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Showing results for "lessons learned".

81. 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.

82. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/74267/psn-pdf
    January 19, 2022 - Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … -20-us-news-and https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top

83. Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented plans. | PSNet
    psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
    September 17, 2010 - Study Improving safety culture results in Rhode Island ICUs: lessons learned from … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … June 16, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

84. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42919/psn-pdf
    February 05, 2014 - 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. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs- lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

85. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42702/psn-pdf
    January 09, 2014 - Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … Developing a quality and safety curriculum for fellows: lessons learned from a neonatology fellowship … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship … https://psnet.ahrq.gov/issue/developing-quality-and-safety-curriculum-fellows-lessons-learned-neonatology-fellowship

86. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/48054/psn-pdf
    June 26, 2019 - Lessons learned from a death outside a hospital's doorstep. June 26, 2019 Palmer J. … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep Organizations must learn … Reporting on lessons to be learned from the cascade of failures connected with the preventable death … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep https://psnet.ahrq.gov/

87. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38478/psn-pdf
    March 11, 2009 - Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation. … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned- … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation … https://psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation

88. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/60758/psn-pdf
    August 05, 2020 - Lessons learned from medical malpractice claims involving critical care nurses. … Lessons learned from medical malpractice claims involving critical care nurses. … https://psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses … https://psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses

89. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/837075/psn-pdf
    May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings- workshop-brief … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief

90. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35413/psn-pdf
    September 11, 2009 - Lessons learned: basic evidence-based advice for preventing medication errors in children. … Lessons learned: basic evidence-based advice for preventing medication errors in children. … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children … https://psnet.ahrq.gov/issue/lessons-learned-basic-evidence-based-advice-preventing-medication-errors-children

91. Lessons learned for reducing the negative impact of adverse events on patients, health professionals and healthcare organizations. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
    September 19, 2016 - Study Lessons learned for reducing the negative impact of adverse events on patients … Lessons learned for reducing the negative impact of adverse events on patients, health professionals … Lessons learned for reducing the negative impact of adverse events on patients, health professionals

92. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38639/psn-pdf
    May 20, 2009 - Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and … https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

93. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/37966/psn-pdf
    January 15, 2009 - Adopting electronic medical records in primary care: lessons learned from health information systems … Adopting electronic medical records in primary care: lessons learned from health information systems … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health- … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems … https://psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems

94. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35738/psn-pdf
    July 15, 2010 - Patient safety: lessons learned. July 15, 2010 Bagian JP. Patient safety: lessons learned. … https://psnet.ahrq.gov/issue/patient-safety-lessons-learned The author summarizes the systemwide approaches … to safety that can be learned from high reliability organizations such as aviation. … https://psnet.ahrq.gov/issue/patient-safety-lessons-learned https://psnet.ahrq.gov//#highreliabilityorganizations

95. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/38425/psn-pdf
    January 29, 2010 - Hospitalists as Emerging Leaders in Patient Safety: lessons learned and future directions. … Hospitalists as emerging leaders in patient safety: lessons learned and future directions. … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future- … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions … https://psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-lessons-learned-and-future-directions

96. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/35410/psn-pdf
    September 11, 2009 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future … https://psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future

97. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/40101/psn-pdf
    January 17, 2012 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge … Lessons learned from implementation of a computerized application for pending tests at hospital discharge … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests- … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-application-pending-tests-hospital-discharge

98. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/42488/psn-pdf
    August 14, 2013 - 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 … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5- community-hospitals … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals … https://psnet.ahrq.gov/issue/lessons-learned-implementation-computerized-provider-order-entry-5-community-hospitals

99. Psn-Pdf (pdf file)
    psnet.ahrq.gov/node/841764/psn-pdf
    December 21, 2022 - Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system The … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system https

100. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47568/psn-pdf
     March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned Closed claim analysis … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned https://psnet.ahrq.gov