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Total Results: 3,005 records

Showing results for "lessons learned".

2421. Measuring patient safety in the emergency department. | PSNet
      psnet.ahrq.gov/issue/measuring-patient-safety-emergency-department
      June 29, 2011 - January 9, 2013 Public reporting of antibiotic timing in patients with pneumonia: lessons

2422. Nurses improve medication safety with medication allergy and adverse drug reports. | PSNet
      psnet.ahrq.gov/issue/nurses-improve-medication-safety-medication-allergy-and-adverse-drug-reports
      October 19, 2022 - 2017 View More Related Resources Learning and sharing safety lessons

2423. Like night and day — shedding light on off-hours care. | PSNet
      psnet.ahrq.gov/issue/night-and-day-shedding-light-hours-care
      September 28, 2010 - September 28, 2010 Addressing the opioid epidemic in the United States: lessons from

2424. Disclosing errors that affect multiple patients. | PSNet
      psnet.ahrq.gov/issue/disclosing-errors-affect-multiple-patients
      April 19, 2017 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2425. Clinicians in quality improvement: a new career pathway in academic medicine. | PSNet
      psnet.ahrq.gov/issue/clinicians-quality-improvement-new-career-pathway-academic-medicine
      June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2426. Rethinking peer review: what aviation can teach radiology about performance improvement. | PSNet
      psnet.ahrq.gov/issue/rethinking-peer-review-what-aviation-can-teach-radiology-about-performance-improvement
      July 01, 2017 - This commentary explores how lessons from aviation can guide safety improvement in radiology.

2427. 2007 Guide to State Adverse Event Reporting Systems. | PSNet
      psnet.ahrq.gov/issue/2007-guide-state-adverse-event-reporting-systems
      November 29, 2009 - July 3, 2013 The Power of Safety: State Reporting Provides Lessons in Reducing Harm,

2428. TeamSTEPPS: assuring optimal teamwork in clinical settings. | PSNet
      psnet.ahrq.gov/issue/teamstepps-assuring-optimal-teamwork-clinical-settings
      January 12, 2011 - January 12, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

2429. Using the AHRQ Quality Indicators to improve health care quality. | PSNet
      psnet.ahrq.gov/issue/using-ahrq-quality-indicators-improve-health-care-quality
      December 23, 2008 - December 23, 2008 Reducing health care hazards: lessons from the Commercial Aviation

2430. Imagining the future of diagnostic performance feedback. | PSNet
      psnet.ahrq.gov/issue/imagining-future-diagnostic-performance-feedback
      September 01, 2021 - May 22, 2019 Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic

2431. In Conversation With… Paul McGann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
      July 10, 2024 - I had learned from that experience that just because there had been a randomized controlled trial involving … But we certainly learned a lot as the project unfolded. RW : What does bidirectionality mean? … I mean it takes a tremendous amount of humility and openness to what the lessons are from the field, … Dixon-Woods and Peter Pronovost about how Michigan worked, it strikes me that you've scaled up those lessons

2432. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33804/psn-pdf
      March 03, 2016 - I had learned from that experience that just because there had been a randomized controlled trial involving … But we certainly learned a lot as the project unfolded. … I mean it takes a tremendous amount of humility and openness to what the lessons are from the field, … Dixon-Woods and Peter Pronovost about how Michigan worked, it strikes me that you've scaled up those lessons

2433. In Conversation With… Tejal K. Gandhi, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-tejal-k-gandhi-md-mph
      February 26, 2025 - What do you think are the lessons of the last few years? … The key is learning the lessons of how to do it well. … I see the role of NPSF in this new arena as taking what's being learned from the Hospital Engagement

2434. In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-mcgrath-phd-and-george-blike-md-about-surveillance-monitoring
      April 26, 2023 - Researchers who have implemented surveillance monitoring systems have noted several challenges and lessons … learned, the first of which is clinician pushback on surveillance alarm thresholds. … By using these lessons learned, surveillance monitoring programs will be much more likely to succeed … These programs could benefit from the lessons learned in this surveillance monitoring approach.

2435. In Conversation With… Amy J. Starmer, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
      May 31, 2023 - These experiences led me to pursue fellowship training, where I learned the importance of tying the assessment … Key lessons learned were that in order to ensure transformational change of something as culturally ingrained … With the multisite study, we learned that there are still constraints in terms of how these systems are

2436. Ambiguity and workarounds as contributors to medical error. | PSNet
      psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
      December 23, 2008 - Related Resources From the Same Author(s) Driving improvement in patient care: lessons

2437. Integrating CUSP and TRIP to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
      June 16, 2011 - September 20, 2011 Reducing health care hazards: lessons from the Commercial Aviation

2438. Diseases of medical progress. | PSNet
      psnet.ahrq.gov/issue/diseases-medical-progress
      June 27, 2018 - 2023 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

2439. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
      March 19, 2019 - surgery resident physicians perceive that catastrophic errors result from system problems and provide lessons

2440. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. | PSNet
      psnet.ahrq.gov/issue/harmed-patients-gaining-voice-challenging-dominant-perspectives-construction-medical-harm-and
      March 18, 2020 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons