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Showing results for "learned".

  1. Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation | Agency for Healthcare Research and Quality

    www.ahrq.gov/news/newsroom/case-studies/ktcquips79.html
    October 01, 2014 - Four Kentucky Hospitals Use AHRQ Toolkit to Improve Medication Reconciliation Search All Impact Case Studies November 2011 Between January and September 2010, AHRQ partnered with seven Quality Improvement Organizations (QIOs) to deliver a series of onsite learning sessions and provider support calls focusin…

  2. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet

    psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting
    September 27, 2017 - Study Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. Citation Text: Gabriel PE, Volz E, Bergendahl HW, et al. Incident learning in pursuit of high reliability: implementi…

  3. Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. | PSNet

    psnet.ahrq.gov/issue/development-and-validation-deep-learning-model-detection-allergic-reactions-using-safety
    June 15, 2022 - Study Development and validation of a deep learning model for detection of allergic reactions using safety event reports across hospitals. Citation Text: Yang J, Wang L, Phadke NA, et al. Development and validation of a deep learning model for detection of allergic reactions using safety…

  4. Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. | PSNet

    psnet.ahrq.gov/issue/learning-through-experience-influence-formal-and-informal-training-medical-error-disclosure
    March 16, 2022 - Study Learning through experience: influence of formal and informal training on medical error disclosure skills in residents. Citation Text: Wong BM, Coffey M, Nousiainen MT, et al. Learning through experience: influence of formal and informal training on medical error disclosure skills …

  5. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning. | PSNet

    psnet.ahrq.gov/issue/healthcare-complaints-analysis-tool-development-and-reliability-testing-method-service
    November 29, 2023 - Study The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service monitoring and organisational learning. Citation Text: Gillespie A, Reader TW. The Healthcare Complaints Analysis Tool: development and reliability testing of a method for service m…

  6. Positive approaches to safety: learning from what we do well. | PSNet

    psnet.ahrq.gov/issue/positive-approaches-safety-learning-what-we-do-well
    September 15, 2021 - Commentary Positive approaches to safety: learning from what we do well. Citation Text: Plunkett A, Plunkett E. Positive approaches to safety: learning from what we do well. Paediatr Anaesth. 2022;32(11):1223-1229. doi:10.1111/pan.14509. Copy Citation Format: DOI Google Sch…

  7. Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study. | PSNet

    psnet.ahrq.gov/issue/comparison-accuracy-human-readers-versus-machine-learning-algorithms-pigmented-skin-lesion
    July 22, 2020 - Study Classic Comparison of the accuracy of human readers versus machine-learning algorithms for pigmented skin lesion classification: an open, web-based, international, diagnostic study. Citation Text: Tschandl P, Codella N, Akay BN, et al. Comparison of the ac…

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36421/psn-pdf
    August 05, 2008 - what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons the airline industry has learned

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36067/psn-pdf
    September 28, 2010 - a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessons learned

  10. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet

    psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
    November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … February 2, 2011 Lessons learned for reducing the negative impact of adverse events on

  11. Liability impact of the hospitalist model of care. | PSNet

    psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
    July 09, 2018 - July 9, 2018 Apology laws and malpractice liability: what have we learned? … July 14, 2010 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and

  12. Digital health and patient safety. | PSNet

    psnet.ahrq.gov/issue/digital-health-and-patient-safety
    September 01, 2016 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018 Changing smart pump vendors: lessons learned.

  13. Adverse events in hospitals: the patient's point of view. | PSNet

    psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
    December 29, 2014 - April 12, 2019 Lessons learned for reducing the negative impact of adverse events on … December 29, 2014 Communication-and-resolution programs: the challenges and lessons learned

  14. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet

    psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
    December 21, 2014 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

  15. A patient safety objective structured clinical examination. | PSNet

    psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
    October 06, 2011 - Citation Related Resources From the Same Author(s) The safety journal: lessons learned … November 2, 2011 The safety journal: lessons learned with an error reporting tool to

  16. Using root cause analysis to reduce falls with injury in community settings. | PSNet

    psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
    April 25, 2016 - April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

  17. Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician. | PSNet

    psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
    December 21, 2014 - December 4, 2019 What have we learned about interventions to reduce medical errors? … November 13, 2019 Lessons learned from implementing a principled approach to resolution

  18. Clinical alarms: improving efficiency and effectiveness. | PSNet

    psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
    February 22, 2010 - November 3, 2021 Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022 View More Related Resources Lessons learned from

  19. National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet

    psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
    July 14, 2009 - March 9, 2011 What have we learned about interventions to reduce medical errors? … April 1, 2010 Adopting electronic medical records in primary care: lessons learned from

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35932/psn-pdf
    October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons learned
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