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Showing results for "lessons learned".

2041. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet
      psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
      October 06, 2011 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons … October 21, 2009 Reducing health care hazards: lessons from the Commercial Aviation Safety

2042. One hospital's initiatives to encourage safe opioid use. | PSNet
      psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
      October 19, 2022 - April 17, 2019 Teaching patient safety in global health: lessons from the Duke Global … October 31, 2018 Addressing the opioid epidemic in the United States: lessons from the

2043. The problem with checklists. | PSNet
      psnet.ahrq.gov/issue/problem-checklists
      March 29, 2023 - July 21, 2017 Flying lessons for clinicians: developing system 2 practice. … August 13, 2013 Ten challenges in improving quality in healthcare: lessons from the Health

2044. Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
      August 20, 2018 - Lessons from a series of research on teamwork, leadership and team training. … November 20, 2013 Improving patient safety: lessons from rock climbing.

2045. Continuous improvement as an ideal in health care. | PSNet
      psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
      August 04, 2021 - February 3, 2011 Reducing adverse drug events: lessons from a breakthrough series collaborative … June 7, 2018 Safety lessons from the NIH Clinical Center.

2046. In Conversation With… Shantanu Nundy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
      February 26, 2025 - You've given us the micro lessons. … What macro lessons from that failure have been important to you in your career? … One thing I learned is that everything takes pi plus 2x longer than you think it's going to take. … One is posting a teaching case: "I saw this really interesting case that I learned a lot from, and I'm

2047. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet
      psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
      December 06, 2023 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2048. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
      December 29, 2014 - 7, 2015 Prospects for comparing European hospitals in terms of quality and safety: lessons

2049. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33770/psn-pdf
      August 01, 2014 - RW: Are there any other differences that make it hazardous to extrapolate things we've learned from the … partly we've never had the organizational model, partly finances, partly because physicians never learned … RW: You mentioned that some lessons from other industries that seem to be at least somewhat useful in … Are there lessons from other industries that do translate very well to the ambulatory side?

2050. Triple Handoff | PSNet
      psnet.ahrq.gov/web-mm/triple-handoff
      March 01, 2004 - Case & Commentary: Part 3 The team subsequently learned that the night float resident had mistakenly … Handoff strategies in settings with high consequences for failure: lessons for health care operations … April 30, 2014 Project BOOST implementation: lessons learned.

2051. AHRQ quality and safety initiatives. | PSNet
      psnet.ahrq.gov/issue/ahrq-quality-and-safety-initiatives
      May 20, 2009 - Related Resources From the Same Author(s) Reducing health care hazards: lessons

2052. The Report of the Short Life Working Group on Reducing Medication-related Harm. | PSNet
      psnet.ahrq.gov/issue/report-short-life-working-group-reducing-medication-related-harm
      September 09, 2015 - October 5, 2022 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

2053. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838926/psn-pdf
      October 26, 2022 - criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals

2054. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36837/psn-pdf
      December 03, 2018 - -1984 https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

2055. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46072/psn-pdf
      November 08, 2017 - fifth-discipline-art-practice-learning-organization-revised-updated-edition https://psnet.ahrq.gov/issue/implementing-national-strategy-patient-safety-lessons-national-health-service-england

2056. Evaluating incident learning systems and safety culture in two radiation oncology departments. | PSNet
      psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
      June 30, 2021 - 2021 Integrating principles of safety culture and just culture into nursing homes: lessons

2057. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. | PSNet
      psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
      December 06, 2023 - November 6, 2013 Counting matters: lessons from the root cause analysis of a retained

2058. Potential biases in machine learning algorithms using electronic health record data. | PSNet
      psnet.ahrq.gov/issue/potential-biases-machine-learning-algorithms-using-electronic-health-record-data
      June 12, 2019 - April 4, 2018 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2059. Enhancing medication use safety: benefits of learning from your peers. | PSNet
      psnet.ahrq.gov/issue/enhancing-medication-use-safety-benefits-learning-your-peers
      May 07, 2008 - November 12, 2014 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2060. Professional commitment, patient safety, and patient-perceived care quality. | PSNet
      psnet.ahrq.gov/issue/professional-commitment-patient-safety-and-patient-perceived-care-quality
      May 09, 2012 - meta-analysis of prevalence and severity August 14, 2024 The Lancet Commission on lessons