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Total Results: 5,362 records

Showing results for "lessons learned".

4021. Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings. | PSNet
      psnet.ahrq.gov/issue/fast-forward-rounds-effective-method-teaching-medical-students-transition-patients-safely
      March 14, 2018 - October 30, 2013 Improving patient safety: lessons from rock climbing.

4022. 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

4023. 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

4024. The association of acute COVID-19 infection with Patient Safety Indicator-12 events in a multisite healthcare system. | PSNet
      psnet.ahrq.gov/issue/association-acute-covid-19-infection-patient-safety-indicator-12-events-multisite-healthcare
      January 18, 2023 - November 10, 2010 Tracking rates of patient safety indicators over time: lessons from

4025. Teams, tribes and patient safety: overcoming barriers to effective teamwork in healthcare. | PSNet
      psnet.ahrq.gov/issue/teams-tribes-and-patient-safety-overcoming-barriers-effective-teamwork-healthcare
      November 17, 2014 - , 2014 A method for prioritizing interventions following root cause analysis (RCA): lessons

4026. 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

4027. Frequency and clinical importance of pages sent to the wrong physician. | PSNet
      psnet.ahrq.gov/issue/frequency-and-clinical-importance-pages-sent-wrong-physician
      October 31, 2011 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

4028. Doing 20 "Quick" Pelvic Muscle Strengthening Exercises (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/doing-20-quick-pelvic-strengthening-exercises.pdf
      June 02, 2025 - Doing 20 "Quick" Pelvic Muscle Strengthening Exercises Transcribed by https://otter.ai - 1 - Doing 20 “Quick” Pelvic Muscle Strengthening Exercises Doing 20 “Quick” Pelvic Muscle Strengthening Exercises (4 minutes) 00:00 Welcome to pelvic floor muscle training. I am happy are taking the time to learn pelvic mu…

4029. Action on patient safety can reduce health inequalities. | PSNet
      psnet.ahrq.gov/issue/action-patient-safety-can-reduce-health-inequalities
      February 05, 2020 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

4030. Implementation of simulation training during the COVID-19 pandemic: a New York hospital experience. | PSNet
      psnet.ahrq.gov/issue/implementation-simulation-training-during-covid-19-pandemic-new-york-hospital-experience
      February 15, 2023 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

4031. Perspective: malpractice in an academic medical center: a frequently overlooked aspect of professionalism education. | PSNet
      psnet.ahrq.gov/issue/perspective-malpractice-academic-medical-center-frequently-overlooked-aspect-professionalism
      April 03, 2024 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

4032. 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

4033. 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

4034. Evaluation of near-miss wrong-patient events in radiology reports. | PSNet
      psnet.ahrq.gov/issue/evaluation-near-miss-wrong-patient-events-radiology-reports
      June 13, 2015 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

4035. Recognizing quality improvement and patient safety activities in academic promotion in departments of medicine: innovative language in promotion criteria. | PSNet
      psnet.ahrq.gov/issue/recognizing-quality-improvement-and-patient-safety-activities-academic-promotion-departments
      April 20, 2011 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

4036. 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

4037. Inaccurate penicillin allergy labeling, the electronic health record, and adverse outcomes of care. | PSNet
      psnet.ahrq.gov/issue/inaccurate-penicillin-allergy-labeling-electronic-health-record-and-adverse-outcomes-care
      December 09, 2020 - 30, 2021 View More Related Resources The Lancet Commission on lessons

4038. Patient safety trends in 2021: an analysis of 288,882 serious events and incidents from the nation’s largest event reporting database. | PSNet
      psnet.ahrq.gov/issue/patient-safety-trends-2021-analysis-288882-serious-events-and-incidents-nations-largest-event
      May 19, 2021 - July 15, 2020 View More Related Resources Lessons from Event Reports

4039. Challenges and Opportunities in Home Health Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
      December 01, 2022 - This reflects a pandemic-era lesson we have learned more broadly.

4040. Reducing the rate of catheter-associated bloodstream infections in a surgical intensive care unit using the Institute for Healthcare Improvement Central Line Bundle. | PSNet
      psnet.ahrq.gov/issue/reducing-rate-catheter-associated-bloodstream-infections-surgical-intensive-care-unit-using
      November 16, 2022 - November 16, 2022 The Lancet Commission on lessons for the future from the COVID-19 pandemic