Results

Total Results: 3,006 records

Showing results for "lessons learned".

2281. Systematic review of morbidity and mortality meeting standardization: does it lead to improved professional development, system improvements, clinician engagement, and enhanced patient safety culture? | PSNet
      psnet.ahrq.gov/issue/systematic-review-morbidity-and-mortality-meeting-standardization-does-it-lead-improved
      October 23, 2024 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2282. Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. | PSNet
      psnet.ahrq.gov/issue/educator-toolkits-second-victim-syndrome-mindfulness-and-meditation-and-positive-psychology
      June 28, 2023 - Commentary Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit. Citation Text: Chung AS, Smart J, Zdradzinski M, et al. Educator Toolkits on Second Victim Syndrome, Mindfulness and Meditation, and P…

2283. Approaches to improving patient safety in integrated care: a scoping review. | PSNet
      psnet.ahrq.gov/issue/approaches-improving-patient-safety-integrated-care-scoping-review
      May 18, 2022 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2284. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. | PSNet
      psnet.ahrq.gov/issue/using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and-patient-safety-and
      December 07, 2011 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

2285. Barriers to incident-reporting behavior among nursing staff: a study based on the theory of planned behavior. | PSNet
      psnet.ahrq.gov/issue/barriers-incident-reporting-behavior-among-nursing-staff-study-based-theory-planned-behavior
      February 27, 2019 - July 5, 2017 Learning and sharing safety lessons to improve patient care.

2286. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet
      psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
      April 14, 2021 - November 9, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2287. The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet
      psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
      July 03, 2016 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

2288. A scoping review of legibility of hand-written prescriptions and drug-orders: the writing on the wall. | PSNet
      psnet.ahrq.gov/issue/scoping-review-legibility-hand-written-prescriptions-and-drug-orders-writing-wall
      January 12, 2022 - 23, 2015 Prospects for comparing European hospitals in terms of quality and safety: lessons

2289. Do physicians clean their hands? Insights from a covert observational study. | PSNet
      psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
      July 02, 2019 - August 14, 2014 Mind the gap between recommendation and implementation—principles and lessons

2290. The business case for quality: case studies and an analysis. | PSNet
      psnet.ahrq.gov/issue/business-case-quality-case-studies-and-analysis
      February 23, 2019 - June 25, 2008 Reducing adverse drug events: lessons from a breakthrough series collaborative

2291. Tracking progress in improving diagnosis: a framework for defining undesirable diagnostic events. | PSNet
      psnet.ahrq.gov/issue/tracking-progress-improving-diagnosis-framework-defining-undesirable-diagnostic-events
      September 01, 2021 - September 6, 2017 How doctors think: common diagnostic errors in clinical judgment--lessons

2292. Predicting avoidable hospital events in Maryland. | PSNet
      psnet.ahrq.gov/issue/predicting-avoidable-hospital-events-maryland
      April 06, 2022 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2293. Advancing the future of patient safety in oncology: implications of patient safety education on cancer care delivery. | PSNet
      psnet.ahrq.gov/issue/advancing-future-patient-safety-oncology-implications-patient-safety-education-cancer-care
      December 21, 2014 - August 21, 2019 Teaching patient safety in global health: lessons from the Duke Global

2294. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
      psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
      February 02, 2022 - 2012 Integrating principles of safety culture and just culture into nursing homes: lessons

2295. A 38-year-old woman with fetal loss and hysterectomy. | PSNet
      psnet.ahrq.gov/issue/38-year-old-woman-fetal-loss-and-hysterectomy
      January 12, 2011 - January 31, 2018 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2296. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet
      psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
      May 04, 2022 - Related Resources From the Same Author(s) Central venous catheter guidewire retention: lessons

2297. Real time patient safety audits: improving safety every day. | PSNet
      psnet.ahrq.gov/issue/real-time-patient-safety-audits-improving-safety-every-day
      April 14, 2021 - September 3, 2014 What went right: lessons for the intensivist from the crew of US Airways

2298. Safety incident reports associated with blood transfusions. | PSNet
      psnet.ahrq.gov/issue/safety-incident-reports-associated-blood-transfusions
      July 13, 2010 - June 12, 2019 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2299. The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet
      psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
      September 15, 2010 - July 8, 2009 Quality improvement priorities for safer out-of-hours palliative care: lessons

2300. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
      psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
      August 01, 2012 - 2021 Integrating principles of safety culture and just culture into nursing homes: lessons