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Total Results: 3,006 records

Showing results for "lessons learned".

2641. Need for standardized sign-out in the emergency department: a survey of emergency medicine residency and pediatric emergency medicine fellowship program directors. | PSNet
      psnet.ahrq.gov/issue/need-standardized-sign-out-emergency-department-survey-emergency-medicine-residency-and
      May 27, 2011 - April 12, 2023 When the lights go down in the delivery room: lessons from a ransomware

2642. Adapting cognitive task analysis to investigate clinical decision making and medication safety incidents. | PSNet
      psnet.ahrq.gov/issue/adapting-cognitive-task-analysis-investigate-clinical-decision-making-and-medication-safety
      March 10, 2021 - October 31, 2017 Maximizing student potential: lessons for pharmacy programs from the

2643. Considering chance in quality and safety performance measures: an analysis of performance reports by boards in English NHS trusts. | PSNet
      psnet.ahrq.gov/issue/considering-chance-quality-and-safety-performance-measures-analysis-performance-reports
      October 27, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2644. Pathology trainees rarely report safety incidents: a review of 13,722 safety reports and a call to action. | PSNet
      psnet.ahrq.gov/issue/pathology-trainees-rarely-report-safety-incidents-review-13722-safety-reports-and-call-action
      September 15, 2021 - July 6, 2012 Lessons learnt from incidents reported by postgraduate trainees in Dutch

2645. COVID-19 pandemic: a time for collaboration and a unified global health front. | PSNet
      psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front
      December 09, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2646. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
      November 30, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2647. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet
      psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
      January 18, 2023 - November 10, 2010 Tracking rates of patient safety indicators over time: lessons from

2648. A systematic review of clinical outcomes associated with intrahospital transitions | PSNet
      psnet.ahrq.gov/issue/systematic-review-clinical-outcomes-associated-intrahospital-transitions
      October 02, 2019 - December 4, 2016 "At home, with care": lessons from New York City home-based primary

2649. High Reliability | PSNet
      psnet.ahrq.gov/primer/high-reliability
      January 29, 2020 - Hazards September 15, 2024 Editor's Picks Building cultures of high reliability: lessons

2650. Innovation and Lean Thinking: Mutually Supportive Partners in the Transformation of Health Care | PSNet
      psnet.ahrq.gov/perspective/innovation-and-lean-thinking-mutually-supportive-partners-transformation-health-care
      January 01, 2015 - I love reading Don Berwick , Lucian Leape , and others who directly worked with or learned from Dr. … You see those types of lessons visiting a Toyota plant. … Perspective African Partnerships for Patient Safety: Lessons … Learned December 1, 2014 Interview In Conversation

2651. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - We think the principle of patient safety must be learned at the beginning of health education. … efficiently detect dental charts that contain patient safety events.( 2,16,17 ) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2.

2652. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Structured communication techniques: Participants learned structured communication, teamwork and situational … Participants also received and learned to use forms to document communication. … Chair of the Department of Obstetrics and Gynecology and now Director of PROMPT for North America, learned … Lessons from a series of research on teamwork, leadership and team training.

2653. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - efficiently detect dental charts that contain patient safety events.( 2,16,17 ) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2. … We think the principle of patient safety must be learned at the beginning of health education.

2654. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA2 during a conference and was so impacted that we soon … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA2 ?

2655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

2656. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - MG : We didn't know either, but after a few calls to the Institute of Medicine we learned. … Also I'm a huge fan of the AHRQ WebM&M conferences, and there are many, many valuable lessons in there … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders … Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record.

2657. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865418/psn-pdf
      March 27, 2024 - .10 Finally, it is critically important for the organization to debrief about the event, determine lessons … learned, and develop a plan for carrying out action items.

2658. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - We recommend that organizations use the lessons from malpractice claims to improve systems of care. … The American Society of Anesthesiology Closed Claims Project: what have we learned, how has it affected

2659. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33876/psn-pdf
      August 01, 2018 - networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself.

2660. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865570/psn-pdf
      April 10, 2024 - Anesthesia adverse events voluntarily reported in the Veterans health administration and lessons learned