Results

Total Results: 5,323 records

Showing results for "lessons learned".

4001. Medical record review of deaths, unexpected intensive care unit admissions and clinician referrals: detection of adverse events and insight into the system. | PSNet
      psnet.ahrq.gov/issue/medical-record-review-deaths-unexpected-intensive-care-unit-admissions-and-clinician
      October 12, 2022 - Citation Related Resources From the Same Author(s) The Lancet Commission on lessons

4002. Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. | PSNet
      psnet.ahrq.gov/issue/situation-background-assessment-and-recommendation-guided-huddles-improve-communication-and
      September 23, 2020 - Enhancing patient safety in the pediatric emergency department: teams, communication, and lessons

4003. 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

4004. Expressing concern and writing it down: an experimental study investigating transfer of information at nursing handover. | PSNet
      psnet.ahrq.gov/issue/expressing-concern-and-writing-it-down-experimental-study-investigating-transfer-information
      November 17, 2014 - , 2019 A method for prioritizing interventions following root cause analysis (RCA): lessons

4005. Impact of crisis resource management simulation-based training for interprofessional and interdisciplinary teams: a systematic review. | PSNet
      psnet.ahrq.gov/issue/impact-crisis-resource-management-simulation-based-training-interprofessional-and
      November 13, 2019 - June 7, 2016 What went right: lessons for the intensivist from the crew of US Airways

4006. Nurses' perspectives on medication errors and prevention strategies in residential aged care facilities through a national survey. | PSNet
      psnet.ahrq.gov/issue/nurses-perspectives-medication-errors-and-prevention-strategies-residential-aged-care
      July 13, 2010 - October 26, 2011 Results and lessons from a hospital-wide initiative incentivised by

4007. Compliance with a time-out procedure intended to prevent wrong surgery in hospitals: results of a national patient safety programme in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/compliance-time-out-procedure-intended-prevent-wrong-surgery-hospitals-results-national
      December 29, 2014 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

4008. National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. | PSNet
      psnet.ahrq.gov/issue/national-study-frequency-types-causes-and-consequences-voluntarily-reported-emergency
      April 15, 2014 - April 8, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

4009. I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. | PSNet
      psnet.ahrq.gov/issue/i-psi-short-and-long-term-efficacy-comprehensive-initiative-promote-patient-safety-event
      November 18, 2020 - June 5, 2013 Lessons learnt from incidents reported by postgraduate trainees in Dutch

4010. Language proficiency and adverse events in US hospitals: a pilot study. | PSNet
      psnet.ahrq.gov/issue/language-proficiency-and-adverse-events-us-hospitals-pilot-study
      January 23, 2012 - June 30, 2011 Reducing health care hazards: lessons from the Commercial Aviation Safety

4011. Integrating adverse event reporting into a free-text mobile application used in daily workflow increases adverse event reporting by physicians. | PSNet
      psnet.ahrq.gov/issue/integrating-adverse-event-reporting-free-text-mobile-application-used-daily-workflow
      March 17, 2021 - 2020 Integrating principles of safety culture and just culture into nursing homes: lessons

4012. 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

4013. What is the safety of nonemergent operative procedures performed at night? | PSNet
      psnet.ahrq.gov/issue/what-safety-nonemergent-operative-procedures-performed-night
      July 20, 2022 - June 7, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

4014. Human errors in emergency medical services: a qualitative analysis of contributing factors. | PSNet
      psnet.ahrq.gov/issue/human-errors-emergency-medical-services-qualitative-analysis-contributing-factors
      July 07, 2021 - 16, 2019 Prospects for comparing European hospitals in terms of quality and safety: lessons

4015. 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

4016. 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

4017. Virtual urgent care quality and safety in the time of Coronavirus. | PSNet
      psnet.ahrq.gov/issue/virtual-urgent-care-quality-and-safety-time-coronavirus
      April 24, 2018 - December 23, 2020 "At home, with care": lessons from New York City home-based primary

4018. Simulation study of rested versus sleep-deprived anesthesiologists. | PSNet
      psnet.ahrq.gov/issue/simulation-study-rested-versus-sleep-deprived-anesthesiologists
      September 13, 2017 - October 21, 2020 Error reduction in trauma care: lessons from an anonymized, national

4019. Exploring the impact of consultants' experience on hospital mortality by day of the week: a retrospective analysis of hospital episode statistics. | PSNet
      psnet.ahrq.gov/issue/exploring-impact-consultants-experience-hospital-mortality-day-week-retrospective-analysis
      August 04, 2015 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

4020. Creating champions for health care quality and safety. | PSNet
      psnet.ahrq.gov/issue/creating-champions-health-care-quality-and-safety
      August 04, 2021 - A guide to evaluation of quality improvement and patient safety educational programs: lessons