Results

Total Results: 3,005 records

Showing results for "lessons learned".

281. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/865820/psn-pdf
     May 08, 2024 - breaking-silence-medical-mistakes https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

282. 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 from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of

283. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - July 3, 2014 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

284. The impact of the 80-hour work week on appropriate resident case coverage. | PSNet
     psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
     June 18, 2008 - September 2, 2015 Quality improvement lessons learned from National Implementation of … Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field.

285. 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

286. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet
     psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
     June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … April 15, 2020 Implementing hospital-based communication-and-resolution programs: lessons … learned in New York City.

287. 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

288. 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 from the field. … January 3, 2017 Quality improvement lessons learned from National Implementation of the

289. Hospital reputation and perceptions of patient safety. | PSNet
     psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
     October 11, 2017 - RIS Download Citation Related Resources From the Same Author(s) Lessons … learned for reducing the negative impact of adverse events on patients, health professionals and healthcare … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

290. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet
     psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
     January 29, 2010 - Resources From the Same Author(s) Hospitalists as Emerging Leaders in Patient Safety: lessons … learned and future directions. … March 17, 2010 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and

291. 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.

292. 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 from the field. … March 6, 2019 Quality improvement lessons learned from National Implementation of the

293. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. | PSNet
     psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
     January 19, 2014 - February 15, 2017 Lessons learned for reducing the negative impact of adverse events … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

294. Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
     January 05, 2017 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide

295. 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.

296. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet
     psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
     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.

297. 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.

298. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet
     psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
     July 02, 2008 - July 14, 2010 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and … January 29, 2010 Project BOOST implementation: lessons learned.

299. Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet
     psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
     December 19, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … January 27, 2019 Quality improvement lessons learned from National Implementation of

300. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36163/psn-pdf
     September 29, 2010 - case study shares the experiences of the BTS, the positive impact they had on adverse events, and lessons … learned that fueled their success. … improving-bar-coded-medication-administration-system-department-veterans-affairs https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative