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Total Results: 3,005 records

Showing results for "lessons learned".

141. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
     January 17, 2019 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … learned. … August 21, 2013 Wrong-side thoracentesis: lessons learned from root cause analysis. … April 11, 2018 Learning and sharing safety lessons to improve patient care.

142. Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals. | PSNet
     psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
     May 19, 2021 - Study Support opportunities for second victims lessons learned: a qualitative study … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and

143. 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

144. The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned from a multisite qualitative study. | PSNet
     psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
     March 04, 2015 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study. … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned

145. 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

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. 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.

148. 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

149. 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

150. 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

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. 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.

153. 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.

154. 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

155. 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

156. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
     psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
     March 13, 2013 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009 Sharing lessons learned to prevent incorrect surgery. … 2017 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

157. 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

158. 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.

159. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
     September 25, 2019 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … December 19, 2014 Quality improvement lessons learned from National Implementation of … April 12, 2023 Lessons learned from the RaDonda Vaught ruling.

160. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
     May 11, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … November 11, 2020 Lessons learned from a systems approach to engaging patients and families … Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.