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Showing results for "lessons learned".

4121. Deferral of care for serious non-COVID-19 conditions: a hidden harm of COVID-19. | PSNet
      psnet.ahrq.gov/issue/deferral-care-serious-non-covid-19-conditions-hidden-harm-covid-19
      June 22, 2022 - Lessons from aviation for returning to non-urgent surgery following COVID-19.

4122. The effectiveness of inking needle core prostate biopsies for preventing patient specimen identification errors: a technique to address Joint Commission patient safety goals in specialty laboratories. | PSNet
      psnet.ahrq.gov/issue/effectiveness-inking-needle-core-prostate-biopsies-preventing-patient-specimen-identification
      August 04, 2021 - December 22, 2010 Errors in laboratory medicine: practical lessons to improve patient

4123. 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

4124. 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

4125. 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

4126. 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

4127. 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

4128. Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement. | PSNet
      psnet.ahrq.gov/issue/centers-medicare-and-medicaid-services-hospital-acquired-conditions-policy-central-line
      July 03, 2016 - August 9, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

4129. 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

4130. Communication with health care workers regarding health care-associated exposure to coronavirus 2019: a checklist to facilitate disclosure. | PSNet
      psnet.ahrq.gov/issue/communication-health-care-workers-regarding-health-care-associated-exposure-coronavirus-2019
      August 12, 2020 - September 23, 2020 View More Related Resources Lessons from the

4131. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - efficiently detect dental charts that contain patient safety events.( 2,16,17 ) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2. … We think the principle of patient safety must be learned at the beginning of health education.

4132. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA2 during a conference and was so impacted that we soon … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA2 ?

4133. In Conversation With… Bernardo Perea-Pérez, MD, DDS, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-bernardo-perea-perez-md-dds-phd
      August 01, 2016 - We think the principle of patient safety must be learned at the beginning of health education. … efficiently detect dental charts that contain patient safety events.( 2,16,17 ) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2.

4134. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Structured communication techniques: Participants learned structured communication, teamwork and situational … Participants also received and learned to use forms to document communication. … Chair of the Department of Obstetrics and Gynecology and now Director of PROMPT for North America, learned … Lessons from a series of research on teamwork, leadership and team training.

4135. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/appa.html
      October 01, 2015 - physicians, two thirds were solo practices New York City Neil Calman, MD; A Study of the PCMH: Lessons … Spokane regions) and northern Idaho Diane Rittenhouse, MD; Transforming Primary Care Practice: Lessons … Neil Calman, MD; A Study of the PCMH: Lessons From a New York State Community Health Center Network … recognition was achieved at all 26 practices Diane Rittenhouse, MD; Transforming Primary Care Practice: Lessons

4136. Appendix A. Key Characteristics of Transforming Primary Care Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/key-characteristics.html
      March 01, 2017 - physicians, two thirds were solo practices New York City Neil Calman, MD; A Study of the PCMH: Lessons … Spokane regions) and northern Idaho Diane Rittenhouse, MD; Transforming Primary Care Practice: Lessons … Neil Calman, MD; A Study of the PCMH: Lessons From a New York State Community Health Center Network … recognition was achieved at all 26 practices Diane Rittenhouse, MD; Transforming Primary Care Practice: Lessons

4137. Online Counseling to Enable Lifestyle-Focused Obesity Treatment in Primary Care - Final report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs018155-mctigue-final-report-2013.pdf
      January 01, 2013 - participants who were not meeting program goals (e.g., not logging in, self-­‐ monitoring, or completing lessons … goals, and discussion of how to pursue these goals safely, then 16 structured, automated online lessons … Lessons complemented by tailored coaching advice via electronic messaging structured online maintenance … lessons, with interactive workbook paged, based on DPP post-­­core resource materials. … Lessons complemented by tailored coaching advice via electronic messaging Pedometer Fat & calorie

4138. DEcIDE DRN Report 2 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-proof_research.pdf
      June 01, 2010 - Lessons learned from this proof-of-principle demonstration include the likely success of an incremental … Based on the lessons learned from this proof-of-principle demonstration, an incremental approach to

4139. A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries | PSNet
      psnet.ahrq.gov/innovation/statewide-collaborative-support-vaginal-birth-and-reduce-unnecessary-cesarean-deliveries
      July 23, 2024 - technical assistance A means for peer-group sharing of best practices Use By Other Organizations   Lessons … Lessons Learned from Implementing a Place-Based, Racial Justice-Centered Approach to Health Equity.

4140. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61083/psn-pdf
      October 28, 2020 - your initiative and its intersection with the COVID-19 response – how are you using the work and the lessons … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … We are not New York, so some lessons didn’t apply.