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Total Results: 5,323 records

Showing results for "lessons learned".

  1. Diagnostic Safety Resource List (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/diagnostic-safety-resources.pdf
    May 01, 2023 - their respective healthcare organizations, they have tackled these complex issues and present the lessons … they have learned along the way. 3. … • Scientifically rooted in more than 20 years of research and lessons from the application of teamwork

  2. Measure Inventory for Use with All-Payer Claims Databases (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/apcd/apcdmeasinvrpt.pdf
    January 01, 2020 - for the Deep Dive............................................................................. 14 Lessons … Learned ............................................................................................ … Aligning Forces) In addition, in our discussions with the TEP and through our environmental scan, we learned … Lessons Learned Below are lessons learned from this process that may be useful while choosing measure … Additional variables for the deep dive measures Technical Specifications for the Deep Dive Lessons

  3. In Conversation With… Vineet Chopra, MD, MSc | PSNet

    psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
    February 28, 2024 - RW: What are some of the lessons you've learned about evidence to practice? … discussions at Michigan, but I'll say that most of the times, there is genuine surprise regarding what is learned … Much of what I've learned about PICCs, about vascular catheters, I have learned from that group. … the right place, about number of lumens, about catheter-to-vein ratios, things that you and I never learned

  4. Major cultural-compatibility complex: considerations on cross-cultural dissemination of patient safety programmes. | PSNet

    psnet.ahrq.gov/issue/major-cultural-compatibility-complex-considerations-cross-cultural-dissemination-patient
    May 26, 2010 - September 29, 2017 Reducing health care hazards: lessons from the Commercial Aviation

  5. Twelve tips for implementing a patient safety curriculum in an undergraduate programme in medicine. | PSNet

    psnet.ahrq.gov/issue/twelve-tips-implementing-patient-safety-curriculum-undergraduate-programme-medicine
    June 19, 2018 - July 9, 2014 Improving patient safety: lessons from rock climbing.

  6. Why a sociotechnical framework is necessary to address diagnostic error. | PSNet

    psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
    September 14, 2022 - November 12, 2014 How doctors think: common diagnostic errors in clinical judgment--lessons

  7. Studying patient safety in health care organizations: accentuate the qualitative. | PSNet

    psnet.ahrq.gov/issue/studying-patient-safety-health-care-organizations-accentuate-qualitative
    January 18, 2011 - October 19, 2022 Building cultures of high reliability: lessons from the high reliability

  8. Postoperative video debriefing reduces technical errors in laparoscopic surgery. | PSNet

    psnet.ahrq.gov/issue/postoperative-video-debriefing-reduces-technical-errors-laparoscopic-surgery
    March 14, 2022 - August 20, 2018 Error reduction in trauma care: lessons from an anonymized, national,

  9. Driving surgical quality using operative video. | PSNet

    psnet.ahrq.gov/issue/driving-surgical-quality-using-operative-video
    July 29, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  10. Retractions in the medical literature: how many patients are put at risk by flawed research? | PSNet

    psnet.ahrq.gov/issue/retractions-medical-literature-how-many-patients-are-put-risk-flawed-research
    August 31, 2011 - January 31, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

  11. Integrating knowledge-based resources into the electronic health record: history, current status, and role of librarians. | PSNet

    psnet.ahrq.gov/issue/integrating-knowledge-based-resources-electronic-health-record-history-current-status-and
    July 19, 2023 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation

  12. Nursing accreditation system and patient safety. | PSNet

    psnet.ahrq.gov/issue/nursing-accreditation-system-and-patient-safety
    September 23, 2009 - meta-analysis of prevalence and severity August 14, 2024 The Lancet Commission on lessons

  13. The checklist--a tool for error management and performance improvement. | PSNet

    psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
    June 29, 2011 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation

  14. The need for risk profiling in patient safety. | PSNet

    psnet.ahrq.gov/issue/need-risk-profiling-patient-safety
    August 08, 2010 - July 8, 2009 Quality improvement priorities for safer out-of-hours palliative care: lessons

  15. Medical malpractice in the People's Republic of China: the 2002 regulation on the handling of medical accidents. | PSNet

    psnet.ahrq.gov/issue/medical-malpractice-peoples-republic-china-2002-regulation-handling-medical-accidents
    January 08, 2025 - explain the 2002 regulation of medical malpractice in China in the context of previous laws and identify lessons

  16. Framework for direct observation of performance and safety in healthcare. | PSNet

    psnet.ahrq.gov/issue/framework-direct-observation-performance-and-safety-healthcare
    November 15, 2023 - July 24, 2013 Ten challenges in improving quality in healthcare: lessons from the Health

  17. Measurement of quality and assurance of safety in the critically ill. | PSNet

    psnet.ahrq.gov/issue/measurement-quality-and-assurance-safety-critically-ill
    March 21, 2012 - March 21, 2012 Reducing health care hazards: lessons from the Commercial Aviation Safety

  18. Case study: getting boards on board at Allen Memorial Hospital, Iowa Health System. | PSNet

    psnet.ahrq.gov/issue/case-study-getting-boards-board-allen-memorial-hospital-iowa-health-system
    August 04, 2021 - March 10, 2021 Driving improvement in patient care: lessons from Toyota.

  19. A framework for encouraging patient engagement in medical decision making. | PSNet

    psnet.ahrq.gov/issue/framework-encouraging-patient-engagement-medical-decision-making
    September 17, 2010 - June 15, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

  20. Cognitive and system factors contributing to diagnostic errors in radiology. | PSNet

    psnet.ahrq.gov/issue/cognitive-and-system-factors-contributing-diagnostic-errors-radiology
    October 29, 2012 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons
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