Results

Total Results: 5,323 records

Showing results for "lessons learned".

1001. 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

1002. 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.

1003. 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

1004. 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

1005. 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.

1006. 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

1007. 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

1008. 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.

1009. 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

1010. 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

1011. Forging a Pathway for Electronic Prescribing of Controlled Substances (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
      March 01, 2014 - Findings and Lessons Learned Dr. … Findings and lessons learned from the project can inform other community and State initiatives implementing … The findings and lessons learned from this research and demonstration project will inform other community

1012. A National Web Conference on E-prescribing: Overcoming Barriers with Successful Implementation Techniques (pdf file)
      digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
      September 05, 2012 - Learned 66 EPCS Project Collaborators ■ MA Department of Public Health, Drug Control Program … Learned (cont … Learned (cont … Learned Lessons Learned (cont.) … Lessons Learned (cont.) Next Steps Contacts Q & A CME/CNE Credits

1013. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36067/psn-pdf
      September 28, 2010 - describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessons … learned since implementation.

1014. Impact of vendor computerized physician order entry in community hospitals. | PSNet
      psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
      December 31, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry … February 12, 2014 Lessons learned from implementation of computerized provider order

1015. Using AHRQ Patient Safety Indicators to detect postdischarge adverse events in the Veterans Health Administration. | PSNet
      psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
      June 04, 2014 - 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

1016. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
      psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
      December 21, 2014 - October 11, 2010 Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

1017. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet
      psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
      January 02, 2017 - October 21, 2020 Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

1018. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet
      psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
      November 26, 2014 - December 31, 2014 Lessons learned from implementation of computerized provider order … February 12, 2014 Lessons learned from implementation of computerized provider order

1019. A systematic review of patient safety measures in adult primary care. | PSNet
      psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
      March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … September 25, 2019 Quality improvement lessons learned from National Implementation of

1020. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36421/psn-pdf
      August 05, 2008 - //psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons … the airline industry has learned about communication, teamwork, and error reporting and how they might