falling Through the Crack (in the Bedrails) | PSNet
      psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
      February 19, 2020 - We learned from existing research that anticipated physiological falls can be prevented by following … July 29, 2020 Lessons learned implementing a complex and innovative patient safety learning

3010. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33789/psn-pdf
      August 01, 2015 - RW: I learned something from each interview, and it made it an incredibly rich experience. … I do think there are huge lessons to be drawn from those examples. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned

3011. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33831/psn-pdf
      April 01, 2017 - RW: You said one of the early lessons was that you couldn't easily translate these observations from … And it goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers

3012. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - We learned through our conversations with clinical practices that we need a common language and similar … education is focused on being able to demonstrate what the learner can do with what they know or have learned … Safety concepts can be integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations One of the most difficult parts of a nurse’s education is translating the theory learned

3013. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Safety concepts can be integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations One of the most difficult parts of a nurse’s education is translating the theory learned … We learned through our conversations with clinical practices that we need a common language and similar … education is focused on being able to demonstrate what the learner can do with what they know or have learned

3014. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … conducive environment to not only teach the foundations of health systems science, but to reinforce these lessons

3015. In Conversation With… Mary Dixon-Woods, DPhil | PSNet
      psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
      March 01, 2017 - RW : During my training years, I learned precisely nothing about culture. … MDW : I would probably challenge you and say you learned an awful lot about culture as a medical student … So articulating that, codifying it, and saying, "Here are the lessons you can learn from the pain we … s desire for more data was balanced with the intent to act on what they had already learned.

3016. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
      October 01, 2016 - in Acute Hospital Care Units April 26, 2023 Changing smart pump vendors: lessons … learned. … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

3017. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - We have learned a lot about how automation has been introduced to other industries, to know that it always … By being the last in line to automate, we may be able to take advantage of what we've learned from errors … The Art of Innovation; Lessons in Creativity from IDEO, Americas Leading Design Firm.

3018. Validation of a discharge summary term search method to detect adverse events. | PSNet
      psnet.ahrq.gov/issue/validation-discharge-summary-term-search-method-detect-adverse-events
      December 06, 2017 - Resources Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

3019. In Conversation With… Mark Graban, MS, MBA | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-graban-ms-mba
      January 01, 2015 - I love reading Don Berwick , Lucian Leape , and others who directly worked with or learned from Dr. … You see those types of lessons visiting a Toyota plant.

3020. Good Catch in the Operating Room | PSNet
      psnet.ahrq.gov/web-mm/good-catch-operating-room
      August 27, 2017 - Spine Surgery February 28, 2024 Understanding ultrarare adverse events - lessons … learned from a twelve-year review of intraoperative deaths at an academic medical center.