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Total Results: 5,323 records

Showing results for "lessons learned".

3841. Integrating CUSP and TRIP to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/integrating-cusp-and-trip-improve-patient-safety
      June 16, 2011 - September 20, 2011 Reducing health care hazards: lessons from the Commercial Aviation

3842. Diseases of medical progress. | PSNet
      psnet.ahrq.gov/issue/diseases-medical-progress
      June 27, 2018 - 2023 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

3843. Digital health technology-specific risks for medical malpractice liability. | PSNet
      psnet.ahrq.gov/issue/digital-health-technology-specific-risks-medical-malpractice-liability
      January 18, 2023 - November 30, 2022 Error reduction in trauma care: lessons from an anonymized, national

3844. Ambiguity and workarounds as contributors to medical error. | PSNet
      psnet.ahrq.gov/issue/ambiguity-and-workarounds-contributors-medical-error
      December 23, 2008 - Related Resources From the Same Author(s) Driving improvement in patient care: lessons

3845. How surgical trainees handle catastrophic errors: a qualitative study. | PSNet
      psnet.ahrq.gov/issue/how-surgical-trainees-handle-catastrophic-errors-qualitative-study
      March 19, 2019 - surgery resident physicians perceive that catastrophic errors result from system problems and provide lessons

3846. Communication failures: an insidious contributor to medical mishaps. | PSNet
      psnet.ahrq.gov/issue/communication-failures-insidious-contributor-medical-mishaps
      February 24, 2011 - Check the Wristband July 1, 2003 Building cultures of high reliability: lessons

3847. Do physicians know when their diagnoses are correct? Implications for decision support and error reduction. | PSNet
      psnet.ahrq.gov/issue/do-physicians-know-when-their-diagnoses-are-correct-implications-decision-support-and-error
      May 18, 2022 - April 11, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

3848. Taking up the challenge to improve name and role recognition in the operating room. | PSNet
      psnet.ahrq.gov/issue/taking-challenge-improve-name-and-role-recognition-operating-room
      July 12, 2023 - September 27, 2010 Error reduction in trauma care: lessons from an anonymized, national

3849. The effects of stress and coping on surgical performance during simulations. | PSNet
      psnet.ahrq.gov/issue/effects-stress-and-coping-surgical-performance-during-simulations
      February 16, 2011 - August 20, 2018 Crisis management for surgical teams and their leaders, lessons from

3850. Notes on healing after a missed diagnosis. | PSNet
      psnet.ahrq.gov/issue/notes-healing-after-missed-diagnosis
      May 18, 2022 - December 19, 2018 Hospital-acquired SARS-CoV-2 infection: lessons for public health.

3851. Improving medication safety in the ICU: the pharmacist's role. | PSNet
      psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
      April 20, 2022 - 2019 Learning from morbidity and mortality conferences: focus and sustainability of lessons

3852. Observational teamwork assessment for surgery: feasibility of clinical and nonclinical assessor calibration with short-term training. | PSNet
      psnet.ahrq.gov/issue/observational-teamwork-assessment-surgery-feasibility-clinical-and-nonclinical-assessor
      January 19, 2016 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

3853. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
      May 01, 2018 - Mathematica Policy Research How HIT can help (and not hinder) primary care – Ground lessons … www.pcmh.ahrq.gov/ How HIT can help (and not hinder) primary care – Ground lessons

3854. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - A generation ago, aviation learned the lesson from several horrible accidents that tragedy can often … Rather than risking a false alarm and its accompanying stigma, they have learned to say, “Oh, it’s probably … The complexity of team training: what we have learned from aviation and its applications to medicine

3855. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
      October 01, 2015 - develop this resource guide on how to sustain and spread infection-prevention change initiatives, using lessons … These main drivers are based on the lessons of the hospital units that participated in the On the CUSP

3856. The History of Patient Roles | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role2.html
      September 01, 2024 - In the authors’ mutual observations, we have learned that experienced patients agree that the heart of … The modes of change model highlights lessons learned from the past and strategies for the future to enable

3857. Project BOOST Increases Patient Understanding of Treatment and Follow-up Care | PSNet
      psnet.ahrq.gov/innovation/project-boost-increases-patient-understanding-treatment-and-follow-care
      February 26, 2025 - information from providers and can explain in their own words their understanding of what they have learned … Project BOOST implementation: lessons learned.  South Med J . 2014;107(7):455-465. 

3858. Implementation Guide: MRSA and SSI Prevention (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/147-implementation-guide.pdf
      April 01, 2025 - and MRSA Prevention is a guidance document that shares tips on recognizing success and sharing the lessons … learned broadly. … CUSP teams have a unique opportunity to collaborate with other departments to share the lessons learned

3859. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
      March 01, 2014 - the YMCA, as a key partner in this project, played a critical role in developing the toolkit, the lessons … Lessons learned: • Do not provide the practice with too much information. … learned: • One motivated, informed practice champion can make all the difference … Lessons learned: • Even in the absence of practice-wide buy-in, one motivated and committed provider … Lessons learned: • Busy, well-functioning practices may prioritize existing relationships and projects

3860. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations