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Total Results: 3,005 records

Showing results for "lessons learned".

221. Evaluating the implementation of Project Re-Engineered Discharge (RED) in five Veterans Health Administration (VHA) hospitals. | PSNet
     psnet.ahrq.gov/issue/evaluating-implementation-project-re-engineered-discharge-red-five-veterans-health
     June 26, 2024 - Citation Related Resources From the Same Author(s) Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation … Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field.

222. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | PSNet
     psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
     June 09, 2011 - Although initial uptake was low, the study reports on many lessons learned through initial implementation … July 10, 2008 Lessons learned implementing a complex and innovative patient safety learning

223. Video capture of clinical care to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
     March 28, 2012 - The investigators outline their approach in capturing 270 operating room cases with lessons learned and … October 6, 2016 Sharing lessons learned to prevent incorrect surgery.

224. Ability of practitioners to identify solid oral dosage tablets. | PSNet
     psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
     January 02, 2017 - January 2, 2017 Lessons learned implementing a complex and innovative patient safety … July 29, 2009 Intravenous medication safety and smart infusion systems: lessons learned

225. American Hospital Association-McKesson Quest for Quality Prize. | PSNet
     psnet.ahrq.gov/issue/american-hospital-association-mckesson-quest-quality-prize-0
     March 28, 2018 - January 22, 2017 Lessons learned from a systems approach to engaging patients and families … September 24, 2018 Shaping systems for better behavioral choices: lessons learned from

226. Can we make airway management (even) safer?—lessons from national audit. | PSNet
     psnet.ahrq.gov/issue/can-we-make-airway-management-even-safer-lessons-national-audit
     March 01, 2023 - —lessons from national audit. Citation Text: Woodall N, Frerk C, Cook TM. … --lessons from national audit. … --lessons from national audit. … November 12, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

227. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet
     psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
     March 06, 2024 - July 31, 2024 Quality improvement lessons learned from National Implementation of the … July 29, 2020 Lessons learned from a systems approach to engaging patients and families

228. Now is the time to routinely ask patients about safety. | PSNet
     psnet.ahrq.gov/issue/now-time-routinely-ask-patients-about-safety
     March 08, 2023 - March 8, 2023 Lessons learned from a systems approach to engaging patients and families … June 24, 2020 Lessons learned from a systems approach to engaging patients and families

229. Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. | PSNet
     psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure
     May 08, 2017 - Classic Public reporting of antibiotic timing in patients with pneumonia: lessons … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure … The authors conclude with a number of lessons learned from this case example, including the tension that … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure

230. Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. | PSNet
     psnet.ahrq.gov/issue/lessons-work-life-wellness-academic-medicine-parts-1-3
     May 18, 2017 - Special or Theme Issue Lessons for Work-Life Wellness in Academic Medicine: Parts … Citation Text: Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. … Linkedin Copy URL Cite Citation Citation Text: Lessons … March 8, 2023 Lessons learned from the RaDonda Vaught ruling.

231. Measurement and Monitoring of Safety Framework: a qualitative study of implementation through a Canadian learning collaborative. | PSNet
     psnet.ahrq.gov/issue/measurement-and-monitoring-safety-framework-qualitative-study-implementation-through-canadian
     January 24, 2024 - July 24, 2024 Quality improvement lessons learned from National Implementation of the … November 16, 2022 Lessons learned from a systems approach to engaging patients and

232. Alarm management: promoting safety and establishing guidelines. | PSNet
     psnet.ahrq.gov/issue/alarm-management-promoting-safety-and-establishing-guidelines
     May 24, 2017 - September 28, 2022 Lessons learned implementing a complex and innovative patient safety … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management

233. WebAIRS Anesthesia Incident Reporting System. | PSNet
     psnet.ahrq.gov/issue/webairs-anesthesia-incident-reporting-system
     November 10, 2011 - November 10, 2011 Intravenous medication safety and smart infusion systems: lessons learned … May 4, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

234. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36836/psn-pdf
     January 29, 2015 - Bristol, assessing the quality of care and system failures that contributed to deaths, and generating lessons … that could be learned for the entire National Health Service (NHS) in the United Kingdom. … resulted from the learnings of the Bristol inquiry, including a discussion of cultural entrapment and lessons … hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

235. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - December 23, 2020 Lessons learned from a systems approach to engaging patients and families … January 11, 2023 Rooting an error review process in just culture: lessons learned.

236. "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet
     psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
     December 15, 2021 - September 30, 2020 Intravenous medication safety and smart infusion systems: lessons … learned and future opportunities. … April 6, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

237. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet
     psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
     April 12, 2023 - June 12, 2024 Exploring clinical lessons learned by experienced hospitalists from diagnostic … March 2, 2011 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and

238. Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet
     psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
     October 21, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned. … October 13, 2021 Intravenous medication safety and smart infusion systems: lessons learned

239. Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet
     psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
     August 21, 2019 - Download Citation Related Resources From the Same Author(s) Sharing lessons … learned to prevent adverse events in anesthesiology nationwide. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

240. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
     October 06, 2021 - February 1, 2012 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … September 21, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.