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Total Results: 5,362 records

Showing results for "lessons learned".

4081. Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis | PSNet
      psnet.ahrq.gov/issue/patient-safety-incidents-advance-care-planning-serious-illness-mixed-methods-analysis
      February 22, 2019 - Same Author(s) Quality improvement priorities for safer out-of-hours palliative care: lessons

4082. A multilevel analysis of U.S. hospital patient safety culture relationships with perceptions of voluntary event reporting. | PSNet
      psnet.ahrq.gov/issue/multilevel-analysis-us-hospital-patient-safety-culture-relationships-perceptions-voluntary
      December 21, 2016 - October 3, 2017 Applying lessons from social psychology to transform the culture of error

4083. Cost-benefit analysis of a medical emergency team in a children's hospital. | PSNet
      psnet.ahrq.gov/issue/cost-benefit-analysis-medical-emergency-team-childrens-hospital
      November 06, 2015 - A prior AHRQ WebM&M perspective discusses early lessons of medical emergency teams.

4084. Perceptions of providing safe care for frail older people at home: a qualitative study based on focus group interviews with home care staff. | PSNet
      psnet.ahrq.gov/issue/perceptions-providing-safe-care-frail-older-people-home-qualitative-study-based-focus-group
      July 29, 2020 - September 21, 2016 "At home, with care": lessons from New York City home-based primary

4085. A resilience view on health system resilience: a scoping review of empirical studies and reviews. | PSNet
      psnet.ahrq.gov/issue/resilience-view-health-system-resilience-scoping-review-empirical-studies-and-reviews
      March 11, 2013 - May 31, 2023 Lessons from the Covid War: An Investigative Report.

4086. Underlying reasons associated with hospital readmission following surgery in the United States. | PSNet
      psnet.ahrq.gov/issue/underlying-reasons-associated-hospital-readmission-following-surgery-united-states
      May 06, 2020 - notes that analyses of these surgical complications can serve as "treasures" for providing important lessons

4087. Mental health of staff working in intensive care during COVID-19. | PSNet
      psnet.ahrq.gov/issue/mental-health-staff-working-intensive-care-during-covid-19
      June 02, 2021 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

4088. Application of emergency preparedness principles to a pharmacy department’s approach to a “black swan” event: the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/application-emergency-preparedness-principles-pharmacy-departments-approach-black-swan-event
      July 22, 2020 - April 28, 2021 Crisis management for surgical teams and their leaders, lessons from the

4089. Temporal trends in patient safety in the Netherlands: reductions in preventable adverse events or the end of adverse events as a useful metric? | PSNet
      psnet.ahrq.gov/issue/temporal-trends-patient-safety-netherlands-reductions-preventable-adverse-events-or-end
      June 30, 2021 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

4090. Relationships between pediatric safety indicators across a national sample of pediatric hospitals: dispelling the myth of the "safest" hospital. | PSNet
      psnet.ahrq.gov/issue/relationships-between-pediatric-safety-indicators-across-national-sample-pediatric-hospitals
      April 06, 2022 - March 4, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

4091. Patient voices in hospital safety during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/patient-voices-hospital-safety-during-covid-19-pandemic
      March 17, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

4092. Avoidability of hospital deaths and association with hospital-wide mortality ratios: retrospective case record review and regression analysis. | PSNet
      psnet.ahrq.gov/issue/avoidability-hospital-deaths-and-association-hospital-wide-mortality-ratios-retrospective
      November 12, 2014 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

4093. International recommendations for national patient safety incident reporting systems: an expert Delphi consensus-building process. | PSNet
      psnet.ahrq.gov/issue/international-recommendations-national-patient-safety-incident-reporting-systems-expert
      February 14, 2018 - facilitators toward implementation of the WHO surgical safety checklist across hospitals in England: lessons

4094. Exploring the "Black Box" of recommendation generation in local health care incident investigations: a scoping review. | PSNet
      psnet.ahrq.gov/issue/exploring-black-box-recommendation-generation-local-health-care-incident-investigations
      November 16, 2016 - September 27, 2017 Mind the gap between recommendation and implementation—principles and lessons

4095. Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/ethical-leadership-supports-safety-voice-increasing-risk-perception-and-reducing-ethical
      September 14, 2022 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

4096. Medically-necessary, time-sensitive procedures: a scoring system to ethically and efficiently manage resource scarcity and provider risk during the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/medically-necessary-time-sensitive-procedures-scoring-system-ethically-and-efficiently-manage
      October 11, 2017 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

4097. The association of nursing home characteristics and quality with adverse events after a hospitalization. | PSNet
      psnet.ahrq.gov/issue/association-nursing-home-characteristics-and-quality-adverse-events-after-hospitalization
      August 07, 2019 - 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

4098. Institutional COVID-19 protocols: focused on preparation, safety, and care consolidation. | PSNet
      psnet.ahrq.gov/issue/institutional-covid-19-protocols-focused-preparation-safety-and-care-consolidation
      September 30, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

4099. "July Effect": impact of the academic year-end changeover on patient outcomes. A systematic review. | PSNet
      psnet.ahrq.gov/issue/july-effect-impact-academic-year-end-changeover-patient-outcomes-systematic-review
      April 12, 2023 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

4100. Professional, structural and organisational interventions in primary care for reducing medication errors. | PSNet
      psnet.ahrq.gov/issue/professional-structural-and-organisational-interventions-primary-care-reducing-medication
      December 16, 2020 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons