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Total Results: 3,005 records

Showing results for "lessons learned".

2661. Underlying reasons associated with hospital readmission following surgery in the United States. | PSNet
      psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
      May 06, 2020 - notes that analyses of these surgical complications can serve as "treasures" for providing important lessons

2662. Mental health of staff working in intensive care during COVID-19. | PSNet
      psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
      June 02, 2021 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2663. Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
      July 22, 2020 - April 28, 2021 Crisis management for surgical teams and their leaders, lessons from the

2664. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet
      psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
      June 30, 2021 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2665. Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. | PSNet
      psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
      April 06, 2022 - March 4, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

2666. Patient voices in hospital safety during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic
      March 17, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2667. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet
      psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
      November 12, 2014 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

2668. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet
      psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
      February 14, 2018 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

2669. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet
      psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
      November 16, 2016 - September 27, 2017 Mind the gap between recommendation and implementation—principles and lessons

2670. Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical
      September 14, 2022 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

2671. Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
      October 11, 2017 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

2672. The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet
      psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization
      August 07, 2019 - 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

2673. Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet
      psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
      August 12, 2020 - September 23, 2020 View More Related Resources Lessons from the

2674. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. | PSNet
      psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
      September 30, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2675. "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. | PSNet
      psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
      April 12, 2023 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

2676. Professional, structural and organisational interventions in primary care for reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
      December 16, 2020 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons

2677. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet
      psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
      January 05, 2012 - September 29, 2017 Reducing health care hazards: lessons from the Commercial Aviation

2678. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. | PSNet
      psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
      July 28, 2021 - July 14, 2021 Crisis management for surgical teams and their leaders, lessons from the

2679. Deriving a framework for a systems approach to agitated patient care in the emergency department. | PSNet
      psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
      June 13, 2018 - 2018 View More Related Resources Error reduction in trauma care: lessons

2680. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet
      psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
      March 17, 2021 - Download Citation Related Resources From the Same Author(s) Results and lessons