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Total Results: 3,004 records

Showing results for "lessons learned".

481. "To Err Is Human" Report Retrospective and the Decade Ahead. | PSNet
     psnet.ahrq.gov/issue/err-human-report-retrospective-and-decade-ahead
     February 15, 2011 - April 17, 2011 Simulation in the executive suite: lessons learned for building patient … January 6, 2010 Reducing health care hazards: lessons from the Commercial Aviation Safety

482. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38976/psn-pdf
     October 07, 2009 - psnet.ahrq.gov/issue/radiology-errors-are-we-learning-our-mistakes https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

483. Analysis of medical malpractice claims to improve quality of care: cautionary remarks. | PSNet
     psnet.ahrq.gov/issue/analysis-medical-malpractice-claims-improve-quality-care-cautionary-remarks
     May 09, 2012 - August 26, 2020 Lessons learned from medical malpractice claims involving critical care … August 5, 2020 Apology laws and malpractice liability: what have we learned?

484. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33721/psn-pdf
     November 01, 2011 - //#ref3 https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 https://psnet.ahrq.gov//#ref1 Lessons … Learned There were many lessons learned from the implementation of this program. … Follow-up support We also learned the value of follow-up support. … The final lesson learned from MTT simulation is the importance of debriefing. … Characteristics of successful quality improvement teams: lessons from five collaborative projects in

485. Explaining organisational responses to a board-level quality improvement intervention: findings from an evaluation in six providers in the English National Health Service. | PSNet
     psnet.ahrq.gov/issue/explaining-organisational-responses-board-level-quality-improvement-intervention-findings
     November 21, 2017 - 21, 2017 Prospects for comparing European hospitals in terms of quality and safety: lessons … June 25, 2014 Governing patient safety: lessons learned from a mixed methods evaluation … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

486. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/41703/psn-pdf
     November 08, 2012 - tell-truth-ethical-and-practical-issues-disclosing-medical-mistakes-patients https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

487. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45754/psn-pdf
     September 01, 2018 - This editorial describes lessons learned from the Massachusetts PROMISES (Proactive Reduction of Outpatient

488. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42011/psn-pdf
     March 06, 2013 - This article describes the iterative process and lessons learned by a university medical center during

489. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43450/psn-pdf
     May 06, 2015 - This AHRQ publication offers 19 papers that explore government-funded research into HAIs, including lessons … learned from the design and implementation of prevention efforts along with projects that sought to

490. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73887/psn-pdf
     September 29, 2021 - psnet.ahrq.gov/issue/body-ct-technical-advances-improving-safety https://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

491. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33842/psn-pdf
     January 01, 2018 - Assessing the Safety of Electronic Health Records: What Have We Learned? … Assessing the Safety of Electronic Health Records: What Have We Learned? PSNet [internet]. 2017. … We hope that the lessons above will help us take full advantage of the enormous potential of EHRs to … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative … Computer crash--lessons from a system failure. N Engl J Med. 2003;348:881-882.

492. Theorizing about systems: an ecological task for patient safety research. | PSNet
     psnet.ahrq.gov/issue/theorizing-about-systems-ecological-task-patient-safety-research
     August 20, 2008 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons … October 27, 2010 Patient safety: lessons learned.

493. Briefings, checklists, geese, and surgical safety. | PSNet
     psnet.ahrq.gov/issue/briefings-checklists-geese-and-surgical-safety
     August 02, 2015 - Lessons from aviation to improve patient safety. … May 20, 2015 Sharing lessons learned to prevent incorrect surgery.

494. Outcome of 6 years of protocol use for preventing wrong site office surgery. | PSNet
     psnet.ahrq.gov/issue/outcome-6-years-protocol-use-preventing-wrong-site-office-surgery
     February 10, 2012 - August 19, 2009 Adverse event reporting: lessons learned from 4 years of Florida office … September 14, 2022 How doctors think: common diagnostic errors in clinical judgment--lessons

495. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33612/psn-pdf
     May 01, 2005 - Saul Weingart, Director of the Center for Patient Safety at DFCI, to reflect on the lessons of the past … First, we learned that safety–if it was to be a core property of our system of care rather than an empty … Fourth, we learned that we could not do this work alone. … Sixth, and most important, we learned that the work of creating safe care is never finished. … required tenacity among our leaders and the courage to face our own failures in order to learn the lessons

496. Have we gone too far in translating ideas from aviation to patient safety? | PSNet
     psnet.ahrq.gov/issue/have-we-gone-too-far-translating-ideas-aviation-patient-safety
     March 06, 2005 - March 6, 2005 Escape Fire: Lessons for the Future of Health Care. … Improving Diagnostic Safety and Quality April 26, 2023 What went right: lessons … July 21, 2010 What have we learned about interventions to reduce medical errors?

497. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33615/psn-pdf
     June 01, 2005 - Are there lessons there for other institutions? PP: There were a number of important factors. … What lessons from your experience with Hopkins are generalizable? … PP: One of the lessons in overseeing quality and safety at Hopkins is that our center could never be … We have learned there were many ways of identifying defects: M&M conferences, incident-reporting systems … Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur

498. Person-Centered Guidelines for Preserving Family Presence in Challenging Times. | PSNet
     psnet.ahrq.gov/issue/person-centered-guidelines-preserving-family-presence-challenging-times
     October 14, 2015 - October 14, 2015 Eight CT lessons that we learned the hard way: an analysis of current … September 24, 2018 View More Related Resources Lessons from the

499. Legislative Report to the General Assembly: Adverse Event Reporting. | PSNet
     psnet.ahrq.gov/issue/legislative-report-general-assembly-adverse-event-reporting
     May 20, 2009 - Copy Citation Related Resources From the Same Author(s) Eight CT lessons … that we learned the hard way: an analysis of current patterns of radiological error and discrepancy with … December 6, 2017 Adverse Health Care Events Reporting System: What Have We Learned?

500. Structural and organizational issues in patient safety: a comparison of health care to other high-hazard industries. | PSNet
     psnet.ahrq.gov/issue/structural-and-organizational-issues-patient-safety-comparison-health-care-other-high-hazard
     February 09, 2011 - July 14, 2010 Escape Fire: Lessons for the Future of Health Care. … July 26, 2011 Risk mitigation in large scale systems: lessons from high reliability organizations … June 16, 2011 What have we learned about interventions to reduce medical errors?