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Total Results: 3,236 records

Showing results for "lessons learned".

261. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - July 3, 2014 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

262. Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. | PSNet
     psnet.ahrq.gov/issue/assessment-changes-visits-and-antibiotic-prescribing-during-agency-healthcare-research-and
     March 10, 2021 - May 25, 2022 Lessons learned from a national hospital antibiotic stewardship implementation … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management

263. Adverse patient safety events during the COVID epidemic. | PSNet
     psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
     May 03, 2023 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

264. Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet
     psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
     August 21, 2019 - Download Citation Related Resources From the Same Author(s) Sharing lessons … learned to prevent adverse events in anesthesiology nationwide. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

265. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - December 23, 2020 Lessons learned from a systems approach to engaging patients and families … January 11, 2023 Rooting an error review process in just culture: lessons learned.

266. Assessing reasons for decreased primary care access for individuals on prescribed opioids: an audit study. | PSNet
     psnet.ahrq.gov/issue/assessing-reasons-decreased-primary-care-access-individuals-prescribed-opioids-audit-study
     November 17, 2021 - April 12, 2023 Lessons learned in implementing a chronic opioid therapy management system … September 7, 2022 Achieving zero inequity: lessons learned from patient safety.

267. "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.

268. 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.

269. 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

270. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38729/psn-pdf
     April 15, 2019 - https://psnet.ahrq.gov/issue/chpso This Website offers tools, a newsletter focusing on lessons learned

271. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73431/psn-pdf
     June 23, 2021 - organizations, physicians, and pharmacists to take part in a learning network to share aggregated data, lessons … learned, and educational opportunities to reduce medication adverse events through safe deprescribing

272. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/841489/psn-pdf
     December 14, 2022 - psnet.ahrq.gov/issue/inequity-and-iatrogenic-harm https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/74246/psn-pdf
     January 12, 2022 - learning-patients-experiences-related-diagnostic-errors-essential-progress-patient-safety https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

274. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44760/psn-pdf
     July 10, 2024 - collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

275. Creating a culture of safety. | PSNet
     psnet.ahrq.gov/issue/creating-culture-safety
     January 15, 2014 - Related Resources Communication-and-resolution programs: the challenges and lessons … learned from six early adopters. … January 15, 2014 Culture and behaviour in the English National Health Service: overview of lessons

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39716/psn-pdf
     August 09, 2013 - managers of Formula One auto racing teams to determine the key elements of racing "pit stops" and draw lessons … The key lessons learned from the auto racing approach—proactive planning, active management of the handover

277. Canada's Virtual Forum on Patient Safety and Quality Improvement. | PSNet
     psnet.ahrq.gov/issue/canadas-virtual-forum-patient-safety-and-quality-improvement
     February 23, 2011 - conference hosted presentations and discussions exploring multidisciplinary insights on best practices and lessons … learned about different patient safety themes each day. … November 11, 2015 Profiles in Excellence: Quality Improvement Lessons--Parts 1 and 2.

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851068/psn-pdf
     June 28, 2023 - This report summarizes lessons learned at a series of infection prevention and control listening sessions

279. A patient safety objective structured clinical examination. | PSNet
     psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
     October 06, 2011 - Citation Related Resources From the Same Author(s) The safety journal: lessons … learned with an error reporting tool to stimulate systems thinking. … November 2, 2011 The safety journal: lessons learned with an error reporting tool to

280. 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.