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Total Results: 3,237 records

Showing results for "lessons learned".

3061. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient … November 8, 2023 Lessons learned in implementing a chronic opioid therapy management

3062. Fatigue and risk: are train drivers safer than doctors? | PSNet
      psnet.ahrq.gov/issue/fatigue-and-risk-are-train-drivers-safer-doctors
      September 03, 2016 - This commentary describes lessons from industry regarding fatigue management strategies , spotlights

3063. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33629/psn-pdf
      March 01, 2006 - Creating, Implementing, and Managing Effective Training and Development: State-of-the-Art Lessons for

3064. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-284
      March 15, 2021 - Lessons learned from innovative approaches explored under COVID-19 that could be considered as usual

3065. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49765/psn-pdf
      August 21, 2016 - overwhelmed as the sole recipient of the cognitive load in such environments.(14) There are also lessons

3066. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49738/psn-pdf
      August 21, 2015 - Key lessons to consider include: Review your HIPAA and state medical privacy law policies to ensure

3067. In Conversation with Jessica Behrhorst about The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/conversation-jessica-behrhorst-about-evolution-root-cause-analysis
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA 2 ?

3068. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - PP: One of the key lessons that I've learned is that there are different types of problems in safety … WHO surgical checklist embraced human factors principles, which helped user perception, they later learned

3069. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - WHO surgical checklist embraced human factors principles, which helped user perception, they later learned … PP: One of the key lessons that I've learned is that there are different types of problems in safety

3070. Annual Perspective: Topics in Medication Safety | PSNet
      psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
      April 27, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs. 

3071. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-297
      June 30, 2021 - organizations, physicians, and pharmacists to take part in a learning network to share aggregated data, lessons … learned, and educational opportunities to reduce medication adverse events through safe deprescribing

3072. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-282
      March 15, 2021 - Lessons learned from innovative approaches explored under COVID-19 that could be considered as usual

3073. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33606/psn-pdf
      December 15, 2024 - opioid-prescribing-decreases-after-learning-patients-fatal-overdose https://psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs

3074. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33748/psn-pdf
      April 01, 2013 - one sort or another, for resident coverage and now increasingly for attending coverage, what have we learned … In my mind those lessons should be incentive for all of us to try to extend safety improvement efforts

3075. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49639/psn-pdf
      November 01, 2011 - They are free lessons about how things go wrong and how they can be fixed before someone gets hurt. … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

3076. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - California’s mandatory nurse staffing ratios: key lessons 2 decades in. … .2021.103110 https://www.beckershospitalreview.com/nursing/californias-mandatory-nurse-staffing-ratios-key-lessons

3077. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33752/psn-pdf
      August 01, 2013 - We learned along the way that teamwork is important. … RW: Aside from the issue of resilience and readiness of the providers, what else have we learned about … There were places where they would shut down the OR or the ED, and I think that that lesson has been learned

3078. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49825/psn-pdf
      April 01, 2018 - The provider learned that the patient was having symptoms concerning for unstable angina and determined … Achieving quality in health care through language access services: lessons from a California public

3079. The Evolution of Root Cause Analysis | PSNet
      psnet.ahrq.gov/perspective/evolution-root-cause-analysis
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA 2 during a conference and was so impacted that we … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA 2 ?

3080. Measuring Patient Safety | PSNet
      psnet.ahrq.gov/perspective/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