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Total Results: 3,237 records

Showing results for "lessons learned".

141. 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

142. 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.

143. 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

144. Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics within a large academic health system. | PSNet
     psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
     April 12, 2011 - Study Transition to a new electronic health record and pediatric medication safety: lessons … learned in pediatrics within a large academic health system. … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics

145. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47059/psn-pdf
     May 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons … learned. … Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons … Learned. … participating-multisite-study-exploring-operational-failures-encountered- frontline-nurses Multisite collaboratives can yield data and improvement lessons

146. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74005/psn-pdf
     October 27, 2021 - hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Duzyj CM, Boyle C, Mahoney K, et al. … hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned.

147. Lessons from walking the medical distancing tightrope. | PSNet
     psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
     October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. … Lessons from walking the medical distancing tightrope. … Lessons from walking the medical distancing tightrope. … October 21, 2020 Lessons learned from a systems approach to engaging patients and families

148. Analysis of 23,364 patient-generated, physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned from Sweden. | PSNet
     psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
     December 18, 2017 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden. … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden. … learned from Sweden.

149. Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with particular emphasis on CT. | PSNet
     psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
     September 24, 2018 - Study Eight CT lessons that we learned the hard way: an analysis of current patterns … 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

150. From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. | PSNet
     psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons
     May 06, 2015 - Issue From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons … Citation Text: From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. … Citation Citation Text: From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons … May 6, 2015 Preventing Healthcare-Associated Infections: Results and Lessons Learned … May 1, 2015 Preventing Healthcare-Associated Infections: Results and Lessons Learned

151. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45386/psn-pdf
     November 23, 2016 - collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

152. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73182/psn-pdf
     April 28, 2021 - Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons … learned. … Clinicians ascribed most lessons to technical or individual-level issues, and observed the challenges

153. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866910/psn-pdf
     October 09, 2024 - From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … https://psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt … In this paper, the authors share lessons learned and highlight several recommendations for policymakers … https://psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience

154. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38009/psn-pdf
     August 27, 2008 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden. … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

155. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43797/psn-pdf
     January 07, 2015 - A recent AHRQ WebM&M perspective covered lessons learned throughout implementation of the program. … african-partnerships-patient-safety https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned

156. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35693/psn-pdf
     May 03, 2017 - Learning and sharing safety lessons to improve patient care. May 3, 2017 Woodward S. … Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care The author describes … learned. … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care https://psnet.ahrq.gov

157. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44979/psn-pdf
     April 06, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

158. Anesthesia Patient Safety Foundation Newsletter. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
     August 14, 2019 - August 14, 2019 Lessons in Patient Safety. … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned. … August 1, 2017 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

159. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
     psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
     December 11, 2024 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis.

160. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45706/psn-pdf
     September 01, 2018 - improving-communication-and-resolution-following-adverse-events-using-patient-created https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york