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Total Results: 5,362 records

Showing results for "lessons learned".

3861. Human error: models and management. | PSNet
      psnet.ahrq.gov/issue/human-error-models-and-management
      November 18, 2015 - Lessons from aviation to improve patient safety.

3862. Residency program fills medication safety void. | PSNet
      psnet.ahrq.gov/issue/residency-program-fills-medication-safety-void
      May 04, 2022 - Related Resources From the Same Author(s) Central venous catheter guidewire retention: lessons

3863. 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

3864. Assessing hospital safety on nights and weekends: the SWAN tool. | PSNet
      psnet.ahrq.gov/issue/assessing-hospital-safety-nights-and-weekends-swan-tool
      September 28, 2010 - September 28, 2010 Addressing the opioid epidemic in the United States: lessons from

3865. Patient monitoring alarms in the ICU and in the operating room. | PSNet
      psnet.ahrq.gov/issue/patient-monitoring-alarms-icu-and-operating-room
      May 26, 2021 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

3866. Methodology and bias in assessing compliance with a surgical safety checklist. | PSNet
      psnet.ahrq.gov/issue/methodology-and-bias-assessing-compliance-surgical-safety-checklist
      May 04, 2012 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

3867. HRET Patient Safety Leadership Fellowship: The role of "community" in patient safety. | PSNet
      psnet.ahrq.gov/issue/hret-patient-safety-leadership-fellowship-role-community-patient-safety
      July 14, 2010 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

3868. The human face of simulation: patient-focused simulation training. | PSNet
      psnet.ahrq.gov/issue/human-face-simulation-patient-focused-simulation-training
      January 13, 2010 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

3869. 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

3870. 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

3871. 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

3872. What is accountability in health care? | PSNet
      psnet.ahrq.gov/issue/what-accountability-health-care
      April 19, 2013 - April 17, 2019 Teaching patient safety in global health: lessons from the Duke Global

3873. 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

3874. 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

3875. DRN: Report 1 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-safety_research.pdf
      July 01, 2009 - Lessons learned. … Lessons learned. … Lessons learned. caBIG™ released a summary report 15 that included some important lessons learned … Lessons learned. 17 The VSD model is greatly facilitated by the trusting relationships that have … Lessons learned.

3876. Interview with the OPTIMA Project Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/urinary/optima-interview.html
      November 01, 2024 - To help primary care providers put into practice what they learned, we developed a pocket guide with … What has been your biggest lesson learned to-date?

3877. 023-Ss-Cusp-Learning-From-Defects-Fg (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
      April 01, 2025 - Reflect SAY: Around 3 months later, the CUSP team reflected on whether the interventions worked and what lessons … were learned with the Investigating a Defect Worksheet.

3878. Final Progress Report: Patient Safety: Physician Assistant Responsibilities and Opportunities (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
      January 01, 2024 - Committee (QCC) reviewed patient safety resources and consulted with experts to identify applicable lessons … In addition, key patient safety issues and lessons identified through the conference program were disseminated … Lessons from ambulatory, ED, inpatient, and radiology settings were incorporated.

3879. NAA National Webinar October 2024 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
      January 01, 2024 - Leonard Berry Management Lessons from Mayo Clinic Framework for high reliability healthcare Management … Based on what you have learned today, What would you like to do differently or better to improve the

3880. Health Care Delivery and Pharmacists During the COVID-19 Pandemic | PSNet
      psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
      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.