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Total Results: 3,237 records

Showing results for "lessons learned".

221. Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. | PSNet
     psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
     January 13, 2021 - Webinar Medication Safety During the COVID-19 Pandemic: What Have We Learned in the … Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States … Citation Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned … June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in

222. American Hospital Association-McKesson Quest for Quality Prize. | PSNet
     psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
     March 28, 2018 - January 22, 2017 Lessons learned from a systems approach to engaging patients and families … September 24, 2018 Shaping systems for better behavioral choices: lessons learned from

223. Ability of practitioners to identify solid oral dosage tablets. | PSNet
     psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
     January 02, 2017 - January 2, 2017 Lessons learned implementing a complex and innovative patient safety … July 29, 2009 Intravenous medication safety and smart infusion systems: lessons learned

224. Race differences in a malpractice event database in a large healthcare system. | PSNet
     psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
     December 15, 2021 - August 24, 2022 Lessons learned from a systems approach to engaging patients and families … July 15, 2020 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

225. A description of medical malpractice claims involving advanced practice providers. | PSNet
     psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
     August 19, 2020 - August 19, 2020 Lessons learned from medical malpractice claims involving critical care … September 7, 2022 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

226. A roadmap to advance patient safety in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
     June 09, 2021 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … August 3, 2020 Apology laws and malpractice liability: what have we learned?

227. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
     psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
     October 12, 2022 - October 27, 2010 Understanding ultrarare adverse events - lessons learned from a twelve-year … November 8, 2017 Changing smart pump vendors: lessons learned.

228. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet
     psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
     February 10, 2021 - July 27, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … February 10, 2010 Adverse event reporting: lessons learned from 4 years of Florida office

229. Video capture of clinical care to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
     March 28, 2012 - The investigators outline their approach in capturing 270 operating room cases with lessons learned and … October 6, 2016 Sharing lessons learned to prevent incorrect surgery.

230. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
     psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
     May 08, 2017 - Classic Public reporting of antibiotic timing in patients with pneumonia: lessons … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure … The authors conclude with a number of lessons learned from this case example, including the tension that … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

231. Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. | PSNet
     psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
     June 26, 2024 - Citation Related Resources From the Same Author(s) Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation … Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field.

232. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet
     psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
     March 06, 2024 - July 31, 2024 Quality improvement lessons learned from National Implementation of the … July 29, 2020 Lessons learned from a systems approach to engaging patients and families

233. Can we make airway management (even) safer?—lessons from national audit. | PSNet
     psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
     March 01, 2023 - —lessons from national audit. Citation Text: Woodall N, Frerk C, Cook TM. … --lessons from national audit. … --lessons from national audit. … November 12, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

234. "Free lessons" in aviation safety. | PSNet
     psnet.ahrq.gov/issue/free-lessons-aviation-safety
     October 19, 2022 - Commentary "Free lessons" in aviation safety. … “Free lessons” in aviation safety. … “Free lessons” in aviation safety. … postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Early warning systems and rapid response systems for the

235. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36836/psn-pdf
     January 29, 2015 - Bristol, assessing the quality of care and system failures that contributed to deaths, and generating lessons … that could be learned for the entire National Health Service (NHS) in the United Kingdom. … resulted from the learnings of the Bristol inquiry, including a discussion of cultural entrapment and lessons … hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

236. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46182/psn-pdf
     June 28, 2017 - This commentary outlines lessons learned by a team that implemented a multifaceted safety intervention … what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice https://psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations

237. Thinking ethically about medical mistakes. | PSNet
     psnet.ahrq.gov/issue/thinking-ethically-about-medical-mistakes
     September 29, 2017 - February 26, 2014 Lessons learned from a systems approach to engaging patients and families … June 14, 2023 Lessons learned from implementing a principled approach to resolution following

238. WebAIRS Anesthesia Incident Reporting System. | PSNet
     psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
     November 10, 2011 - November 10, 2011 Intravenous medication safety and smart infusion systems: lessons learned … May 4, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

239. Alarm management: promoting safety and establishing guidelines. | PSNet
     psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
     May 24, 2017 - September 28, 2022 Lessons learned implementing a complex and innovative patient safety … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management

240. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
     January 24, 2024 - July 24, 2024 Quality improvement lessons learned from National Implementation of the … November 16, 2022 Lessons learned from a systems approach to engaging patients and