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Total Results: 3,004 records

Showing results for "lessons learned".

1901. Have we gone too far in translating ideas from aviation to patient safety? | PSNet
      psnet.ahrq.gov/issue/have-we-gone-too-far-translating-ideas-aviation-patient-safety
      March 06, 2005 - March 6, 2005 Escape Fire: Lessons for the Future of Health Care. … Improving Diagnostic Safety and Quality April 26, 2023 What went right: lessons … July 21, 2010 What have we learned about interventions to reduce medical errors?

1902. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60363/psn-pdf
      March 01, 2021 - Lessons learned from the Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention: Sustainability and lessons learned. … a2d4c12d120088066df4638da356cf65/51_Implementation- of-the-Care-Transitions-Intervention-Sustainability-and-Lessons-Learned.pdf … a2d4c12d120088066df4638da356cf65/51_Implementation-of-the-Care-Transitions-Intervention-Sustainability-and-Lessons-Learned.pdf … a2d4c12d120088066df4638da356cf65/51_Implementation-of-the-Care-Transitions-Intervention-Sustainability-and-Lessons-Learned.pdf

1903. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33615/psn-pdf
      June 01, 2005 - Are there lessons there for other institutions? PP: There were a number of important factors. … What lessons from your experience with Hopkins are generalizable? … PP: One of the lessons in overseeing quality and safety at Hopkins is that our center could never be … We have learned there were many ways of identifying defects: M&M conferences, incident-reporting systems … Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur

1904. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848827/psn-pdf
      May 10, 2023 - learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools https://psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

1905. Health care safety during the pandemic and beyond--building a system that ensures resilience. | PSNet
      psnet.ahrq.gov/issue/health-care-safety-during-pandemic-and-beyond-building-system-ensures-resilience
      July 20, 2022 - April 21, 2021 View More Related Resources Lessons from the Covid … May 10, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

1906. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850673/psn-pdf
      June 14, 2023 - I quickly learned that families were the experts. … We learned during the pandemic that we can do this virtually—families can participate in rounds from … There were some positive lessons learned about family presence during the COVID-19 pandemic. … We learned that we could conduct rounds in the hospital with families present via technology. … We’ve Been Here Before: Learning from the Lessons of the Past.

1907. An organizational learning framework for patient safety. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-framework-patient-safety
      November 28, 2018 - patient safety training January 13, 2021 Teaching patient safety in global health: lessons

1908. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - February 4, 2015 Building a safer foundation: the Lessons Learnt patient safety training … July 6, 2012 Case-based learning for patient safety: the Lessons Learnt program for UK

1909. Resilient Health Care Series. | PSNet
      psnet.ahrq.gov/issue/resilient-health-care-series
      October 25, 2018 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … April 6, 2016 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

1910. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet
      psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
      October 14, 2015 - October 14, 2015 Eight CT lessons that we learned the hard way: an analysis of current … September 24, 2018 View More Related Resources Lessons from the

1911. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/72614/psn-pdf
      March 01, 2021 - Structured communication techniques: Participants learned structured communication, teamwork and situational … Participants also received and learned to use forms to document communication. … Chair of the Department of Obstetrics and Gynecology and now Director of PROMPT for North America, learned … Adoption Considerations Lessons Learned The PROMPT program has won numerous awards in the United Kingdom … Lessons from a series of research on teamwork, leadership and team training.

1912. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61031/psn-pdf
      October 14, 2020 - tools such as failure mode and effect analysis and root cause analysis may be amended to optimize how lessons

1913. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet
      psnet.ahrq.gov/issue/are-you-surgically-current-lessons-aviation-returning-non-urgent-surgery-following-covid-19
      September 29, 2021 - Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … March 9, 2022 Crisis management for surgical teams and their leaders, lessons from the … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

1914. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - That's where we can go back to the lessons of the airline industry. … What have you learned about the commonalities and differences as you try to share patient safety learnings … It described the NHS as having an old-fashioned approach to learning lessons when things go wrong and … Mechanisms for ensuring that, where lessons are identified, the necessary changes are put into practice … 2001, charged with establishing a national reporting and learning system for adverse events, taking lessons

1915. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47398/psn-pdf
      December 22, 2018 - imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse https://psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system

1916. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
      psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
      May 20, 2009 - Copy Citation Related Resources From the Same Author(s) Eight CT lessons … that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with … December 6, 2017 Adverse Health Care Events Reporting System: What Have We Learned?

1917. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet
      psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
      May 01, 2019 - Commentary Lessons from health care leaders: rethinking and reinvesting in patient

1918. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet
      psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
      December 21, 2017 - January 22, 2025 View More Related Resources Lessons from the Covid … May 10, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

1919. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39063/psn-pdf
      December 17, 2009 - primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

1920. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
      psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
      February 09, 2011 - July 14, 2010 Escape Fire: Lessons for the Future of Health Care. … July 26, 2011 Risk mitigation in large scale systems: lessons from high reliability organizations … June 16, 2011 What have we learned about interventions to reduce medical errors?