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Total Results: 5,323 records

Showing results for "lessons learned".

3581. Delivering on the promise of CLER: a patient safety rotation that aligns resident education with hospital processes. | PSNet
      psnet.ahrq.gov/issue/delivering-promise-cler-patient-safety-rotation-aligns-resident-education-hospital-processes
      March 25, 2017 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

3582. The effect of an electronic SBAR communication tool on documentation of acute events in the pediatric intensive care unit. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-sbar-communication-tool-documentation-acute-events-pediatric-intensive-care
      August 12, 2015 - July 3, 2016 The Lancet Commission on lessons for the future from the COVID-19 pandemic

3583. Planning for a pandemic: mitigating risk to radiation therapy service delivery in the COVID-19 era. | PSNet
      psnet.ahrq.gov/issue/planning-pandemic-mitigating-risk-radiation-therapy-service-delivery-covid-19-era
      November 11, 2020 - December 23, 2020 "At home, with care": lessons from New York City home-based primary

3584. To care is human—collectively confronting the clinician-burnout crisis. | PSNet
      psnet.ahrq.gov/issue/care-human-collectively-confronting-clinician-burnout-crisis
      June 10, 2020 - December 13, 2017 Applying lessons from social psychology to transform the culture of

3585. Development and content validation of a surgical safety checklist for operating theatres that use robotic technology. | PSNet
      psnet.ahrq.gov/issue/development-and-content-validation-surgical-safety-checklist-operating-theatres-use-robotic
      February 25, 2015 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

3586. Does seasonal variation in orthopaedic trauma volume correlate with adverse hospital events and burnout? | PSNet
      psnet.ahrq.gov/issue/does-seasonal-variation-orthopaedic-trauma-volume-correlate-adverse-hospital-events-and
      May 25, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

3587. The quest to eliminate intrathecal vincristine errors: a 40-year journey. | PSNet
      psnet.ahrq.gov/issue/quest-eliminate-intrathecal-vincristine-errors-40-year-journey
      September 15, 2010 - July 8, 2009 Quality improvement priorities for safer out-of-hours palliative care: lessons

3588. Do physicians clean their hands? Insights from a covert observational study. | PSNet
      psnet.ahrq.gov/issue/do-physicians-clean-their-hands-insights-covert-observational-study
      July 02, 2019 - August 14, 2014 Mind the gap between recommendation and implementation—principles and lessons

3589. Stigmatizing language, patient demographics, and errors in the diagnostic process. | PSNet
      psnet.ahrq.gov/issue/stigmatizing-language-patient-demographics-and-errors-diagnostic-process
      April 12, 2023 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

3590. Omissions of care in nursing homes: a uniform definition for research and quality improvement. | PSNet
      psnet.ahrq.gov/issue/omissions-care-nursing-homes-uniform-definition-research-and-quality-improvement
      August 01, 2012 - 2021 Integrating principles of safety culture and just culture into nursing homes: lessons

3591. Using an online quiz-based reinforcement system to teach healthcare quality and patient safety and care transitions at the University of California. | PSNet
      psnet.ahrq.gov/issue/using-online-quiz-based-reinforcement-system-teach-healthcare-quality-and-patient-safety-and
      December 07, 2011 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

3592. Just Culture, Medication Error Prevention, and Second Victim Support: a Better Prescription for Preparing Nursing Students for Practices. | PSNet
      psnet.ahrq.gov/issue/just-culture-medication-error-prevention-and-second-victim-support-better-prescription
      February 02, 2022 - 2012 Integrating principles of safety culture and just culture into nursing homes: lessons

3593. Simulation-based education enhances patient safety behaviors during central venous catheter placement. | PSNet
      psnet.ahrq.gov/issue/simulation-based-education-enhances-patient-safety-behaviors-during-central-venous-catheter
      May 04, 2022 - Related Resources From the Same Author(s) Central venous catheter guidewire retention: lessons

3594. Naming the "baby" or the "beast"? The importance of concepts and labels in healthcare safety investigation. | PSNet
      psnet.ahrq.gov/issue/naming-baby-or-beast-importance-concepts-and-labels-healthcare-safety-investigation
      April 14, 2021 - November 9, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic

3595. The role of morbidity and mortality rounds in medical education: a scoping review. | PSNet
      psnet.ahrq.gov/issue/role-morbidity-and-mortality-rounds-medical-education-scoping-review
      July 03, 2016 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

3596. Empty Handoff | PSNet
      psnet.ahrq.gov/web-mm/empty-handoff
      August 01, 2017 - Despite very clear contextual differences, every complex system aims for improvement, and translating lessons … Handoff strategies in settings with high consequences for failure: lessons for health care operations

3597. Spinal Epidural Abscess | PSNet
      psnet.ahrq.gov/web-mm/spinal-epidural-abscess
      November 13, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional collaborative project. … Reflections on implementing a hospital-wide provider-based electronic inpatient mortality review system: lessons

3598. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
      May 01, 2017 - numbers cannot Encourage your team leaders to discuss actual patient stories to drive home important lessons … Incorporate evaluation findings Initiate breakthrough conversations4 Share proven safe practices and lessons … learned Review data regularly by senior leadership and all facility stakeholders 45 Million Lives Campaign

3599. Final Progress Report: Failure To Rescue-Patient Safety Learning Lab (FTR-PSLL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/blike-report.pdf
      January 01, 2025 - Gravio GD, Patriarca R: Safety Performance of Complex Systems: Lesson Learned from ATM Resilience Analysis … Dixon-Woods M, McNicol S, Martin G: Ten challenges in improving quality in healthcare: lessons from the

3600. The Science of Improving Patient Safety and Identifying Defects: Slide Presentation | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-slides.html
      December 01, 2017 - Slide 31: Lessons Learned Every system is designed to achieve the results it gets.