Results

Total Results: 3,005 records

Showing results for "lessons learned".

121. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43309/psn-pdf
     August 02, 2015 - Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis Wrong-site … https://psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis https://psnet.ahrq.gov

122. The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. | PSNet
     psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
     January 21, 2019 - Study The safety journal: lessons learned with an error reporting tool to stimulate

123. Learning and sharing safety lessons to improve patient care. | PSNet
     psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
     August 07, 2019 - Commentary Learning and sharing safety lessons to improve patient care. … Learning and sharing safety lessons to improve patient care. … conducting a root cause analysis and suggests guidelines for report-writing to ensure the dissemination of lessons … learned. … Learning and sharing safety lessons to improve patient care.

124. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39801/psn-pdf
     December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned https://psnet.ahrq.gov

125. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40523/psn-pdf
     August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing https://psnet.ahrq.gov

126. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36212/psn-pdf
     February 02, 2010 - SafetyNet: Lessons Learned from Close Calls in the OR. … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or This special issue includes a … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or https://psnet.ahrq.gov/issue/patient-worker-safety

127. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37231/psn-pdf
     May 02, 2018 - Fluorouracil error ends tragically, but application of lessons learned will save lives. … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives

128. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37169/psn-pdf
     October 06, 2011 - The safety journal: lessons learned with an error reporting tool to stimulate systems thinking. … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking … https://psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking

129. Adopting electronic medical records in primary care: lessons learned from health information systems implementation experience in seven countries. | PSNet
     psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
     January 07, 2015 - Review Adopting electronic medical records in primary care: lessons learned from … 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

130. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36383/psn-pdf
     March 03, 2011 - Patterns of errors contributing to trauma mortality: lessons learned from 2,594 deaths. … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths … https://psnet.ahrq.gov/issue/patterns-errors-contributing-trauma-mortality-lessons-learned-2594-deaths

131. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46287/psn-pdf
     April 12, 2019 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health- administration-and-lessons … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons … psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons

132. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44073/psn-pdf
     April 15, 2015 - Clinician support: five years of lessons learned. … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned This magazine article relates … https://psnet.ahrq.gov/issue/clinician-support-five-years-lessons-learned https://psnet.ahrq.gov/issue

133. Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals. | PSNet
     psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
     June 25, 2014 - Study Governing patient safety: lessons learned from a mixed methods evaluation of … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … 21, 2017 Prospects for comparing European hospitals in terms of quality and safety: lessons … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

134. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38831/psn-pdf
     August 05, 2009 - Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned … psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality- improvement-lessons … The authors provide practical learning lessons about working in rural health systems, how best to utilize … psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons

135. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - learned to prevent incorrect surgery. … learned. … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis. … May 12, 2021 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014 Sharing lessons learned to prevent incorrect surgery.

136. From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience in Healthcare Research Program. | PSNet
     psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience
     July 19, 2023 - Commentary From theory to policy in resilient health care: policy recommendations and lessons … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … In this paper, the authors share lessons learned and highlight several recommendations for policymakers … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … February 15, 2017 Lessons learned for reducing the negative impact of adverse events

137. Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training Program improves the cardiopulmonary resuscitation code process. | PSNet
     psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
     August 18, 2010 - The authors share the practical development of the tool, its application, and lessons learned from implementation … August 18, 2010 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … May 9, 2018 Sharing lessons learned to prevent incorrect surgery.

138. Interventional procedures outside of the operating room: results from the National Anesthesia Clinical Outcomes Registry. | PSNet
     psnet.ahrq.gov/issue/interventional-procedures-outside-operating-room-results-national-anesthesia-clinical
     March 06, 2019 - learned. … May 11, 2022 Communication-and-resolution programs: the challenges and lessons learned … June 15, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … April 4, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

139. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44207/psn-pdf
     August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001-- 2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and- patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons

140. Taking National Action to Prevent and Eliminate Healthcare-Associated Infections. | PSNet
     psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
     May 06, 2015 - Articles cover efforts to approach the issue from a public health perspective, lessons learned from … May 6, 2015 Preventing Healthcare-Associated Infections: Results and Lessons Learned … 29, 2014 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons … May 13, 2020 Preventing Healthcare-Associated Infections: Results and Lessons Learned