Results

Total Results: 5,362 records

Showing results for "lessons learned".

3501. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33710/psn-pdf
      May 01, 2011 - I think understanding what happened and what could have been done, or the lessons that might be learned

3502. In Conversation With... Anna Legreid Dopp, Pharm. D | PSNet
      psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
      June 29, 2020 - may be seeking interactions with colleagues to raise questions associated with COVID care and share lessons … learned and best practices. … available for both members and non-members to raise questions associated with COVID care and share lessons … learned and best practices. … June 24, 2020 Medication Safety During the COVID-19 Pandemic: What Have We Learned in

3503. Using Root Cause Analysis to Help Practices Understand and Improve Their Performance and Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-11-root-cause-analysis.pdf
      December 27, 2021 - If so, please describe what you did and the three most important lessons you learned using the process … With the large group, ask a member of each group to share two lessons learned from facilitating or … problem they are trying to solve, have them identify changes they would like to try based on what they learned

3504. Errors and Near Misses: What Health Care Could Learn From Aviation | PSNet
      psnet.ahrq.gov/perspective/errors-and-near-misses-what-health-care-could-learn-aviation
      September 01, 2006 - JB: Well, it wasn't just what I learned at NASA. … Everybody learned from a particular person or an institution—which led to, you know, this is the Penn … JB: I learned that most people were reluctant to bring things up because they would often get treated … What lessons are generalizable for the rest of the system? … JB: I think our lessons are uniformly generalizable, I'll say that at the outset.

3505. Patient and Family Roles in Safety | PSNet
      psnet.ahrq.gov/perspective/patient-and-family-roles-safety
      June 14, 2023 - I quickly learned that families were the experts. … There were some positive lessons learned about family presence during the COVID-19 pandemic. … We learned that we could conduct rounds in the hospital with families present via technology. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .

3506. In Conversation with... Beverley H. Johnson about The Role of Patient's Family In Reducing Harm | PSNet
      psnet.ahrq.gov/perspective/conversation-beverley-h-johnson-about-role-patients-family-reducing-harm
      June 14, 2023 - I quickly learned that families were the experts. … There were some positive lessons learned about family presence during the COVID-19 pandemic. … We learned that we could conduct rounds in the hospital with families present via technology. … I think we learned some ways to make technology work for more people. … We’ve Been Here Before: Learning from the Lessons of the Past .

3507. 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

3508. Calibrate Dx: A Resource to Improve Diagnostic Decisions (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/calibrate-dx-guide.pdf
      October 01, 2022 - WHAT CAN I DO WITH WHAT I LEARNED? Step 1. Identify improvement opportunities. … Orally share lessons about a knowledge gap with three colleagues in order to internalize it. 2. … Often, clinicians will be able to distill important lessons that can benefit the entire care team. … Check with the point of contact in your organization who can advise about sharing what you learned in … summarized the process using the Diagnostic Calibration Debrief tool (Appendix A) and discussed what he learned

3509. 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.

3510. Structural racism and the COVID-19 experience in the United States. | PSNet
      psnet.ahrq.gov/issue/structural-racism-and-covid-19-experience-united-states
      June 08, 2022 - 18, 2022 View More Related Resources The Lancet Commission on lessons

3511. As she lay dying: how I fought to stop medical errors from killing my mom. | PSNet
      psnet.ahrq.gov/issue/she-lay-dying-how-i-fought-stop-medical-errors-killing-my-mom
      December 19, 2012 - 29, 2014 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons

3512. 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

3513. Educating for the 21st-century health care system: an interdependent framework of basic, clinical, and systems sciences. | PSNet
      psnet.ahrq.gov/issue/educating-21st-century-health-care-system-interdependent-framework-basic-clinical-and-systems
      August 28, 2024 - View More Related Resources Teaching patient safety in global health: lessons

3514. Safety measurement and monitoring in healthcare: a framework to guide clinical teams and healthcare organisations in maintaining safety. | PSNet
      psnet.ahrq.gov/issue/safety-measurement-and-monitoring-healthcare-framework-guide-clinical-teams-and-healthcare
      September 24, 2018 - 30, 2019 Prospects for comparing European hospitals in terms of quality and safety: lessons

3515. What would you ideally do if there were no targets? An ethnographic study of the unintended consequences of top-down governance in two clinical settings. | PSNet
      psnet.ahrq.gov/issue/what-would-you-ideally-do-if-there-were-no-targets-ethnographic-study-unintended-consequences
      July 27, 2011 - June 28, 2017 "Doctor Jazz": lessons that medical professionals can learn from jazz musicians

3516. 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

3517. 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

3518. A multistep approach to improving biopsy site identification in dermatology: physician, staff, and patient roles based on a Delphi consensus. | PSNet
      psnet.ahrq.gov/issue/multistep-approach-improving-biopsy-site-identification-dermatology-physician-staff-and
      October 12, 2022 - Citation Related Resources From the Same Author(s) The Lancet Commission on lessons

3519. 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

3520. 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