Results

Total Results: 5,323 records

Showing results for "lessons learned".

4101. 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

4102. 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

4103. 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

4104. 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

4105. 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

4106. 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

4107. 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

4108. 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

4109. Association of surgeon-patient sex concordance with postoperative outcomes. | PSNet
      psnet.ahrq.gov/issue/association-surgeon-patient-sex-concordance-postoperative-outcomes
      September 09, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

4110. 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,

4111. 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

4112. 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

4113. Our current approach to root cause analysis: is it contributing to our failure to improve patient safety? | PSNet
      psnet.ahrq.gov/issue/our-current-approach-root-cause-analysis-it-contributing-our-failure-improve-patient-safety
      October 23, 2013 - November 12, 2014 Mind the gap between recommendation and implementation—principles and lessons

4114. 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

4115. Moving beyond the weekend effect: how can we best target interventions to improve patient care? | PSNet
      psnet.ahrq.gov/issue/moving-beyond-weekend-effect-how-can-we-best-target-interventions-improve-patient-care
      September 09, 2015 - 2015 Learning from morbidity and mortality conferences: focus and sustainability of lessons

4116. Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/psychological-and-psychosomatic-symptoms-second-victims-adverse-events-systematic-review-and
      June 23, 2021 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation

4117. 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

4118. The barriers and enhancers to trust in a just culture in hospital settings: a systematic review. | PSNet
      psnet.ahrq.gov/issue/barriers-and-enhancers-trust-just-culture-hospital-settings-systematic-review
      February 02, 2022 - 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

4119. Medical teamwork and the evolution of safety science: a critical review. | PSNet
      psnet.ahrq.gov/issue/medical-teamwork-and-evolution-safety-science-critical-review
      January 26, 2022 - January 26, 2022 Mind the gap between recommendation and implementation—principles and lessons

4120. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis. | PSNet
      psnet.ahrq.gov/issue/delivering-high-quality-cancer-care-charting-new-course-system-crisis
      August 15, 2012 - May 24, 2015 Findings and Lessons From the Improving Quality Through Clinician Use of