Results

Total Results: 3,236 records

Showing results for "lessons learned".

281. 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

282. 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.

283. Clinical alarms: improving efficiency and effectiveness. | PSNet
     psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
     February 22, 2010 - November 3, 2021 Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022 View More Related Resources Lessons learned from

284. 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.

285. 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

286. 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

287. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/854263/psn-pdf
     November 03, 2023 - psnet.ahrq.gov/issue/improving-diagnosis-health-care https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care

288. 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.

289. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36067/psn-pdf
     September 28, 2010 - describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessons … learned since implementation.

290. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60624/psn-pdf
     June 24, 2020 - psnet.ahrq.gov/issue/patient-died-what-about-involvement-investigation-process https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation

291. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/844055/psn-pdf
     February 08, 2023 - unequal-treatment-confronting-racial-and-ethnic-disparities-health-care https://psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety

292. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46385/psn-pdf
     October 23, 2018 - Strategies discussed include artificial intelligence, lessons learned initiatives, and data-tracking

293. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60956/psn-pdf
     September 30, 2020 - performance, and options for practitioners with declining performance, including key features and lessons … learned from early adopters of late career practitioner programs.

294. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35980/psn-pdf
     January 01, 2019 - development-national-reporting-and-learning-system-england-and-wales-2001- 2005 The authors describe lessons … learned from a 4-year effort to develop and implement a national reporting system in the United Kingdom

295. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73715/psn-pdf
     September 15, 2021 - psnet.ahrq.gov/issue/we-need-leaders-48th-annual-rovenstine-lecture https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide

296. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/47062/psn-pdf
     October 13, 2018 - The authors outline results and lessons learned from implementing the tool.

297. 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.

298. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/864866/psn-pdf
     March 20, 2024 - Lessons learned are included to enhance the resilience of the health care system for future emergencies

299. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35932/psn-pdf
     October 03, 2017 - injury-research-volunteers-clinical-research-nightmare The authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons … learned can minimize future occurrences.

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36163/psn-pdf
     September 29, 2010 - case study shares the experiences of the BTS, the positive impact they had on adverse events, and lessons … learned that fueled their success. … improving-bar-coded-medication-administration-system-department-veterans-affairs https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative