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Total Results: 3,006 records

Showing results for "lessons learned".

2181. Harms from discharge to primary care: mixed methods analysis of incident reports. | PSNet
      psnet.ahrq.gov/issue/harms-discharge-primary-care-mixed-methods-analysis-incident-reports
      October 12, 2016 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2182. Eliciting willingness-to-pay to prevent hospital medication administration errors in the UK: a contingent valuation survey. | PSNet
      psnet.ahrq.gov/issue/eliciting-willingness-pay-prevent-hospital-medication-administration-errors-uk-contingent
      March 28, 2012 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2183. Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study. | PSNet
      psnet.ahrq.gov/issue/assessing-quality-older-persons-emergency-transitions-between-long-term-and-acute-care
      March 17, 2021 - Download Citation Related Resources From the Same Author(s) Results and lessons

2184. Can first-year medical students acquire quality improvement knowledge prior to substantial clinical exposure? A mixed-methods evaluation of a pre-clerkship curriculum that uses education as the context for learning. | PSNet
      psnet.ahrq.gov/issue/can-first-year-medical-students-acquire-quality-improvement-knowledge-prior-substantial
      April 24, 2019 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2185. Development and testing of an objective structured clinical exam (OSCE) to assess socio-cultural dimensions of patient safety competency. | PSNet
      psnet.ahrq.gov/issue/development-and-testing-objective-structured-clinical-exam-osce-assess-socio-cultural
      January 15, 2014 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2186. Physician perspectives on responding to clinician-perpetuated interpersonal racism against Black patients with serious illness. | PSNet
      psnet.ahrq.gov/issue/physician-perspectives-responding-clinician-perpetuated-interpersonal-racism-against-black
      July 26, 2023 - November 26, 2014 Building a safer foundation: the Lessons Learnt patient safety training

2187. A poison information centre can provide important assessment and guidance regarding medication errors in nursing homes: a prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/poison-information-centre-can-provide-important-assessment-and-guidance-regarding-medication
      May 11, 2022 - Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons

2188. Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events. | PSNet
      psnet.ahrq.gov/issue/videos-simulated-after-action-reviews-training-resource-support-social-and-inclusive-learning
      May 22, 2024 - July 10, 2019 What went right: lessons for the intensivist from the crew of US Airways

2189. Clinical data sharing improves quality measurement and patient safety. | PSNet
      psnet.ahrq.gov/issue/clinical-data-sharing-improves-quality-measurement-and-patient-safety
      April 21, 2021 - July 6, 2022 Error reduction in trauma care: lessons from an anonymized, national, multicenter

2190. Learning during crisis: the impact of COVID-19 on hospital-acquired pressure injury incidence. | PSNet
      psnet.ahrq.gov/issue/learning-during-crisis-impact-covid-19-hospital-acquired-pressure-injury-incidence
      August 25, 2021 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2191. Publicly available hospital comparison web sites: determination of useful, valid, and appropriate information for comparing surgical quality. | PSNet
      psnet.ahrq.gov/issue/publicly-available-hospital-comparison-web-sites-determination-useful-valid-and-appropriate
      December 21, 2014 - March 4, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

2192. Influence of external assessment on quality and safety in surgery: a qualitative study of surgeons' perspectives. | PSNet
      psnet.ahrq.gov/issue/influence-external-assessment-quality-and-safety-surgery-qualitative-study-surgeons
      June 28, 2023 - 5, 2023 From theory to policy in resilient health care: policy recommendations and lessons

2193. In Conversation With... Anna Legreid Dopp, Pharm. D | PSNet
      psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
      June 29, 2020 - may be seeking interactions with colleagues to raise questions associated with COVID care and share lessons … learned and best practices. … available for both members and non-members to raise questions associated with COVID care and share lessons … learned and best practices. … June 24, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned in

2194. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
      psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
      September 01, 2006 - JB: Well, it wasn't just what I learned at NASA. … Everybody learned from a particular person or an institution—which led to, you know, this is the Penn … JB: I learned that most people were reluctant to bring things up because they would often get treated … What lessons are generalizable for the rest of the system? … JB: I think our lessons are uniformly generalizable, I'll say that at the outset.

2195. Home | PSNet
      psnet.ahrq.gov/
      March 25, 2025 - ) Organizational learning is an environmental state that ensures lessons

2196. In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
      June 14, 2023 - I quickly learned that families were the experts. … 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. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .

2197. Patient and Family Roles in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-and-family-roles-safety
      June 14, 2023 - I quickly learned that families were the experts. … 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. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .

2198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33790/psn-pdf
      August 01, 2015 - implementations, we believe that health care systems and vendors would be well served by a library of lessons … learned and use cases that they can draw upon to design and install their systems.

2199. Polypharmacy | PSNet
      psnet.ahrq.gov/web-mm/polypharmacy
      March 01, 2007 - A number of lessons can be learned from this medication error, including those associated with optimal

2200. Second Victims: Support for Clinicians Involved in Errors and Adverse Events | PSNet
      psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
      December 15, 2024 - February 18, 2015 Clinician support: five years of lessons learned.