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Total Results: 3,005 records

Showing results for "lessons learned".

2481. Impact of nurse peer review on a culture of safety. | PSNet
      psnet.ahrq.gov/issue/impact-nurse-peer-review-culture-safety
      November 29, 2023 - February 26, 2009 Results and lessons from a hospital-wide initiative incentivised by

2482. Use of complex adaptive systems metaphor to achieve professional and organizational change. | PSNet
      psnet.ahrq.gov/issue/use-complex-adaptive-systems-metaphor-achieve-professional-and-organizational-change
      November 11, 2020 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

2483. Development and evaluation of a required patient safety course.  | PSNet
      psnet.ahrq.gov/issue/development-and-evaluation-required-patient-safety-course
      January 11, 2023 - 2021 View More Related Resources Maximizing student potential: lessons

2484. Human error: models and management. | PSNet
      psnet.ahrq.gov/issue/human-error-models-and-management
      November 18, 2015 - Lessons from aviation to improve patient safety.

2485. What is accountability in health care? | PSNet
      psnet.ahrq.gov/issue/what-accountability-health-care
      April 19, 2013 - April 17, 2019 Teaching patient safety in global health: lessons from the Duke Global

2486. Digital health technology-specific risks for medical malpractice liability. | PSNet
      psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
      January 18, 2023 - November 30, 2022 Error reduction in trauma care: lessons from an anonymized, national

2487. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - many academic and consumer articles, which focus on optimizing organizational effectiveness through lessons … While rivals were in the mindset of planning, command, and control, Toyota had learned that no amount … several months, they started tackling this problem, these constant breakdowns in care, in the ways we learned … These people often find that there are so many disanalogies that the lessons aren't transferable.

2488. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74226/psn-pdf
      February 01, 2019 - program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned. … program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned.

2489. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
      psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
      October 30, 2024 - program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned. … program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned.

2490. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - implementations, we believe that health care systems and vendors would be well served by a library of lessons … learned and use cases that they can draw upon to design and install their systems. … RW : I learned something from each interview, and it made it an incredibly rich experience. … I do think there are huge lessons to be drawn from those examples. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned

2491. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73300/psn-pdf
      July 01, 2022 - information from providers and can explain in their own words their understanding of what they have learned … Project BOOST implementation: lessons learned. South Med J. 2014;107(7):455-465. 

2492. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33655/psn-pdf
      August 01, 2007 - remainder of this article will provide a brief overview of the issues we have encountered and the key lessons … we have learned.

2493. Reframing the morbidity and mortality conference: the impact of a just culture. | PSNet
      psnet.ahrq.gov/issue/reframing-morbidity-and-mortality-conference-impact-just-culture
      November 15, 2018 - February 9, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2494. Types of diagnostic errors in neurological emergencies in the emergency department. | PSNet
      psnet.ahrq.gov/issue/types-diagnostic-errors-neurological-emergencies-emergency-department
      October 30, 2019 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

2495. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet
      psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
      February 28, 2024 - 28, 2024 From theory to policy in resilient health care: policy recommendations and lessons

2496. Medication prescribing errors in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
      December 23, 2008 - May 27, 2011 E-prescribing, efficiency, quality: lessons from the computerization of

2497. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet
      psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
      June 24, 2010 - April 24, 2018 How doctors think: common diagnostic errors in clinical judgment--lessons

2498. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet
      psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
      August 24, 2016 - 24, 2016 Culture and behaviour in the English National Health Service: overview of lessons

2499. A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet
      psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
      July 01, 2017 - June 14, 2023 Teaching patient safety in global health: lessons from the Duke Global

2500. Preventable morbidity at a mature trauma center. | PSNet
      psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center
      September 22, 2021 - 2023 Learning from morbidity and mortality conferences: focus and sustainability of lessons