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Total Results: 3,006 records

Showing results for "lessons learned".

261. Adverse events in hospitals: the patient's point of view. | PSNet
     psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
     December 29, 2014 - April 12, 2019 Lessons learned for reducing the negative impact of adverse events on … December 29, 2014 Communication-and-resolution programs: the challenges and lessons learned

262. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet
     psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
     November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons … learned. … February 2, 2011 Lessons learned for reducing the negative impact of adverse events on

263. Using root cause analysis to reduce falls with injury in community settings. | PSNet
     psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
     April 25, 2016 - April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

264. Digital health and patient safety. | PSNet
     psnet.ahrq.gov/issue/digital-health-and-patient-safety
     September 01, 2016 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018 Changing smart pump vendors: lessons learned.

265. 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

266. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety https … ://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

267. Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. | PSNet
     psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
     May 25, 2022 - May 4, 2022 Lessons learned from a systems approach to engaging patients and families … August 21, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

268. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. | PSNet
     psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
     February 03, 2021 - January 16, 2025 Quality improvement lessons learned from National Implementation of … July 7, 2021 Lessons learned from a systems approach to engaging patients and families

269. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. | PSNet
     psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
     September 01, 2021 - June 2, 2021 Lessons learned from a systems approach to engaging patients and families … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

270. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. | PSNet
     psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
     January 12, 2022 - December 18, 2014 Communication-and-resolution programs: the challenges and lessons learned … December 11, 2013 Lessons learned from implementation of computerized provider order

271. Abbreviation use decreases effective clinical communication and can compromise patient safety. | PSNet
     psnet.ahrq.gov/issue/abbreviation-use-decreases-effective-clinical-communication-and-can-compromise-patient-safety
     October 29, 2017 - This article highlights how lessons learned regarding abbreviations in aviation can apply to healthcare … Lessons from aviation to improve patient safety. … Lessons from aviation for returning to non-urgent surgery following COVID-19.

272. Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic; a structured approach to developing resilience or natural organisational responses. | PSNet
     psnet.ahrq.gov/issue/crisis-management-surgical-teams-and-their-leaders-lessons-covid-19-pandemic-structured
     February 12, 2020 - Review Crisis management for surgical teams and their leaders, lessons from the COVID … Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic: a structured … Crisis management for surgical teams and their leaders, lessons from the COVID-19 pandemic: a structured … RIS Download Citation Related Resources From the Same Author(s) Lessons … learned from a systems approach to engaging patients and families in patient safety transformation.

273. 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

274. Medical simulations identify potential problems before they can pose a real threat. | PSNet
     psnet.ahrq.gov/issue/medical-simulations-identify-potential-problems-they-can-pose-real-threat
     June 23, 2009 - tool for building systemic awareness through role play, after-event analysis, and discussions of how lessons … learned can be applied to daily practice. … Related Resources From the Same Author(s) Health Care Quality and Disparities: Lessons

275. 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

276. 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

277. 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

278. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43670/psn-pdf
     November 12, 2014 - A past AHRQ WebM&M perspective covers lessons learned from early rapid response system implementation … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience

279. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

280. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet
     psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
     January 18, 2013 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of