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Total Results: 3,237 records

Showing results for "lessons learned".

3181. Can Research Help Us Improve the Medical Liability System? | PSNet
      psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
      March 01, 2012 - learn from our patients' experiences, we should learn from our mistakes, and infuse in our system those lessons … learned as quickly as possible. … October 14, 2020 Apology laws and malpractice liability: what have we learned?

3182. Post-Acute Transitional Services: Safety in Home-Based Care Programs | PSNet
      psnet.ahrq.gov/primer/post-acute-transitional-services-safety-home-based-care-programs
      April 24, 2024 - report, “An Overview of Home-Based Primary Care: Learning from the Field,” identifies salient points and lessons … learned from home-based primary care. 48 Of note, they report that less than 12% of homebound persons

3183. In Conversation with...Richard P. Shannon, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withrichard-p-shannon-md
      August 01, 2010 - RS: That's where the toolkit using lessons borrowed from Toyota is so widely applicable.

3184. Mismanagement of Acute Decompensated Heart Failure with Hypertensive Emergency | PSNet
      psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
      May 01, 2018 - August 21, 2007 Perspective Rapid Response Teams: Lessons

3185. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33869/psn-pdf
      November 01, 2018 - In Conversation With… David Meltzer, MD, PhD November 1, 2018 In Conversation With… David Meltzer, MD, PhD. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/conversation-david-meltzer-md-phd Editor's note: Dr. Meltzer is the Fanny L. Pritzker Professor of Medicine, Chief of the Section of Hospital Medici…

3186. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - The lesson to be learned in this case is in follow-up care, which as noted above, is not guided by high-grade

3187. Telemedicine and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/telemedicine-and-patient-safety
      September 01, 2016 - Patient safety and telephone medicine: some lessons from closed claim case review. … We've learned that physicians who have a lot of experience with particular health interventions usually

3188. In Conversation With… Reed V. Tuckson, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-reed-v-tuckson-md
      September 01, 2016 - We've learned that physicians who have a lot of experience with particular health interventions usually … Patient safety and telephone medicine: some lessons from closed claim case review.

3189. Risk Management and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/risk-management-and-patient-safety
      December 01, 2010 - 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

3190. Are Residency Duty Hour Rules Improving Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-residency-duty-hour-rules-improving-patient-safety
      April 01, 2013 - one sort or another, for resident coverage and now increasingly for attending coverage, what have we learned … In my mind those lessons should be incentive for all of us to try to extend safety improvement efforts

3191. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - cancer patients. 27 Treatment planning as an on-going process, not a one-time decision  A final lesson learned

3192. The safety of inpatient pediatrics: preventing medical errors and injuries among hospitalized children. | PSNet
      psnet.ahrq.gov/issue/safety-inpatient-pediatrics-preventing-medical-errors-and-injuries-among-hospitalized
      November 16, 2022 - August 9, 2006 Results and lessons from a hospital-wide initiative incentivised by delivery

3193. Discharge Instructions in the PACU: Who Remembers? | PSNet
      psnet.ahrq.gov/web-mm/discharge-instructions-pacu-who-remembers
      August 05, 2009 - September 23, 2020 The Lancet Commission on lessons for the future from the COVID-19

3194. The I-READI Quality and Safety Framework: Strong Communications Channels and Effective Practices to Rapidly Update and Implement Clinical Protocols During a Time of Crisis | PSNet
      psnet.ahrq.gov/innovation/i-readi-quality-and-safety-framework-strong-communications-channels-and-effective
      February 26, 2025 - Rapid response to crisis: health system lessons from the active period of COVID-19.

3195. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
      March 27, 2024 - We spoke with him about the HITECH Act and lessons learned in health care since it was enacted.

3196. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - Five years after To Err Is Human: what have we learned? JAMA. 2005;293:2384-2390. … January 6, 2010 Reducing health care hazards: lessons from the Commercial Aviation Safety

3197. Misdiagnosis of Small Bowel Obstruction in the Setting of Previous Abdominal Operations | PSNet
      psnet.ahrq.gov/web-mm/misdiagnosis-small-bowel-obstruction-setting-previous-abdominal-operations
      September 27, 2023 - Hospital Overcrowding August 31, 2022 Designing an abstraction instrument: lessons

3198. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74120/psn-pdf
      November 30, 2021 - A final lesson learned from this case is that the patient may have benefited from multiple conversations

3199. Operationalizing Patient Safety at Academic Medical Centers | PSNet
      psnet.ahrq.gov/perspective/operationalizing-patient-safety-academic-medical-centers
      August 01, 2010 - RS: That's where the toolkit using lessons borrowed from Toyota is so widely applicable.

3200. Periodic Issue | PSNet
      psnet.ahrq.gov/periodic-issue/periodic-issue-401
      July 31, 2023 - Special or Theme Issue Lessons for Work-Life Wellness in Academic Medicine: Parts