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Total Results: 3,005 records

Showing results for "lessons learned".

2641. 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

2642. 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

2643. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846922/psn-pdf
      March 29, 2023 - Caring beyond health care: lessons learned from a community-based partnership to reduce hospital readmission

2644. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49791/psn-pdf
      April 01, 2017 - Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149:774-779.

2645. 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

2646. Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. | PSNet
      psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
      July 03, 2016 - August 9, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2647. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
      psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
      September 09, 2015 - 2015 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2648. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
      psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
      October 23, 2013 - November 12, 2014 Mind the gap between recommendation and implementation—principles and lessons

2649. Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/psychological-and-psychosomatic-symptoms-second-victims-adverse-events-systematic-review-and
      June 23, 2021 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation

2650. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
      February 02, 2022 - 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

2651. How safe is primary care? A systematic review. | PSNet
      psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
      December 18, 2013 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons

2652. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet
      psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
      August 15, 2012 - May 24, 2015 Findings and Lessons From the Improving Quality Through Clinician Use of

2653. Association of surgeon-patient sex concordance with postoperative outcomes. | PSNet
      psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
      September 09, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2654. Patient safety skills in primary care: a national survey of GP educators. | PSNet
      psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
      October 05, 2016 - 26, 2025 Quality improvement priorities for safer out-of-hours palliative care: lessons

2655. Development of rapid response capabilities in a large COVID-19 alternate care site using Failure Modes and Effect Analysis with in situ simulation. | PSNet
      psnet.ahrq.gov/issue/development-rapid-response-capabilities-large-covid-19-alternate-care-site-using-failure
      September 16, 2020 - 9, 2021 View More Related Resources The Lancet Commission on lessons

2656. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
      February 22, 2019 - Same Author(s) Quality improvement priorities for safer out-of-hours palliative care: lessons

2657. A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet
      psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
      December 21, 2016 - October 3, 2017 Applying lessons from social psychology to transform the culture of error

2658. Cost-benefit analysis of a medical emergency team in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
      November 06, 2015 - A prior AHRQ WebM&M perspective discusses early lessons of medical emergency teams.

2659. Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet
      psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group
      July 29, 2020 - September 21, 2016 "At home, with care": lessons from New York City home-based primary

2660. A resilience view on health system resilience: a scoping review of empirical studies and reviews. | PSNet
      psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
      March 11, 2013 - May 31, 2023 Lessons from the Covid War: An Investigative Report.