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Showing results for "lessons learned".

  1. 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 lessons … learned from successful implementation in high reliability organizations.

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38729/psn-pdf
    April 15, 2019 - https://psnet.ahrq.gov/issue/chpso This Website offers tools, a newsletter focusing on lessons learned

  3. 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 lessons … learned from these studies support the need for a new approach to tort reform.

  4. 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 lessons … learned.

  5. 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 lessons … learned from application and practice.

  6. 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

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/851913/psn-pdf
    August 02, 2023 - hospitalizations-and-deaths-related-adverse-drug-events-worldwide-systematic-review-studies https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33652/psn-pdf
    June 01, 2007 - they may strive to improve patient safety through analysis and dissemination of best practices and lessons … learned, which could prevent recurrences. … in the form of trends, stories, and lessons learned? … Five years after To Err Is Human: what have we learned? JAMA. 2005;293:2384-2390. … Lessons learned from the evolution of mandatory adverse event reporting systems.

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36464/psn-pdf
    January 07, 2011 - discussion of one hospital's effort to implement a rapid response team, emphasizing the practical lessons … learned during the initiative.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44906/psn-pdf
    February 17, 2016 - hospitals-find-way-say-im-sorry https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41931/psn-pdf
    December 19, 2012 - year effort to report, analyze, and reduce wrong-site procedures, this magazine article details the lessons … learned to help health care leaders implement improvements.

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39807/psn-pdf
    December 29, 2014 - perspectives-quality-designing-who-surgical-safety-checklist This commentary describes how the WHO Patient Safety Surgical Checklist was created using lessons … learned from aviation experience in checklist development.

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42869/psn-pdf
    January 28, 2017 - patient-engagement-and-safety https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

  14. On Patient Safety. | PSNet

    psnet.ahrq.gov/issue/patient-safety-19
    August 14, 2019 - U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned. … September 13, 2023 Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.

  15. Examining the impact of the AHRQ Patient Safety Indicators (PSIs) on the Veterans Health Administration: the case of readmissions. | PSNet

    psnet.ahrq.gov/issue/examining-impact-ahrq-patient-safety-indicators-psis-veterans-health-administration-case
    December 15, 2011 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … September 1, 2018 Quality improvement lessons learned from National Implementation of

  16. Crime in the workplace, part 1. | PSNet

    psnet.ahrq.gov/issue/crime-workplace-part-1
    September 11, 2024 - August 12, 2020 Lessons from walking the medical distancing tightrope. … August 24, 2022 View More Related Resources Lessons learned from

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867229/psn-pdf
    January 01, 2025 - improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35452/psn-pdf
    January 05, 2017 - They report on the lessons learned 3 years after implementation of the methodology.

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42957/psn-pdf
    March 05, 2014 - massachusetts-alliance-communication-and-resolution-following-medical-injury https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45261/psn-pdf
    June 22, 2016 - ahrq-communication-and-optimal-resolution-candor-toolkit https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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