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Total Results: 5,362 records

Showing results for "lessons learned".

  1. National study on the distribution, causes, and consequences of voluntarily reported medication errors between the ICU and non-ICU settings. | PSNet

    psnet.ahrq.gov/issue/national-study-distribution-causes-and-consequences-voluntarily-reported-medication-errors
    January 05, 2012 - September 29, 2017 Reducing health care hazards: lessons from the Commercial Aviation

  2. Surgical errors happen, but are learners trained to recover from them? A survey of North American surgical residents and fellows. | PSNet

    psnet.ahrq.gov/issue/surgical-errors-happen-are-learners-trained-recover-them-survey-north-american-surgical
    July 28, 2021 - July 14, 2021 Crisis management for surgical teams and their leaders, lessons from the

  3. Deriving a framework for a systems approach to agitated patient care in the emergency department. | PSNet

    psnet.ahrq.gov/issue/deriving-framework-systems-approach-agitated-patient-care-emergency-department
    June 13, 2018 - 2018 View More Related Resources Error reduction in trauma care: lessons

  4. Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care. | PSNet

    psnet.ahrq.gov/issue/unintended-consequences-quantifying-benefits-iatrogenic-harms-and-downstream-cascade-costs
    March 17, 2021 - Download Citation Related Resources From the Same Author(s) Results and lessons

  5. Impact of diagnosis-timing indicators on measures of safety, comorbidity, and case mix groupings from administrative data sources. | PSNet

    psnet.ahrq.gov/issue/impact-diagnosis-timing-indicators-measures-safety-comorbidity-and-case-mix-groupings
    June 28, 2011 - February 23, 2011 Tracking rates of patient safety indicators over time: lessons from

  6. Safety events impacting hospitalized patients following motor vehicle crashes: a qualitative study of reports from Pennsylvania hospitals. | PSNet

    psnet.ahrq.gov/issue/safety-events-impacting-hospitalized-patients-following-motor-vehicle-crashes-qualitative
    October 07, 2020 - August 17, 2022 Error reduction in trauma care: lessons from an anonymized, national,

  7. Fatigue and safety in paramedicine. | PSNet

    psnet.ahrq.gov/issue/fatigue-and-safety-paramedicine
    December 16, 2020 - January 18, 2023 Hospital-acquired SARS-CoV-2 infection: lessons for public health.

  8. Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. | PSNet

    psnet.ahrq.gov/issue/improving-approach-defining-classifying-reporting-and-monitoring-adverse-events-seriously-ill
    July 29, 2020 - November 10, 2010 The Lancet Commission on lessons for the future from the COVID-19 pandemic

  9. Effectiveness of N95 respirators versus surgical masks against influenza: a systematic review and meta-analysis. | PSNet

    psnet.ahrq.gov/issue/effectiveness-n95-respirators-versus-surgical-masks-against-influenza-systematic-review-and
    March 24, 2019 - View More Related Resources Hospital-acquired SARS-CoV-2 infection: lessons

  10. Interview with the WI-INTUIT Project Team | Agency for Healthcare Research and Quality

    www.ahrq.gov/evidencenow/projects/urinary/wi-intuit-interview.html
    November 01, 2024 - What has been your biggest lesson learned to-date?

  11. Assessing patient safety in a pediatric telemedicine setting: a multi-methods study. | PSNet

    psnet.ahrq.gov/issue/assessing-patient-safety-pediatric-telemedicine-setting-multi-methods-study
    May 01, 2024 - April 30, 2014 Designing an abstraction instrument: lessons from efforts to validate

  12. Associations between healthcare environment design and adverse events in intensive care unit. | PSNet

    psnet.ahrq.gov/issue/associations-between-healthcare-environment-design-and-adverse-events-intensive-care-unit
    August 17, 2022 - March 23, 2022 Error reduction in trauma care: lessons from an anonymized, national,

  13. Antibiotic-resistant infection treatment costs have doubled since 2002, now exceeding $2 billion annually. | PSNet

    psnet.ahrq.gov/issue/antibiotic-resistant-infection-treatment-costs-have-doubled-2002-now-exceeding-2-billion
    July 02, 2019 - January 7, 2011 Teaching patient safety in global health: lessons from the Duke Global

  14. Potential consequences of patient complications for surgeon well-being: a systematic review. | PSNet

    psnet.ahrq.gov/issue/potential-consequences-patient-complications-surgeon-well-being-systematic-review
    May 23, 2018 - December 21, 2014 Building a safer foundation: the Lessons Learnt patient safety training

  15. Oncologist perceptions of racial disparity, racial anxiety, and unconscious bias in clinical interactions, treatment, and outcomes. | PSNet

    psnet.ahrq.gov/issue/oncologist-perceptions-racial-disparity-racial-anxiety-and-unconscious-bias-clinical
    October 19, 2022 - September 1, 2018 "At home, with care": lessons from New York City home-based primary

  16. Seroprevalence of SARS-CoV-2 among frontline health care personnel in a multistate hospital network--13 academic medical centers, April-June 2020. | PSNet

    psnet.ahrq.gov/issue/seroprevalence-sars-cov-2-among-frontline-health-care-personnel-multistate-hospital-network
    October 19, 2022 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

  17. National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages. | PSNet

    psnet.ahrq.gov/issue/national-drug-shortages-worsen-during-covid-19-crisis-proposal-comprehensive-model-monitor
    April 06, 2022 - 28, 2012 View More Related Resources The Lancet Commission on lessons

  18. Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care. | PSNet

    psnet.ahrq.gov/issue/self-reported-gaps-care-coordination-and-preventable-adverse-outcomes-among-older-adults
    July 06, 2022 - February 8, 2023 "At home, with care": lessons from New York City home-based primary

  19. Incorporating harms into the weighting of the Revised AHRQ Patient Safety for Selected Indicators Composite (PSI 90). | PSNet

    psnet.ahrq.gov/issue/incorporating-harms-weighting-revised-ahrq-patient-safety-selected-indicators-composite-psi
    June 29, 2022 - September 12, 2012 Public reporting of antibiotic timing in patients with pneumonia: lessons

  20. How safe is primary care? A systematic review. | PSNet

    psnet.ahrq.gov/issue/how-safe-primary-care-systematic-review
    December 18, 2013 - Related Resources Quality improvement priorities for safer out-of-hours palliative care: lessons
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