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Showing results for "lessons learned".

  1. psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
    July 17, 2019 - May 24, 2006 Lessons learned implementing a complex and innovative patient safety learning … July 29, 2020 Apology laws and malpractice liability: what have we learned? … July 22, 2011 What have we learned about interventions to reduce medical errors?
  2. 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
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866354/psn-pdf
    July 24, 2024 - Participants also highlighted lessons learned, including leadership buy-in and the need for protected
  4. 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
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45034/psn-pdf
    February 25, 2019 - integrating-computerized-clinical-decision-support-systems-clinical-work-meta-synthesis https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
  6. 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
  7. psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessonslearned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of
  8. psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
    March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessonslearned from the field. … September 25, 2019 Quality improvement lessons learned from National Implementation of
  9. psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
    December 21, 2014 - October 11, 2010 Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.
  10. psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
    January 02, 2017 - October 21, 2020 Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessonslearned.
  11. psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
    December 31, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry … February 12, 2014 Lessons learned from implementation of computerized provider order
  12. psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
    November 26, 2014 - December 31, 2014 Lessons learned from implementation of computerized provider order … February 12, 2014 Lessons learned from implementation of computerized provider order
  13. 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.
  14. 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.
  15. 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
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43800/psn-pdf
    August 02, 2016 - industries, key concepts involved such as behavior change, measurement and assessment processes, and lessonslearned from application and practice.
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36639/psn-pdf
    January 14, 2011 - describe their application of several safety culture improvement strategies at their hospital and discuss lessonslearned.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35084/psn-pdf
    November 04, 2015 - two articles that address the behavior of physicians in high-liability specialties and suggests that lessonslearned from these studies support the need for a new approach to tort reform.
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40983/psn-pdf
    December 07, 2011 - implementation-checklists-health-care-learning-high-reliability-organisations This study explored the utility of checklists in health care settings, building on lessonslearned from successful implementation in high reliability organizations.
  20. 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

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