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Showing results for "lessons learned".

2921. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet
      psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
      March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error … Applying lessons from social psychology to transform the culture of error disclosure. … Applying lessons from social psychology to transform the culture of error disclosure.

2922. Situation Monitoring: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_4-situation-monitoring.pptx
      July 01, 2023 - Reassess how the team is working together 7 Hospital AIM Team Leads SPPC-II SCRIPT As we’ve already learned … What were our major lessons learned from this case? … Summarize your major takeaways by asking what the team’s lessons learned were from this case. … that debriefs are learning opportunities, your team will want to give some consideration to how the lessons … Make sure to spend some time talking about how to apply any lessons learned into practice for future

2923. College of American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons for the Pathologist. | PSNet
      psnet.ahrq.gov/issue/college-american-pathologists-special-topic-symposium-error-pathology-and-laboratory-medicine
      May 31, 2006 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons

2924. DARTNet Summary Report (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-ambulatory-therapeutics_research.pdf
      July 01, 2009 - Lessons Learned and Future Directions ............................................................... … Lessons Learned to Date: Several lessons learned in this initial phase highlight the importance of … Lessons Learned and Future Directions We anticipate the important lessons learned to date will help … Many lessons have been learned about using EHR data for research in this first phase of work. … We learned a number of lessons in the conduct of OCER studies within DARTNet.

2925. In Conversation With… Maureen Bisognano | PSNet
      psnet.ahrq.gov/perspective/conversation-maureen-bisognano
      February 26, 2025 - RW : One of the early things you did was team up with industry to look for lessons from outside of health … As you have observed this world over the last 20 years or so, what lessons do you think are really powerful … MB : I am increasingly out in the field and looking to these other industries for new lessons in safety … What have we learned from trying to do that? MB : I think we've put a human face on a problem. … So what have you learned as the leader that you didn't know as second in command?

2926. A National Web Conference on Improving Health IT Safety Through the Use of Natural Language Processing to Improve Accuracy of EHR Documentation - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/improving-hit-safety-slides-020717.pdf
      February 07, 2017 - Medicine 10% Sociology 80% 34 Lessons … Learned • Physicians may resist changing established note-writing habits … available until late in the controlled trial. 37 Lessons … Lessons Learned. . Successes. . Challenges. . … Lessons From a First-Time ..Principal Investigator. . Our Team. .

2927. The science of safety improvement: learning while doing. | PSNet
      psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
      August 04, 2021 - August 4, 2021 Reducing health care hazards: lessons from the Commercial Aviation Safety

2928. Using Specialized Information Technology to Reduce Errors in Emergency Cardiac Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Daudelin.pdf
      January 01, 2000 - the successful implementation and demonstration of the system, the authors identified barriers and lessons … learned that will inform the continued development of this IT approach for preventing patients with … lessons that inform continued development of this technology and approach to prevent missed myocardial … Successes and lessons learned Real-time decision support The ACI-TIPI software was available at … learned Conclusion Author affiliations Disclosure References Figure 1.

2929. Facilitator Guide: Science of Safety Training & Identifying Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_facnotes.docx
      December 01, 2017 - program Web site to complete the above tasks · Apply Science of Safety to your work Share what you’ve learned … developing handouts, posters, or newsletter articles to help introduce and reinforce the concepts you’ve learned … resources on the program Web site to help complete the above tasks We ask that you share what you’ve learned … Slide 30 Lessons Learned SAY: To review the main components of this module, consider these thoughts

2930. Implementing root cause analysis in an area health service: views of the participants. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
      December 03, 2014 - February 15, 2017 Addressing the opioid epidemic in the United States: lessons from the … , 2016 A method for prioritizing interventions following root cause analysis (RCA): lessons

2931. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
      April 19, 2017 - Sustaining quality improvement and patient safety training in graduate medical education: lessons … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

2932. Patient safety: threats and solutions. | PSNet
      psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
      January 19, 2011 - 11, 2016 Culture and behaviour in the English National Health Service: overview of lessons … February 5, 2014 Building a safer foundation: the Lessons Learnt patient safety training

2933. Beyond "see one, do one, teach one": toward a different training paradigm. | PSNet
      psnet.ahrq.gov/issue/beyond-see-one-do-one-teach-one-toward-different-training-paradigm
      March 01, 2011 - July 19, 2023 Reducing health care hazards: lessons from the Commercial Aviation Safety … February 24, 2021 Teaching patient safety in global health: lessons from the Duke Global

2934. Hospital-acquired SARS-CoV-2 infection: lessons for public health. | PSNet
      psnet.ahrq.gov/issue/hospital-acquired-sars-cov-2-infection-lessons-public-health
      November 25, 2020 - Commentary Hospital-acquired SARS-CoV-2 infection: lessons for public health. … Hospital-acquired SARS-CoV-2 infection: lessons for public health. … Hospital-acquired SARS-CoV-2 infection: lessons for public health. … October 12, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2935. Final Progress Report: Addressing methodological and ethical issues in pediatric medication safety research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/carpenter-report.pdf
      January 01, 2024 - 2) Were you able to use any of the things you learned at the conference in the past 6 months? … In addition, 13 attendees responded that they were able to use information learned at the conference … Lessons Learned for Future Conferences. Organizing a conference was a huge undertaking. … I also learned that one should start organizing a conference at least 18 months in advance in order … Were you able to use any of the things you learned at the conference in the past 6 months?

2936. Update on Safety Culture | PSNet
      psnet.ahrq.gov/perspective/update-safety-culture
      January 22, 2020 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … December 30, 2014 Perspective What We've Learned About

2937. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
      August 04, 2021 - Study Classic Reducing adverse drug events: lessons from … Reducing adverse drug events: lessons from a breakthrough series collaborative. … Reducing adverse drug events: lessons from a breakthrough series collaborative.

2938. In Conversation With… Rebecca Lawton, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
      March 24, 2025 - RW : In terms of what you eventually ended up applying in patient safety, what were the general lessons … RL : The general lessons were very much around needing to understand safety in a complex system and understand … We learned that patients found it difficult to understand what you meant by safety incidents when we … What have you learned about that and whether it's acceptable to patients and whether it works? … RL : Some of this is in the published literature, and some of it is what we've learned from doing work

2939. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49721/psn-pdf
      December 01, 2014 - Each simulation teaches myriad lessons regarding our state of preparedness. … Canadian astronaut Chris Hadfield summarized this best in a TED talk entitled, "What I learned from … At Northwestern Memorial Hospital, we have learned that preparing detailed guidance is not enough—we … The Ebola Response: Lessons and Changes. October 29, 2014. [Available at] 4. Emory Healthcare. … What I learned from going blind in space. TED2014.

2940. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 … Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons … By learning free lessons from near misses. Br Med J 2000; 320: 1683-1684. 22.