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Showing results for "lessons learned".

461. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44804/psn-pdf
     November 18, 2016 - The investigators developed themes and lessons learned through semistructured interviews with hospital

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46962/psn-pdf
     April 25, 2018 - The authors outline lessons learned such as the importance of engaging interprofessional stakeholders

463. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45962/psn-pdf
     April 24, 2018 - In this study, researchers described lessons learned from creating a leadership role that bridges quality

464. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43796/psn-pdf
     June 02, 2015 - creating-fellowship-curriculum-patient-safety-and-quality https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship

465. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47465/psn-pdf
     October 17, 2018 - national-survey-safe-practice-epidural-analgesia-obstetric-units https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

466. Lesson from the VA's Team Training Program | PSNet
     psnet.ahrq.gov/perspective/lesson-vas-team-training-program
     November 01, 2011 - Learned There were many lessons learned from the implementation of this program. … Follow-up support We also learned the value of follow-up support. … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009 Sharing lessons learned to prevent incorrect surgery.

467. After Roe: Challenges in the Provision of Lifesaving Care. | PSNet
     psnet.ahrq.gov/issue/after-roe-challenges-provision-lifesaving-care
     September 23, 2015 - May 12, 2021 Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … 2021 - June 8, 2021 Medication Safety During the COVID-19 Pandemic: What Have We Learned

468. Third Annual Report on Adverse Health Events in Wyoming Healthcare Facilities. | PSNet
     psnet.ahrq.gov/issue/third-annual-report-adverse-health-events-wyoming-healthcare-facilities
     October 11, 2016 - postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Evaluating the safety of mental health-related prescribing … October 28, 2021 Adverse Health Care Events Reporting System: What Have We Learned?

469. Adverse Health Events in Minnesota: Annual Reports. | PSNet
     psnet.ahrq.gov/issue/adverse-health-events-minnesota-15th-annual-public-report
     February 28, 2015 - February 28, 2015 Adverse Health Care Events Reporting System: What Have We Learned? … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/34735/psn-pdf
     June 16, 2014 - set of goals to create unified reporting mechanisms, support an open learning culture, ensure that lessons … learned are applied and changes made, and to more broadly embrace the systems approach to minimize

471. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45350/psn-pdf
     October 21, 2016 - This report discusses the need to ensure that lessons learned in military trauma care are acted on and

472. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37478/psn-pdf
     February 22, 2011 - adversedrugevent https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

473. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45490/psn-pdf
     September 01, 2018 - collaboration-regulators-support-quality-and-accountability-following-medical-errors https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

474. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837852/psn-pdf
     August 17, 2022 - neuroradiology-diagnostic-errors-tertiary-academic-centre-effect-participation-tumour-boards https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

475. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet
     psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
     March 27, 2005 - December 22, 2008 Lessons learned from a systems approach to engaging patients and families … July 15, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

476. The State of VA Health Care. | PSNet
     psnet.ahrq.gov/issue/state-va-health-care
     May 01, 2015 - November 6, 2019 Lessons Learned? … September 6, 2016 Addressing the opioid epidemic in the United States: lessons from the

477. Organization and representation of patient safety data: current status and issues around generalizability and scalability. | PSNet
     psnet.ahrq.gov/issue/organization-and-representation-patient-safety-data-current-status-and-issues-around
     January 21, 2011 - January 22, 2016 View More Related Resources Lessons learned from … June 15, 2011 Lessons from "unexpected increased mortality after implementation of a

478. Taking aim at infusion confusion. | PSNet
     psnet.ahrq.gov/issue/taking-aim-infusion-confusion
     June 06, 2018 - 2018 Learning from morbidity and mortality conferences: focus and sustainability of lessons … January 12, 2011 Intravenous medication safety and smart infusion systems: lessons learned

479. New patient safety organizations lower roadblocks to medical error reporting. | PSNet
     psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
     May 20, 2009 - Related Resources From the Same Author(s) Reducing health care hazards: lessons … December 15, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

480. "To Err Is Human" Report Retrospective and the Decade Ahead. | PSNet
     psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
     February 15, 2011 - April 17, 2011 Simulation in the executive suite: lessons learned for building patient … January 6, 2010 Reducing health care hazards: lessons from the Commercial Aviation Safety