Results

Total Results: over 10,000 records

Showing results for "learned".

381. Overrides of medication-related clinical decision support alerts in outpatients. | PSNet
     psnet.ahrq.gov/issue/overrides-medication-related-clinical-decision-support-alerts-outpatients
     September 01, 2016 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned

382. Pain states, the opioid epidemic, and the role of radiologists. | PSNet
     psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-role-radiologists
     September 01, 2013 - Usage September 1, 2013 Trends in anesthesia-related liability and lessons learned … Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned

383. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet
     psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
     January 22, 2014 - May 25, 2011 Lessons learned for reducing the negative impact of adverse events on patients … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned

384. The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet
     psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
     February 03, 2015 - February 1, 2023 Support opportunities for second victims lessons learned: a qualitative … February 8, 2018 Lessons learned for reducing the negative impact of adverse events on

385. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned

386. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … March 6, 2019 Quality improvement lessons learned from National Implementation of the

387. Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet
     psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
     November 10, 2010 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … January 3, 2017 Quality improvement lessons learned from National Implementation of the

388. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet
     psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
     January 18, 2013 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned … November 10, 2010 Quality improvement lessons learned from National Implementation of

389. Parents' perspectives on "keeping their children safe" in the hospital. | PSNet
     psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
     June 27, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … February 2, 2011 Lessons learned for reducing the negative impact of adverse events on

390. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38348/psn-pdf
     December 30, 2014 - The author discusses a conceptual framework, implementation steps, and lessons learned.

391. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35693/psn-pdf
     May 03, 2017 - cause analysis and suggests guidelines for report- writing to ensure the dissemination of lessons learned

392. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36639/psn-pdf
     January 14, 2011 - application of several safety culture improvement strategies at their hospital and discuss lessons learned

393. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43800/psn-pdf
     August 02, 2016 - , key concepts involved such as behavior change, measurement and assessment processes, and lessons learned

394. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40983/psn-pdf
     December 07, 2011 - implementation-checklists-health-care-learning-high-reliability-organisations This study explored the utility of checklists in health care settings, building on lessons learned

395. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35084/psn-pdf
     November 04, 2015 - articles that address the behavior of physicians in high-liability specialties and suggests that lessons learned

396. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60898/psn-pdf
     September 09, 2020 - The authors discuss lessons learned and provide insight which can inform  implementation strategies 

397. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60792/psn-pdf
     August 12, 2020 - nurse-workarounds-electronic-health-record-integrative-review https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

398. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73091/psn-pdf
     March 31, 2021 - mistakes made during the pandemic (such as broken trust or ignoring disruptive behaviors) and lessons learned

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837975/psn-pdf
     August 31, 2022 - analyzing-and-discussing-human-factors-affecting-surgical-patient-safety- using-innovative Leveraging lessons learned

400. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/60054/psn-pdf
     March 18, 2020 - ensuring-successful-implementation-communication-and-resolution-programmes https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters