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Total Results: 5,362 records

Showing results for "lessons learned".

  1. Engineering Safe Practices Affinity Group | Agency for Healthcare Research and Quality

    www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
    April 01, 2025 - . * Engineering safer care coordination from hospital to home: Lessons from the USA .

  2. High Reliability | PSNet

    psnet.ahrq.gov/primer/high-reliability
    January 29, 2020 - Hazards September 15, 2024 Editor's Picks Building cultures of high reliability: lessons

  3. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 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

  4. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)

    www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 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

  5. Exploring the intersection of structural racism and ageism in healthcare. | PSNet

    psnet.ahrq.gov/issue/exploring-intersection-structural-racism-and-ageism-healthcare
    January 18, 2023 - April 27, 2022 "At home, with care": lessons from New York City home-based primary care

  6. Piloting a patient safety and quality improvement co-curriculum. | PSNet

    psnet.ahrq.gov/issue/piloting-patient-safety-and-quality-improvement-co-curriculum
    March 22, 2023 - A guide to evaluation of quality improvement and patient safety educational programs: lessons

  7. Identifying barriers to and opportunities for telehealth implementation amidst the COVID-19 pandemic by using a human factors approach: a leap into the future of health care delivery? | PSNet

    psnet.ahrq.gov/issue/identifying-barriers-and-opportunities-telehealth-implementation-amidst-covid-19-pandemic
    July 07, 2021 - June 29, 2022 Crisis management for surgical teams and their leaders, lessons from the

  8. Is computer-assisted telephone triage safe? A prospective surveillance study in walk-in patients with non-life-threatening medical conditions. | PSNet

    psnet.ahrq.gov/issue/computer-assisted-telephone-triage-safe-prospective-surveillance-study-walk-patients-non-life
    July 17, 2024 - March 28, 2011 Patient safety and telephone medicine: some lessons from closed claim

  9. Regional Approach for Transforming Healthcare Quality through Information Technology (THQIT) in Rural Settings | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/regional-approach-transforming-healthcare-quality-through-information
    January 01, 2023 - An important lesson learned was that managing patient identity is one of the largest ongoing operating

  10. US clinicians' experiences and perspectives on resource limitation and patient care during the COVID-19 pandemic. | PSNet

    psnet.ahrq.gov/issue/us-clinicians-experiences-and-perspectives-resource-limitation-and-patient-care-during-covid
    November 30, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  11. National Aeronautics and Space Administration "threat and error" model applied to pediatric cardiac surgery: error cycles precede ∼85% of patient deaths. | PSNet

    psnet.ahrq.gov/issue/national-aeronautics-and-space-administration-threat-and-error-model-applied-pediatric
    March 07, 2018 - Related Resources From the Same Author(s) Chasing the 6-sigma: drawing lessons

  12. Adverse drug events and medication problems in "Hospital at Home" patients. | PSNet

    psnet.ahrq.gov/issue/adverse-drug-events-and-medication-problems-hospital-home-patients
    December 16, 2020 - Citation Related Resources From the Same Author(s) "At home, with care": lessons

  13. COVID-19 pandemic: a time for collaboration and a unified global health front. | PSNet

    psnet.ahrq.gov/issue/covid-19-pandemic-time-collaboration-and-unified-global-health-front
    December 09, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  14. Culture of safety: impact on improvement in infection prevention process and outcomes. | PSNet

    psnet.ahrq.gov/issue/culture-safety-impact-improvement-infection-prevention-process-and-outcomes
    September 23, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  15. Anatomic pathology databases and patient safety. | PSNet

    psnet.ahrq.gov/issue/anatomic-pathology-databases-and-patient-safety
    April 08, 2008 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons

  16. Weight estimation for drug dose calculations in the prehospital setting - a systematic review. | PSNet

    psnet.ahrq.gov/issue/weight-estimation-drug-dose-calculations-prehospital-setting-systematic-review
    November 16, 2022 - May 22, 2024 The Lancet Commission on lessons for the future from the COVID-19 pandemic

  17. Evaluation of wound photography for remote postoperative assessment of surgical site infections. | PSNet

    psnet.ahrq.gov/issue/evaluation-wound-photography-remote-postoperative-assessment-surgical-site-infections
    July 03, 2014 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons

  18. Navigating a ship with a broken compass: evaluating standard algorithms to measure patient safety. | PSNet

    psnet.ahrq.gov/issue/navigating-ship-broken-compass-evaluating-standard-algorithms-measure-patient-safety
    January 23, 2017 - January 10, 2018 Tracking rates of patient safety indicators over time: lessons from

  19. Giving voice to quality and safety matters at board level: a qualitative study of the experiences of executive nurses working in England and Wales. | PSNet

    psnet.ahrq.gov/issue/giving-voice-quality-and-safety-matters-board-level-qualitative-study-experiences-executive
    August 12, 2014 - 31, 2016 Culture and behaviour in the English National Health Service: overview of lessons

  20. System factors affecting intraoperative risk and resilience: applying a novel integrated approach to study surgical performance and patient safety. | PSNet

    psnet.ahrq.gov/issue/system-factors-affecting-intraoperative-risk-and-resilience-applying-novel-integrated
    August 25, 2021 - May 18, 2022 Crisis management for surgical teams and their leaders, lessons from the
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