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Showing results for "lessons learned".

  1. 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
  2. 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.
  3. 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.
  4. 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.
  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 lessonslearned from application and practice.
  6. 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.
  7. 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
  8. 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
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74724/psn-pdf
    February 02, 2022 - Challenges, facilitators, and lessons learned are discussed.
  10. 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
  11. 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
  12. 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 lessonslearned during the initiative.
  13. 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 lessonslearned from aviation experience in checklist development.
  14. 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
  15. 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 lessonslearned to help health care leaders implement improvements.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47638/psn-pdf
    February 06, 2019 - clinical-review-checklists-translating-evidence-practice https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47308/psn-pdf
    December 21, 2018 - https://psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
  18. 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
  19. 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.
  20. 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

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