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Showing results for "lessons learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60310/psn-pdf
    May 06, 2020 - they-are-terrified-fearing-coronavirus-people-potentially-fatal-conditions-avoid-emergency https://psnet.ahrq.gov/issue/patient-safety-emergency-medicine https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73996/psn-pdf
    October 29, 2021 - psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
  3. psnet.ahrq.gov/issue/consumer-guide-adverse-health-events
    June 04, 2024 - June 4, 2024 Adverse Health Care Events Reporting System: What Have We Learned? … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessonslearned.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41314/psn-pdf
    September 27, 2016 - issue/medical-apology-making-it-right-when-things-go-wrong Articles in this special issue highlight lessonslearned from disclosure and apology in health care.
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36857/psn-pdf
    January 22, 2017 - eliminating-perioperative-adverse-events-ascension-health The authors describe a hospital system's initiative to improve perioperative safety and the lessonslearned from implementation at two alpha sites.
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35135/psn-pdf
    July 06, 2005 - tool for building systemic awareness through role play, after-event analysis, and discussions of how lessonslearned can be applied to daily practice.
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866162/psn-pdf
    June 19, 2024 - surgeon-and-surgical-trainee-experiences-after-adverse-patient-events https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866256/psn-pdf
    July 10, 2024 - disclosure-programmes-us-inadequate-response-medical-error https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73922/psn-pdf
    October 06, 2021 - harnessing-power-medical-malpractice-data-improve-patient-care https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74118/psn-pdf
    January 01, 2022 - https://psnet.ahrq.gov/primer/high-reliability https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
  11. psnet.ahrq.gov/issue/using-good-design-eliminate-medical-errors
    December 09, 2020 - Patient Safety Organization July 1, 2011 Health Care Quality and Disparities: Lessons … July 31, 2012 Intravenous medication safety and smart infusion systems: lessons learned
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/864866/psn-pdf
    March 20, 2024 - Lessons learned are included to enhance the resilience of the health care system for future emergencies
  13. psnet.ahrq.gov/issue/its-time-consider-national-culture-when-designing-team-training-initiatives-healthcare
    January 26, 2022 - Drawing upon lessons from  aviation  and cross-cultural psychology, the authors propose a proactive framework … February 2, 2022 Lessons learned from a systems approach to engaging patients and families … Lessons from a series of research on teamwork, leadership and team training.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38348/psn-pdf
    December 30, 2014 - The author discusses a conceptual framework, implementation steps, and lessons learned.
  15. psnet.ahrq.gov/issue/implementing-high-quality-primary-care-rebuilding-foundation-health-care
    September 07, 2021 - November 15, 2023 Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … June 7, 2023 Lessons from the Covid War: An Investigative Report. … October 26, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic
  16. psnet.ahrq.gov/issue/dual-surgeon-operating-improve-patient-safety
    July 22, 2020 - Lessons from aviation for returning to non-urgent surgery following COVID-19. … March 30, 2022 Lessons learned from a systems approach to engaging patients and families … Lessons from aviation for returning to non-urgent surgery following COVID-19.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74724/psn-pdf
    February 02, 2022 - Challenges, facilitators, and lessons learned are discussed.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837431/psn-pdf
    June 15, 2022 - anesthesia-patient-safety-foundation-25-pioneering-success-safety-25th-anniversary-provokes https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854257/psn-pdf
    October 04, 2023 - This article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74704/psn-pdf
    January 26, 2022 - improving-self-reported-empathy-and-communication-skills-through-harm-healthcare-response https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

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