Results

Total Results: 3,005 records

Showing results for "lessons learned".

241. Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet
     psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
     October 20, 2021 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning … October 28, 2020 Lessons learned from a systems approach to engaging patients and families

242. Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. | PSNet
     psnet.ahrq.gov/issue/assessment-changes-visits-and-antibiotic-prescribing-during-agency-healthcare-research-and
     March 10, 2021 - May 25, 2022 Lessons learned from a national hospital antibiotic stewardship implementation … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management

243. Adverse patient safety events during the COVID epidemic. | PSNet
     psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
     May 03, 2023 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

244. Bridging leadership roles in quality and patient safety: experience of 6 US academic medical centers. | PSNet
     psnet.ahrq.gov/issue/bridging-leadership-roles-quality-and-patient-safety-experience-6-us-academic-medical-centers
     September 04, 2016 - In this study, researchers described lessons learned from creating a leadership role that bridges quality … May 8, 2017 Developing a quality and safety curriculum for fellows: lessons learned from

245. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. | PSNet
     psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
     October 12, 2011 - November 16, 2022 Project BOOST implementation: lessons learned. … November 23, 2016 Communication-and-resolution programs: the challenges and lessons learned

246. How policy makers can smooth the way for communication-and-resolution programs. | PSNet
     psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
     December 19, 2018 - December 19, 2018 Communication-and-resolution programs: the challenges and lessons learned … January 7, 2015 Communication-and-resolution programs: the challenges and lessons learned

247. The deterrent effect of tort law: evidence from medical malpractice reform. | PSNet
     psnet.ahrq.gov/issue/deterrent-effect-tort-law-evidence-medical-malpractice-reform
     July 26, 2017 - July 7, 2021 Lessons learned from medical malpractice claims involving critical care … August 24, 2022 Lessons from walking the medical distancing tightrope. … August 3, 2020 Apology laws and malpractice liability: what have we learned?

248. Improving patient safety by practicing in a just culture. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
     June 14, 2017 - April 26, 2023 View More Related Resources Lessons learned from … March 1, 2023 Rooting an error review process in just culture: lessons learned.

249. Managing an acute adverse event in a radiology department. | PSNet
     psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
     June 14, 2011 - Related Resources From the Same Author(s) Missed lesions at abdominal oncologic CT: lessons … learned from quality assurance. … June 14, 2011 Missed lesions at abdominal oncologic CT: lessons learned from quality

250. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet
     psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
     April 03, 2017 - February 24, 2021 Lessons learned in implementing a chronic opioid therapy management … June 17, 2009 Lessons learned implementing a complex and innovative patient safety learning

251. Anatomy and pathophysiology of errors occurring in clinical radiology practice. | PSNet
     psnet.ahrq.gov/issue/anatomy-and-pathophysiology-errors-occurring-clinical-radiology-practice
     February 01, 2011 - July 1, 2017 Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … May 14, 2014 Missed lesions at abdominal oncologic CT: lessons learned from quality assurance

252. Association of emotional intelligence with malpractice claims: a review. | PSNet
     psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
     August 02, 2015 - December 7, 2022 Understanding ultrarare adverse events - lessons learned from a twelve-year … July 7, 2021 Trends in anesthesia-related liability and lessons learned.

253. Addressing electronic health record contributions to diagnostic error. | PSNet
     psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
     July 29, 2009 - January 2, 2017 Intravenous medication safety and smart infusion systems: lessons learned … August 26, 2020 Lessons learned implementing a complex and innovative patient safety

254. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet
     psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
     June 07, 2017 - June 7, 2017 Changing smart pump vendors: lessons learned. … June 16, 2019 Changing smart pump vendors: lessons learned.

255. Medication safety infrastructure in critical-access hospitals in Florida. | PSNet
     psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
     December 06, 2017 - Technology as a Tool for Improving Patient Safety March 29, 2023 Lessons … learned implementing a complex and innovative patient safety learning laboratory project in a large … academic medical center January 15, 2020 Changing smart pump vendors: lessons learned

256. 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

257. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46543/psn-pdf
     July 11, 2018 - A PSNet perspective assessed lessons learned about electronic health record safety. … reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

258. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety https … ://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

259. Adverse events in hospitals: the patient's point of view. | PSNet
     psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
     December 29, 2014 - April 12, 2019 Lessons learned for reducing the negative impact of adverse events on … December 29, 2014 Communication-and-resolution programs: the challenges and lessons learned

260. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet
     psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
     December 21, 2014 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.