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Total Results: 3,006 records

Showing results for "lessons learned".

2701. 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.

2702. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet
      psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
      July 29, 2020 - November 10, 2010 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2703. 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

2704. 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

2705. 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

2706. 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

2707. 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

2708. 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

2709. 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

2710. 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

2711. 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

2712. 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

2713. 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

2714. Fatigue and safety in paramedicine. | PSNet
      psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
      December 16, 2020 - January 18, 2023 Hospital-acquired SARS-CoV-2 infection: lessons for public health.

2715. 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

2716. 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

2717. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. | PSNet
      psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
      June 28, 2011 - February 23, 2011 Tracking rates of patient safety indicators over time: lessons from

2718. 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

2719. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet
      psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
      October 07, 2020 - August 17, 2022 Error reduction in trauma care: lessons from an anonymized, national,

2720. In Conversation with...James L. Reinertsen, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjames-l-reinertsen-md
      August 01, 2007 - I learned that, rather than just fixing things for our practice or the guy down the hall, with the right … And what I learned was how difficult it is to make big changes in such systems. … of Dana Farber, went to talk to a particular hospital (which I won't name) about what Dana Farber learned … remainder of this article will provide a brief overview of the issues we have encountered and the key lessons … we have learned.