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Total Results: 3,237 records

Showing results for "lessons learned".

3101. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - Perspective African Partnerships for Patient Safety: Lessons … Learned December 1, 2014 Perspective Beyond

3102. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…

3103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49581/psn-pdf
      March 21, 2009 - Staff Education: Share the lessons from errors like this one, so nurses are alerted to the hazards of

3104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation

3105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - from our patients' experiences, we should learn from our mistakes, and infuse in our system those lessons … learned as quickly as possible.

3106. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - July 2, 2019 The safety journal: lessons learned with an error reporting tool to stimulate

3107. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care | PSNet
      psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
      September 09, 2013 - October 27, 2010 Project BOOST implementation: lessons learned.

3108. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned.

3109. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - Case & Commentary: Part 3 The team subsequently learned that the night float resident had mistakenly … Handoff strategies in settings with high consequences for failure: lessons for health care operations

3110. When Patients and Providers Speak Different Languages | PSNet
      psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
      December 08, 2021 - 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 hospital

3111. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      January 01, 2006 - RW: How has your training program evolved and what lessons have you learned as you've actually gone … Certainly there are some technical things that could be learned, but because of the current state of

3112. A salutary tale of mistaken identity in testicular cancer. | PSNet
      psnet.ahrq.gov/issue/salutary-tale-mistaken-identity-testicular-cancer
      June 01, 2022 - August 26, 2020 Results and lessons from a hospital-wide initiative incentivised by delivery

3113. Managing risk: systems approach versus personal responsibility for hospital incidents. | PSNet
      psnet.ahrq.gov/issue/managing-risk-systems-approach-versus-personal-responsibility-hospital-incidents
      November 25, 2015 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

3114. Near Miss with Bedside Medications | PSNet
      psnet.ahrq.gov/web-mm/near-miss-bedside-medications
      February 01, 2006 - 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.

3115. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - tangibly now that would be different than you would have done a couple of years ago based on what you've learned … networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself.

3116. Building a Safety Program in a Vast Health Care Network | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
      March 01, 2019 - networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself. … tangibly now that would be different than you would have done a couple of years ago based on what you've learned

3117. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - KH: What would you say are some your biggest lessons learned from that engagement? … The other thing that's really important, is that what we've learned during the epidemic is that even … FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … The other interesting thing that I've learned recently was from overseeing a student who has been helping

3118. Key Issues in Developing a Successful Hospital Safety Program | PSNet
      psnet.ahrq.gov/perspective/key-issues-developing-successful-hospital-safety-program
      July 01, 2006 - RW: What have you learned about physician pushback in terms of standardization, and what tips would … That's probably the most important lesson I've learned. … April 29, 2018 Five years after 'To Err is Human': what have we learned?

3119. In Conversation With... Anjali Joseph, PhD, EDAC and Molly M. Scanlon, PhD, FAIA, FACHA | PSNet
      psnet.ahrq.gov/perspective/conversation-anjali-joseph-phd-edac-and-molly-m-scanlon-phd-faia-facha
      June 30, 2021 - KH: Along those lines, Anjali, what have we learned over the course of this pandemic? … look beyond the crisis response to the pandemic, the question becomes how COVID-19 – and what has been learned … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

3120. COVID-19 and the Built Environment | PSNet
      psnet.ahrq.gov/perspective/covid-19-and-built-environment
      June 30, 2021 - look beyond the crisis response to the pandemic, the question becomes how COVID-19 – and what has been learned … KH: Along those lines, Anjali, what have we learned over the course of this pandemic? … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons