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Total Results: 3,006 records

Showing results for "lessons learned".

2561. Improving medication-related safety for residents in nursing homes: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/improving-medication-related-safety-residents-nursing-homes-qualitative-study
      March 24, 2019 - January 21, 2015 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2562. Towards safer transitions: a curriculum to teach and assess hospital-to-hospice handoffs. | PSNet
      psnet.ahrq.gov/issue/towards-safer-transitions-curriculum-teach-and-assess-hospital-hospice-handoffs
      March 20, 2024 - March 20, 2024 Applying lessons from social psychology to transform the culture of error

2563. Transforming healthcare: a safety imperative. | PSNet
      psnet.ahrq.gov/issue/transforming-healthcare-safety-imperative
      June 26, 2019 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

2564. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

2565. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - A generation ago, aviation learned the lesson from several horrible accidents that tragedy can often … Rather than risking a false alarm and its accompanying stigma, they have learned to say, “Oh, it’s probably … The complexity of team training: what we have learned from aviation and its applications to medicine

2566. In Conversation with…David W. Bates, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
      May 01, 2018 - What have we learned about making effective decisions for it to work? DB: We've learned a lot. … One thing we've learned is that how to do it best does vary a lot by the specific clinical situation. … What lessons have you learned from your research career that you think are applicable to other people

2567. Safety and Medical Education | PSNet
      psnet.ahrq.gov/perspective/safety-and-medical-education
      December 01, 2013 - I have learned from them, and at the same time I've been able to contribute to their mission to improve … Over time though, I have found common threads between the breadth of topics I studied, and I often learned … I have learned a lot of useful concepts for diagnostic error from this collaboration. … Identifying and classifying diagnostic errors in acute care across hospitals: early lessons … April 1, 2013 Perspective What Have We Learned About

2568. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      May 01, 2008 - What have we learned about making effective decisions for it to work? DB: We've learned a lot. … One thing we've learned is that how to do it best does vary a lot by the specific clinical situation. … What lessons have you learned from your research career that you think are applicable to other people

2569. 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

2570. Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula | PSNet
      psnet.ahrq.gov/perspective/building-systems-citizenship-health-professions-education-continued-call-health-systems
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … conducive environment to not only teach the foundations of health systems science, but to reinforce these lessons … March 20, 2019 The safety journal: lessons learned with an error reporting tool to stimulate

2571. The LifePoint National Quality Program Provides Structured Framework for Reducing Inpatient Harm | PSNet
      psnet.ahrq.gov/innovation/lifepoint-national-quality-program-provides-structured-framework-reducing-inpatient-harm
      February 26, 2025 - Critical Radiology Alert Process October 30, 2024 Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation

2572. Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units | PSNet
      psnet.ahrq.gov/perspective/surveillance-monitoring-improve-patient-safety-acute-hospital-care-units
      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.

2573. Impact of pharmacist-led interventions on medication-related problems among patients treated for cancer: a systematic review and meta-analysis of randomized control trials. | PSNet
      psnet.ahrq.gov/issue/impact-pharmacist-led-interventions-medication-related-problems-among-patients-treated-cancer
      May 10, 2017 - July 20, 2022 Maximizing student potential: lessons for pharmacy programs from the patient

2574. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet
      psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
      November 17, 2014 - , 2014 A method for prioritizing interventions following root cause analysis (RCA): lessons

2575. Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet
      psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
      July 03, 2014 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons

2576. Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet
      psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
      April 03, 2024 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

2577. Frequency and clinical importance of pages sent to the wrong physician. | PSNet
      psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
      October 31, 2011 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2578. Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet
      psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
      April 20, 2011 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2579. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet
      psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
      March 14, 2018 - October 30, 2013 Improving patient safety: lessons from rock climbing.

2580. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet
      psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
      February 15, 2023 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons