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Total Results: 5,323 records

Showing results for "lessons learned".

4121. 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

4122. 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

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. 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

4125. 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

4126. 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

4127. 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

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. 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

4130. 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

4131. 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

4132. Patient safety skills in primary care: a national survey of GP educators. | PSNet
      psnet.ahrq.gov/issue/patient-safety-skills-primary-care-national-survey-gp-educators
      October 05, 2016 - 26, 2025 Quality improvement priorities for safer out-of-hours palliative care: lessons

4133. 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

4134. 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

4135. 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

4136. Creating and Maintaining a Culture of Safety Series (Session 3): Measuring and Responding to Safety Culture Across Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/measuring-safety-culture.pdf
      May 13, 2025 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action … Based on what you have learned today, How will you use teamwork and communication tools and strategies

4137. Module 4: Leadership
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module4-leadership.pptx
      January 05, 2022 - What take-aways or lessons can be learned from this experience? What are goals for improvement?    … In this module, participants learned that: Leaders of effective diagnostic teams need to provide a compelling

4138. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Lessons learned from key pressure ulcer prevention initiatives provide us with the evidence that support … Use what you learned about reasons for change identified by the management and staff in your assessments

4139. 1. Are we ready for this change? | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu1.html
      October 01, 2014 - Lessons learned from key pressure ulcer prevention initiatives provide us with the evidence that support … Use what you learned about reasons for change identified by the management and staff in your assessments

4140. Presentation: Turning Data Into Action
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_data_into_action.pptx
      December 01, 2017 - Turning Data into Action ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: We have just learned … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented