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Total Results: 5,362 records

Showing results for "lessons learned".

  1. 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

  2. I-PASS illness diversity identifies patients at risk for overnight clinical deterioration. | PSNet

    psnet.ahrq.gov/issue/i-pass-illness-diversity-identifies-patients-risk-overnight-clinical-deterioration
    November 16, 2022 - April 19, 2017 "At home, with care": lessons from New York City home-based primary care

  3. Comparative effectiveness of a serious game and an e-module to support patient safety knowledge and awareness. | PSNet

    psnet.ahrq.gov/issue/comparative-effectiveness-serious-game-and-e-module-support-patient-safety-knowledge-and
    September 08, 2010 - February 23, 2011 Lessons learnt from incidents reported by postgraduate trainees in

  4. Nosocomial SARS-CoV-2 infections and mortality during unique COVID-19 epidemic waves. | PSNet

    psnet.ahrq.gov/issue/nosocomial-sars-cov-2-infections-and-mortality-during-unique-covid-19-epidemic-waves
    February 14, 2024 - September 23, 2020 Lessons from walking the medical distancing tightrope.

  5. Changes in early high-risk opioid prescribing practices after policy interventions in Washington State. | PSNet

    psnet.ahrq.gov/issue/changes-early-high-risk-opioid-prescribing-practices-after-policy-interventions-washington
    November 03, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

  6. 'I think we should just listen and get out': a qualitative exploration of views and experiences of Patient Safety Walkrounds. | PSNet

    psnet.ahrq.gov/issue/i-think-we-should-just-listen-and-get-out-qualitative-exploration-views-and-experiences
    June 22, 2022 - Related Resources Culture and behaviour in the English National Health Service: overview of lessons

  7. Safety incidents in the primary care office setting. | PSNet

    psnet.ahrq.gov/issue/safety-incidents-primary-care-office-setting
    October 12, 2016 - December 16, 2015 Quality improvement priorities for safer out-of-hours palliative care: lessons

  8. How to induce an error management climate: experimental evidence from newly formed teams. | PSNet

    psnet.ahrq.gov/issue/how-induce-error-management-climate-experimental-evidence-newly-formed-teams
    August 24, 2022 - September 15, 2021 Crisis management for surgical teams and their leaders, lessons from

  9. Connecting perspectives on quality and safety: patient-level linkage of incident, adverse event and complaint data. | PSNet

    psnet.ahrq.gov/issue/connecting-perspectives-quality-and-safety-patient-level-linkage-incident-adverse-event-and
    April 28, 2021 - Author(s) Learning from morbidity and mortality conferences: focus and sustainability of lessons

  10. We asked the experts: the WHO Surgical Safety Checklist and the COVID-19 pandemic: recommendations for content and implementation adaptations. | PSNet

    psnet.ahrq.gov/issue/we-asked-experts-who-surgical-safety-checklist-and-covid-19-pandemic-recommendations-content
    May 19, 2021 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

  11. Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit. | PSNet

    psnet.ahrq.gov/issue/preparedness-covid-19-situ-simulation-enhance-infection-control-systems-intensive-care-unit
    June 29, 2011 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  12. Getting the whole story: integrating patient complaints and staff reports of unsafe care. | PSNet

    psnet.ahrq.gov/issue/getting-whole-story-integrating-patient-complaints-and-staff-reports-unsafe-care
    January 12, 2022 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

  13. Sources of unsafe primary care for older adults: a mixed-methods analysis of patient safety incident reports. | PSNet

    psnet.ahrq.gov/issue/sources-unsafe-primary-care-older-adults-mixed-methods-analysis-patient-safety-incident
    October 12, 2016 - December 11, 2019 Quality improvement priorities for safer out-of-hours palliative care: lessons

  14. Improving resident and fellow engagement in patient safety through a graduate medical education incentive program. | PSNet

    psnet.ahrq.gov/issue/improving-resident-and-fellow-engagement-patient-safety-through-graduate-medical-education
    June 02, 2021 - July 2, 2014 Lessons learnt from incidents reported by postgraduate trainees in Dutch

  15. Impact of a statewide intensive care unit quality improvement initiative on hospital mortality and length of stay: retrospective comparative analysis. | PSNet

    psnet.ahrq.gov/issue/impact-statewide-intensive-care-unit-quality-improvement-initiative-hospital-mortality-and
    October 16, 2012 - March 3, 2011 Tracking rates of patient safety indicators over time: lessons from the

  16. A multi-site assessment of inpatient safety event rates during the coronavirus disease 2019 pandemic. | PSNet

    psnet.ahrq.gov/issue/multi-site-assessment-inpatient-safety-event-rates-during-coronavirus-disease-2019-pandemic
    May 25, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  17. Current State of Diagnosis Education | Agency for Healthcare Research and Quality

    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-3.html
    March 01, 2022 - The tacit lessons they learn in the chaos of the modern clinical environment likely teach students much

  18. Developing a primary care patient measure of safety (PC PMOS): a modified Delphi process and face validity testing. | PSNet

    psnet.ahrq.gov/issue/developing-primary-care-patient-measure-safety-pc-pmos-modified-delphi-process-and-face
    August 21, 2015 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons

  19. What is the role of individual accountability in patient safety? A multi-site ethnographic study. | PSNet

    psnet.ahrq.gov/issue/what-role-individual-accountability-patient-safety-multi-site-ethnographic-study
    June 16, 2021 - September 2, 2009 Culture and behaviour in the English National Health Service: overview of lessons

  20. Diagnostic accuracy of prehospital triage tools for identifying major trauma in elderly injured patients: a systematic review. | PSNet

    psnet.ahrq.gov/issue/diagnostic-accuracy-prehospital-triage-tools-identifying-major-trauma-elderly-injured
    September 07, 2022 - March 24, 2021 Error reduction in trauma care: lessons from an anonymized, national,
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