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Total Results: 3,006 records

Showing results for "lessons learned".

2261. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. | PSNet
      psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
      July 10, 2024 - Lessons from aviation to improve patient safety.

2262. Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet
      psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
      July 30, 2014 - Improving Diagnostic Safety and Quality April 26, 2023 Applying lessons

2263. The problem with using patient complaints for improvement. | PSNet
      psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
      February 20, 2019 - 2019 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2264. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet
      psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
      April 24, 2018 - patient safety training January 13, 2021 Teaching patient safety in global health: lessons

2265. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
      November 01, 2008 - decision-making (e.g., transfer patient now versus incur more shift changes & sign-outs) Assumptions & Lessons … Available at: http://www.ncbi.nlm.nih.gov/pubmed/18245211 Assumptions & Lessons (from Cognitive … contingency plans, and allow for flexibility to deviate in exceptional circumstances Assumptions & Lessons … page=637&calcTitle=1&title_id=9545&edition_id=10284 Assumptions & Lessons (3) (from Cognitive Engineering

2266. In Conversation With… Vineet Chopra, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
      February 28, 2024 - RW: What are some of the lessons you've learned about evidence to practice? … discussions at Michigan, but I'll say that most of the times, there is genuine surprise regarding what is learned … Much of what I've learned about PICCs, about vascular catheters, I have learned from that group. … the right place, about number of lumens, about catheter-to-vein ratios, things that you and I never learned

2267. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify … Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic.

2268. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - Despite very clear contextual differences, every complex system aims for improvement, and translating lessons … Handoff strategies in settings with high consequences for failure: lessons for health care operations

2269. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850675/psn-pdf
      June 14, 2023 - www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation … emergency as a conduit of information between hospitals, patients, families, and communities is one lesson learned

2270. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic. … We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify

2271. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify

2272. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet
      psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
      October 31, 2014 - January 13, 2010 Crisis management for surgical teams and their leaders, lessons from

2273. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33874/psn-pdf
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … conducive environment to not only teach the foundations of health systems science, but to reinforce these lessons

2274. Laboratory session to improve first-year pharmacy students' knowledge and confidence concerning the prevention of medication errors. | PSNet
      psnet.ahrq.gov/issue/laboratory-session-improve-first-year-pharmacy-students-knowledge-and-confidence-concerning
      September 08, 2021 - March 31, 2021 Results and lessons from a hospital-wide initiative incentivised by delivery

2275. An embedded checklist in the Anesthesia Information Management System improves pre-anaesthetic induction setup: a randomised controlled trial in a simulation setting. | PSNet
      psnet.ahrq.gov/issue/embedded-checklist-anesthesia-information-management-system-improves-pre-anaesthetic
      June 26, 2019 - September 13, 2017 Interruptions and blood transfusion checks: lessons from the simulated

2276. Getting the board on board: engaging hospital boards in quality and patient safety. | PSNet
      psnet.ahrq.gov/issue/getting-board-board-engaging-hospital-boards-quality-and-patient-safety
      November 23, 2016 - March 20, 2024 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2277. An organization-specific and modifiable inpatient safety composite measure. | PSNet
      psnet.ahrq.gov/issue/organization-specific-and-modifiable-inpatient-safety-composite-measure
      June 14, 2023 - May 26, 2021 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2278. Incidence of adverse events in an integrated US healthcare system: a retrospective observational study of 82,784 surgical hospitalizations. | PSNet
      psnet.ahrq.gov/issue/incidence-adverse-events-integrated-us-healthcare-system-retrospective-observational-study
      April 08, 2011 - Resources Learning from morbidity and mortality conferences: focus and sustainability of lessons

2279. Reaching the summit of discharge summaries: a quality improvement project. | PSNet
      psnet.ahrq.gov/issue/reaching-summit-discharge-summaries-quality-improvement-project
      March 17, 2021 - Download Citation Related Resources From the Same Author(s) Results and lessons

2280. Identifying factors influencing clinicians' reporting of medication errors: a systematic review and qualitative evidence synthesis using the theoretical domains framework. | PSNet
      psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and
      December 11, 2013 - October 9, 2024 Error reduction in trauma care: lessons from an anonymized, national,