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Showing results for "lessons learned".

61. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/865807/psn-pdf
    May 08, 2024 - Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry … https://psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry

62. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50887/psn-pdf
    February 12, 2020 - Lessons learned from a systems approach to engaging patients and families in patient safety transformation … Lessons Learned from a Systems Approach to Engaging Patients and Families in Patient Safety Transformation … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient- … This article describes lessons learned during the six years after a large regional health care system … https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

63. Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. | PSNet
    psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
    September 01, 2018 - Study Implementing hospital-based communication-and-resolution programs: lessons … learned in New York City. … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.

64. Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care. | PSNet
    psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care
    April 13, 2022 - Learning from morbidity and mortality conferences: focus and sustainability of lessons … Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … learned. … Clinicians ascribed most lessons to technical or individual-level issues, and observed the challenges … learned.

65. Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a qualitative study. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals
    December 31, 2014 - Study Lessons learned from implementation of computerized provider order entry in … Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a … Lessons learned from implementation of computerized provider order entry in 5 community hospitals: a

66. Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal mesh in Australia. | PSNet
    psnet.ahrq.gov/issue/patients-perspectives-quality-and-patient-safety-failures-lessons-learned-inquiry
    September 28, 2017 - Study Patients' perspectives on quality and patient safety failures: lessons learned … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal … Patients’ perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal … April 14, 2021 Apology laws and malpractice liability: what have we learned?

67. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

68. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/853065/psn-pdf
    August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

69. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Usability of a human factors-based clinical decision support in the emergency department: lessons learned … psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency- department-lessons-learned … //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned … //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

70. Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative deaths at an academic medical center. | PSNet
    psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative
    March 29, 2023 - Review Understanding ultrarare adverse events - lessons learned from a twelve-year … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative

71. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations

72. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837000/psn-pdf
    May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath … This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication

73. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46833/psn-pdf
    December 03, 2018 - learned from a multisite qualitative study. … Learned from a Multisite Qualitative Study. … ://psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states- lessons-learned … https://psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned … https://psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned

74. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/72848/psn-pdf
    March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool- lessons-learned … //psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned … //psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned

75. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35369/psn-pdf
    July 20, 2009 - Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED … learned-medsinfo-ed Using lessons learned from a pilot project, the authors share strategies for addressing … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed

76. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/36050/psn-pdf
    January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr- overdose … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose

77. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. … Lessons learned from implementing a principled approach to resolution following patient harm. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following- … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

78. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/50792/psn-pdf
    January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in … Lessons learned implementing a complex and innovative patient safety learning laboratory project in … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory

79. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/838249/psn-pdf
    October 05, 2022 - Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned Shifting to a … Lessons learned highlight the importance of who performs error follow-up, skills for navigating difficult … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned https://psnet.ahrq.gov

80. Quality improvement lessons learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation, and Improvement Guidebook". | PSNet
    psnet.ahrq.gov/issue/quality-improvement-lessons-learned-national-implementation-patient-safety-events-community
    March 15, 2016 - Study Quality improvement lessons learned from National Implementation of the "Patient … Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community … This qualitative study explored lessons learned and opportunities for improvement based on nationwide … Quality improvement lessons learned from National Implementation of the “Patient Safety Events in Community … learned from the field.