Results

Total Results: 3,006 records

Showing results for "lessons learned".

2501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … RW: As a learning health system, what do you think the lessons are from readmission penalties? … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned

2502. Is there light? Well it depends—a grounded theory study of nurses, lighting, and medication administration. | PSNet
      psnet.ahrq.gov/issue/there-light-well-it-depends-grounded-theory-study-nurses-lighting-and-medication
      June 29, 2011 - 26, 2008 From theory to policy in resilient health care: policy recommendations and lessons

2503. Preventing central line–associated bloodstream infections in the intensive care unit: application of high-reliability principles. | PSNet
      psnet.ahrq.gov/issue/preventing-central-line-associated-bloodstream-infections-intensive-care-unit-application
      March 10, 2010 - October 15, 2014 What went right: lessons for the intensivist from the crew of US Airways

2504. A systematic review of teamwork training interventions in medical student and resident education. | PSNet
      psnet.ahrq.gov/issue/systematic-review-teamwork-training-interventions-medical-student-and-resident-education
      November 18, 2016 - September 18, 2013 Improving patient safety: lessons from rock climbing.

2505. Adverse event reporting tool to standardize the reporting and tracking of adverse events during procedural sedation: a consensus document from the World SIVA International Sedation Task Force. | PSNet
      psnet.ahrq.gov/issue/adverse-event-reporting-tool-standardize-reporting-and-tracking-adverse-events-during
      April 20, 2016 - March 16, 2022 Lessons in Patient Safety.

2506. 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

2507. Patient safety in women's health-care: professional colleges can make a difference. The Society of Obstetricians and Gynaecologists of Canada MORE(OB) program. | PSNet
      psnet.ahrq.gov/issue/patient-safety-womens-health-care-professional-colleges-can-make-difference-society
      November 28, 2018 - Lessons from a series of research on teamwork, leadership and team training.

2508. Video registration of trauma team performance in the emergency department: the results of a 2-year analysis in a Level 1 trauma center. | PSNet
      psnet.ahrq.gov/issue/video-registration-trauma-team-performance-emergency-department-results-2-year-analysis-level
      November 16, 2022 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons

2509. 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

2510. Speaking up for patient safety by hospital-based health care professionals: a literature review. | PSNet
      psnet.ahrq.gov/issue/speaking-patient-safety-hospital-based-health-care-professionals-literature-review
      October 31, 2011 - 23, 2016 Culture and behaviour in the English National Health Service: overview of lessons

2511. Medicaid, hospital financial stress, and the incidence of adverse medical events for children. | PSNet
      psnet.ahrq.gov/issue/medicaid-hospital-financial-stress-and-incidence-adverse-medical-events-children
      December 21, 2022 - November 21, 2021 Involving users in the design of a system for sharing lessons from

2512. Delayed Admissions to the Pediatric Intensive Care Unit: Progression of Disease or Errors in Emergency Department Management | PSNet
      psnet.ahrq.gov/issue/delayed-admissions-pediatric-intensive-care-unit-progression-disease-or-errors-emergency
      June 14, 2019 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2513. Safe electronic health record use requires a comprehensive monitoring and evaluation framework. | PSNet
      psnet.ahrq.gov/issue/safe-electronic-health-record-use-requires-comprehensive-monitoring-and-evaluation-framework
      May 22, 2015 - September 29, 2017 Ebola US Patient Zero: lessons on misdiagnosis and effective use of

2514. JAMA professionalism: disclosure of medical error. | PSNet
      psnet.ahrq.gov/issue/jama-professionalism-disclosure-medical-error
      December 19, 2018 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2515. Communication techniques for patients with low health literacy: a survey of physicians, nurses, and pharmacists. | PSNet
      psnet.ahrq.gov/issue/communication-techniques-patients-low-health-literacy-survey-physicians-nurses-and
      February 27, 2019 - 2019 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2516. Defining and measuring patient safety. | PSNet
      psnet.ahrq.gov/issue/defining-and-measuring-patient-safety
      June 16, 2011 - November 26, 2013 Tracking rates of patient safety indicators over time: lessons from

2517. A scoping review of the hidden curriculum in pharmacy education. | PSNet
      psnet.ahrq.gov/issue/scoping-review-hidden-curriculum-pharmacy-education
      November 16, 2022 - May 15, 2024 Maximizing student potential: lessons for pharmacy programs from the patient

2518. Examining the effects of an obstetrics interprofessional programme on reductions to reportable events and their related costs. | PSNet
      psnet.ahrq.gov/issue/examining-effects-obstetrics-interprofessional-programme-reductions-reportable-events-and
      August 04, 2021 - February 7, 2024 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2519. Is there a 'weekend effect' in major trauma? | PSNet
      psnet.ahrq.gov/issue/there-weekend-effect-major-trauma
      September 23, 2020 - November 12, 2014 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2520. Determinants of adverse events in hospitals—the potential role of patient safety culture. | PSNet
      psnet.ahrq.gov/issue/determinants-adverse-events-hospitals-potential-role-patient-safety-culture
      October 22, 2008 - 31, 2016 Culture and behaviour in the English National Health Service: overview of lessons