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Total Results: 3,236 records

Showing results for "lessons learned".

  1. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet

    psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
    December 14, 2022 - December 14, 2022 Lessons learned in implementing a chronic opioid therapy management

  2. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-281
    March 15, 2021 - Lessons learned from innovative approaches explored under COVID-19 that could be considered as usual

  3. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-325
    January 07, 2022 - Study Support opportunities for second victims lessons learned: a qualitative study

  4. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-326
    January 07, 2022 - Commentary The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

  5. Up Next for Patient Safety. | PSNet

    psnet.ahrq.gov/issue/next-patient-safety
    September 11, 2019 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

  6. "Superficial" Report Leads to "Deep" Problem | PSNet

    psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
    July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndN…

  7. Why doctors so often get it wrong. | PSNet

    psnet.ahrq.gov/issue/why-doctors-so-often-get-it-wrong
    October 03, 2007 - August 24, 2005 IOM panel reviews lessons for medication safety.

  8. State starts project to track serious hospital mistakes. | PSNet

    psnet.ahrq.gov/issue/state-starts-project-track-serious-hospital-mistakes
    May 10, 2006 - August 24, 2005 IOM panel reviews lessons for medication safety.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33698/psn-pdf
    August 01, 2010 - RS: That's where the toolkit using lessons borrowed from Toyota is so widely applicable.

  10. Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting. | PSNet

    psnet.ahrq.gov/issue/reporting-clinical-adverse-events-scale-measure-doctor-and-nurse-attitudes-adverse-event
    November 12, 2014 - 2020 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

  11. Changes in the diagnostic process during 40 years of clinicopathologic conferences. | PSNet

    psnet.ahrq.gov/issue/changes-diagnostic-process-during-40-years-clinicopathologic-conferences
    March 20, 2024 - 2022 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60376/psn-pdf
    July 30, 2020 - psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

  13. PowerPoint Presentation (ppt file)

    psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
    May 01, 2017 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33645/psn-pdf
    February 01, 2007 - Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33730/psn-pdf
    June 01, 2012 - The idea was to aggregate the existing reporting systems and learn lessons nationally.

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/836850/psn-pdf
    March 31, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs. 

  17. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-315
    October 27, 2021 - postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, Share Facebook Twitter Linkedin Copy URL

  18. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-309
    September 29, 2021 - Review Crisis management for surgical teams and their leaders, lessons from the COVID … were able to develop a theoretical framework integrating safety training engagement and application of learned

  19. Periodic Issue | PSNet

    psnet.ahrq.gov/periodic-issue/periodic-issue-396
    June 28, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year

  20. Are We Getting Better at Measuring Patient Safety? | PSNet

    psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
    November 10, 2015 - January 27, 2019 Quality improvement lessons learned from National Implementation of
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