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Total Results: 3,006 records

Showing results for "lessons learned".

2321. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33837/psn-pdf
      July 01, 2017 - adverse events to https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

2322. Empty Handoff | PSNet
      psnet.ahrq.gov/web-mm/empty-handoff
      August 01, 2017 - 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

2323. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional collaborative project. … Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons

2324. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet
      psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
      August 21, 2015 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons

2325. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. | PSNet
      psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
      October 16, 2012 - March 3, 2011 Tracking rates of patient safety indicators over time: lessons from the

2326. Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet
      psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
      June 02, 2021 - July 2, 2014 Lessons learnt from incidents reported by postgraduate trainees in Dutch

2327. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet
      psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
      September 07, 2022 - March 24, 2021 Error reduction in trauma care: lessons from an anonymized, national,

2328. Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. | PSNet
      psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
      November 03, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2329. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet
      psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
      October 12, 2016 - December 11, 2019 Quality improvement priorities for safer out-of-hours palliative care: lessons

2330. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet
      psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
      June 22, 2022 - Related Resources Culture and behaviour in the English National Health Service: overview of lessons

2331. Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet
      psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
      January 12, 2022 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2332. Safety incidents in the primary care office setting. | PSNet
      psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
      October 12, 2016 - December 16, 2015 Quality improvement priorities for safer out-of-hours palliative care: lessons

2333. We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet
      psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
      May 19, 2021 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

2334. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet
      psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
      May 25, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2335. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. | PSNet
      psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
      September 08, 2010 - February 23, 2011 Lessons learnt from incidents reported by postgraduate trainees in

2336. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet
      psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
      November 16, 2022 - April 19, 2017 "At home, with care": lessons from New York City home-based primary care

2337. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet
      psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
      February 14, 2024 - September 23, 2020 Lessons from walking the medical distancing tightrope.

2338. Symptom–Disease Pair Analysis of Diagnostic Error (SPADE): a conceptual framework and methodological approach for unearthing misdiagnosis-related harms using big data. | PSNet
      psnet.ahrq.gov/issue/symptom-disease-pair-analysis-diagnostic-error-spade-conceptual-framework-and-methodological
      October 23, 2019 - March 22, 2017 How doctors think: common diagnostic errors in clinical judgment--lessons

2339. Containing COVID-19 in the emergency department: the role of improved case detection and segregation of suspect cases. | PSNet
      psnet.ahrq.gov/issue/containing-covid-19-emergency-department-role-improved-case-detection-and-segregation-suspect
      May 05, 2021 - January 12, 2022 View More Related Resources Lessons from the Covid

2340. Ten principles for more conservative, care-full diagnosis. | PSNet
      psnet.ahrq.gov/issue/ten-principles-more-conservative-care-full-diagnosis
      August 04, 2021 - April 17, 2019 Quality improvement priorities for safer out-of-hours palliative care: lessons