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Total Results: 5,323 records

Showing results for "lessons learned".

  1. Maximizing the Use of State Adverse Event Data to Improve Patient Safety. | PSNet

    psnet.ahrq.gov/issue/maximizing-use-state-adverse-event-data-improve-patient-safety
    November 29, 2009 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

  2. Interventions to reduce medication prescribing errors in a paediatric cardiac intensive care unit. | PSNet

    psnet.ahrq.gov/issue/interventions-reduce-medication-prescribing-errors-paediatric-cardiac-intensive-care-unit
    November 16, 2022 - May 18, 2022 Chasing the 6-sigma: drawing lessons from the cockpit culture.

  3. Opioids in the United Kingdom: safety and surveillance during COVID-19. | PSNet

    psnet.ahrq.gov/issue/opioids-united-kingdom-safety-and-surveillance-during-covid-19
    July 14, 2009 - February 15, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

  4. The problem with preventable deaths. | PSNet

    psnet.ahrq.gov/issue/problem-preventable-deaths
    July 24, 2024 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

  5. Mortality and morbidity rounds (MMR) in pathology: relative contribution of cognitive bias vs. systems failures to diagnostic error. | PSNet

    psnet.ahrq.gov/issue/mortality-and-morbidity-rounds-mmr-pathology-relative-contribution-cognitive-bias-vs-systems
    May 18, 2022 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

  6. What 'just culture' doesn't understand about just punishment. | PSNet

    psnet.ahrq.gov/issue/what-just-culture-doesnt-understand-about-just-punishment
    December 30, 2014 - 2023 Integrating principles of safety culture and just culture into nursing homes: lessons

  7. Residency training in handoffs: a survey of program directors in psychiatry. | PSNet

    psnet.ahrq.gov/issue/residency-training-handoffs-survey-program-directors-psychiatry
    January 01, 2019 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

  8. Faculty member review and feedback using a sign-out checklist: improving intern written sign-out. | PSNet

    psnet.ahrq.gov/issue/faculty-member-review-and-feedback-using-sign-out-checklist-improving-intern-written-sign-out
    February 15, 2017 - July 2, 2014 Building a safer foundation: the Lessons Learnt patient safety training

  9. Heatwaves, hospitals and health system resilience in England: a qualitative assessment of frontline perspectives from the hot summer of 2019. | PSNet

    psnet.ahrq.gov/issue/heatwaves-hospitals-and-health-system-resilience-england-qualitative-assessment-frontline
    May 20, 2020 - September 24, 2018 View More Related Resources Lessons from the

  10. Patient safety room of horrors: a novel method to assess medical students and entering residents' ability to identify hazards of hospitalisation. | PSNet

    psnet.ahrq.gov/issue/patient-safety-room-horrors-novel-method-assess-medical-students-and-entering-residents
    August 14, 2018 - September 6, 2017 Flying lessons for clinicians: developing system 2 practice.

  11. Preventing a parallel pandemic - a national strategy to protect clinicians' well-being. | PSNet

    psnet.ahrq.gov/issue/preventing-parallel-pandemic-national-strategy-protect-clinicians-well-being
    January 23, 2019 - 4, 2011 View More Related Resources The Lancet Commission on lessons

  12. Hospital ward incidents through the eyes of nurses – a thick description on the appeal and deadlock of incident reporting systems. | PSNet

    psnet.ahrq.gov/issue/hospital-ward-incidents-through-eyes-nurses-thick-description-appeal-and-deadlock-incident
    November 15, 2023 - 2015 Learning from morbidity and mortality conferences: focus and sustainability of lessons

  13. The problem with using patient complaints for improvement. | PSNet

    psnet.ahrq.gov/issue/problem-using-patient-complaints-improvement
    February 20, 2019 - 2019 Learning from morbidity and mortality conferences: focus and sustainability of lessons

  14. Understanding psychological safety in health care and education organizations: a comparative perspective. | PSNet

    psnet.ahrq.gov/issue/understanding-psychological-safety-health-care-and-education-organizations-comparative
    July 30, 2014 - Improving Diagnostic Safety and Quality April 26, 2023 Applying lessons

  15. The rise of human factors: optimising performance of individuals and teams to improve patients' outcomes. | PSNet

    psnet.ahrq.gov/issue/rise-human-factors-optimising-performance-individuals-and-teams-improve-patients-outcomes
    July 10, 2024 - Lessons from aviation to improve patient safety.

  16. Just-in-time training for high-risk low-volume therapies: an approach to ensure patient safety. | PSNet

    psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
    April 24, 2018 - patient safety training January 13, 2021 Teaching patient safety in global health: lessons

  17. What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet

    psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
    June 22, 2022 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

  18. Planning and implementing a systems-based patient safety curriculum in medical education. | PSNet

    psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
    June 29, 2009 - April 6, 2012 Improving patient safety: lessons from rock climbing.

  19. A qualitative survey of factors shaping the role of a safety professional. | PSNet

    psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
    August 12, 2020 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

  20. Medication errors in emergency departments: a systematic review and meta-analysis of prevalence and severity | PSNet

    psnet.ahrq.gov/issue/medication-errors-emergency-departments-systematic-review-and-meta-analysis-prevalence-and
    April 02, 2014 - November 16, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic
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