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Total Results: 3,237 records

Showing results for "lessons learned".

3041. Production Pressures | PSNet
      psnet.ahrq.gov/web-mm/production-pressures
      November 16, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.

3042. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - In the discussion, he learned that the intern had never before rotated at this particular hospital and … ) Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

3043. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33663/psn-pdf
      September 15, 2008 - that others, particularly those in large, multisite systems, might benefit from the experiences and lessons … learned along our journey.

3044. Adverse Events in Dentistry | PSNet
      psnet.ahrq.gov/perspective/adverse-events-dentistry
      December 22, 2020 - Lessons learned from dental patient safety care reports. … One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the

3045. In Conversation With... Elsabeth Kalenderian, DDS, MPH, PhD and Muhammad F. Walji, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
      December 22, 2020 - One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the … Lessons learned from dental patient safety care reports.

3046. In Conversation With… Harlan Krumholz, MD, SM | PSNet
      psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
      April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … RW : As a learning health system, what do you think the lessons are from readmission penalties? … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned

3047. 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. 

3048. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - While management of the infection has improved as the pandemic has continued and facilities have learned … your initiative and its intersection with the COVID-19 response – how are you using the work and the lessons … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … We are not New York, so some lessons didn’t apply.

3049. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - 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

3050. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49690/psn-pdf
      September 01, 2013 - Lessons learned in the abuse of pain relief medication: a focus on healthcare costs.

3051. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - The Art of Innovation; Lessons in Creativity from IDEO, Americas Leading Design Firm. … 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

3052. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867428/psn-pdf
      December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…

3053. Long-term care healthcare-associated iInfections in 2022: an analysis of 20,216 reports. | PSNet
      psnet.ahrq.gov/issue/long-term-care-healthcare-associated-iinfections-2022-analysis-20216-reports
      May 19, 2021 - hospitals September 1, 2021 Evidence that nurses need to participate in diagnosis: lessons … 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

3054. An interview with Jerry Gurwitz. | PSNet
      psnet.ahrq.gov/issue/interview-jerry-gurwitz
      August 11, 2010 - 2016 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

3055. Patient safety and surgeons: why the resistance? | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-surgeons-why-resistance
      September 23, 2020 - Lessons from aviation to improve patient safety.

3056. Systems approach to reduce errors in surgery. | PSNet
      psnet.ahrq.gov/issue/systems-approach-reduce-errors-surgery
      August 10, 2016 - Lessons from aviation to improve patient safety.

3057. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - mix-ups—creative answers can be found nearly everywhere (eg, even bartender equipment might hold design lessons

3058. In Conversation With... Dr. Michelle Schreiber on Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-dr-michelle-schreiber-measuring-patient-safety
      December 14, 2022 - However, we all know that healthcare requires data which is timely and interoperable; we certainly learned … establishing the systems of safety and those key tools of high-reliability organizations that we have learned … There are many lessons here, including communication strategies, culture, leadership, teamwork training

3059. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-324
      January 07, 2022 - Commentary Integrating principles of safety culture and just culture into nursing homes: lessons

3060. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-391
      April 26, 2023 - Commentary Maximizing student potential: lessons for pharmacy programs from the