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Total Results: 3,006 records

Showing results for "lessons learned".

641. New patient safety organizations lower roadblocks to medical error reporting. | PSNet
     psnet.ahrq.gov/issue/new-patient-safety-organizations-lower-roadblocks-medical-error-reporting
     May 20, 2009 - Related Resources From the Same Author(s) Reducing health care hazards: lessons … December 15, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

642. "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

643. The State of VA Health Care. | PSNet
     psnet.ahrq.gov/issue/state-va-health-care
     May 01, 2015 - November 6, 2019 Lessons Learned? … September 6, 2016 Addressing the opioid epidemic in the United States: lessons from the

644. We're not your enemy: an appeal from a consumer to re-imagine tort reform. | PSNet
     psnet.ahrq.gov/issue/were-not-your-enemy-appeal-consumer-re-imagine-tort-reform
     March 27, 2005 - December 22, 2008 Lessons learned from a systems approach to engaging patients and families … July 15, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

645. Taking aim at infusion confusion. | PSNet
     psnet.ahrq.gov/issue/taking-aim-infusion-confusion
     June 06, 2018 - 2018 Learning from morbidity and mortality conferences: focus and sustainability of lessons … January 12, 2011 Intravenous medication safety and smart infusion systems: lessons learned

646. 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?

647. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/42208/psn-pdf
     April 17, 2013 - harm-reduction-strategies-if-keeping-12-hour-shifts https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

648. How do hospital boards govern for quality improvement? A mixed methods study of 15 organisations in England. | PSNet
     psnet.ahrq.gov/issue/how-do-hospital-boards-govern-quality-improvement-mixed-methods-study-15-organisations
     February 20, 2019 - 20, 2019 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

649. 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

650. 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

651. 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.

652. Pediatric emergency nurses self-reported medication safety practices. | PSNet
     psnet.ahrq.gov/issue/pediatric-emergency-nurses-self-reported-medication-safety-practices
     March 03, 2019 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons … August 4, 2010 Lessons learned: basic evidence-based advice for preventing medication

653. 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.

654. National efforts to improve health information system safety in Canada, the United States of America and England. | PSNet
     psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
     July 14, 2009 - March 9, 2011 What have we learned about interventions to reduce medical errors? … April 1, 2010 Adopting electronic medical records in primary care: lessons learned from

655. 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?

656. 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

657. 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

658. 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

659. 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?

660. 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?