Results

Total Results: 3,006 records

Showing results for "lessons learned".

241. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
     October 06, 2021 - February 1, 2012 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … September 21, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

242. 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

243. "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet
     psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
     December 15, 2021 - September 30, 2020 Intravenous medication safety and smart infusion systems: lessons … learned and future opportunities. … April 6, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

244. 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

245. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet
     psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
     September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons … Administrative compensation for medical injuries: lessons from three foreign systems. … Administrative compensation for medical injuries: lessons from three foreign systems. … October 11, 2017 Apology laws and malpractice liability: what have we learned?

246. 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

247. 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

248. 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

249. 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

250. 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

251. 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 … July 14, 2021 Lessons from walking the medical distancing tightrope. … August 3, 2020 Apology laws and malpractice liability: what have we learned?

252. 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.

253. 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

254. 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.

255. 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.

256. 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

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/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

259. Clinical alarms: improving efficiency and effectiveness. | PSNet
     psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
     February 22, 2010 - November 3, 2021 Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022 View More Related Resources Lessons learned from

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.