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Showing results for "lessons learned".

21. Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. | PSNet
    psnet.ahrq.gov/issue/anesthesia-adverse-events-voluntarily-reported-veterans-health-administration-and-lessons
    August 21, 2019 - Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans Health Administration and Lessons Learned … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis. … March 25, 2020 Sharing lessons learned to prevent adverse events in anesthesiology nationwide

22. Synthesizing Lessons Learned Using Health Information Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
    January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report Grant Final Report … Grant ID: R03HS018830 Synthesizing Lessons Learned Using Health Information Technology … Synthesizing Lessons Learned Using Health Information Technology to Improve Quality (Lynne S. … One of the specific components of the 2011 meeting included a presentation of “Lessons Learned from … This research included a robust evaluation of the mixed-methods data and lessons learned from a decade

23. Rooting an error review process in just culture: lessons learned. | PSNet
    psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
    April 20, 2022 - Commentary Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … Lessons learned highlight the importance of who performs error follow-up, skills for navigating difficult … Rooting an error review process in just culture: lessons learned. … March 1, 2023 Lessons learned from the RaDonda Vaught ruling.

24. Applying Lessons Learned From Evaluating a Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/assess/applying-lessons.html
    May 01, 2019 - Applying Lessons Learned From Evaluating a Quality Report What Have You Learned? … Evaluate Your Reporting Project What You Can Evaluate Elements of an Evaluation Plan Applying Lessons …  Learned Recommended Reading on Evaluation

25. Lessons learned in implementing a chronic opioid therapy management system. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
    July 13, 2022 - Study Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … Lessons learned in implementing a chronic opioid therapy management system. … July 13, 2022 Lessons learned implementing a complex and innovative patient safety learning … October 13, 2021 Central venous catheter guidewire retention: lessons from England's

26. Lessons learned from medical malpractice claims involving critical care nurses. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
    July 15, 2020 - Study Lessons learned from medical malpractice claims involving critical care nurses … Lessons learned from medical malpractice claims involving critical care nurses. … Lessons learned from medical malpractice claims involving critical care nurses.

27. Lessons learned from a national hospital antibiotic stewardship implementation project. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-national-hospital-antibiotic-stewardship-implementation-project
    July 20, 2022 - Study Lessons learned from a national hospital antibiotic stewardship implementation … Lessons learned from a national hospital antibiotic stewardship implementation project. … Lessons learned from a national hospital antibiotic stewardship implementation project.

28. Synthesizing Lessons Learned Using Health Information Technology - Final Report | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/synthesizing-lessons-learned-using-health-information-technology/final-report
    January 01, 2023 - Synthesizing Lessons Learned Using Health Information Technology - Final Report Citation … Synthesizing Lessons Learned Using Health Information Technology - Final Report. … PDF Synthesizing Lessons Learned Using Health Information Technology - Final Report … Principal Investigator Nemeth, Lynne Project Name Synthesizing Lessons Learned Using

29. Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
    April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems 135 Lessons Learned … Lessons learned from the system’s evolution and implementation will be shared. … Key dissemination activities include sharing lessons learned, educational programs, presentations, the … Lessons learned The experience of developing adverse event incident reporting systems in New York … State resulted in several lessons learned that might help shape the design of future systems.

30. Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
    April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation 437 … Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation Mary … This article explores some of the lessons learned during the BCMA implementation in the ICU. … This article is intended to explore a few of the key lessons learned during the implementation of a … Finally, in addition to advancing our own successes, our hope is that by disseminating the lessons learned

31. On-line Patient Safety Climate Survey: Tool Development and Lessons Learned (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
    January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned 415 On-line Patient Safety … Climate Survey: Tool Development and Lessons Learned Lynne M. … lessons were lost. … Lessons learned The importance of working with a computer programmer possessed of the right level … learned Limitations Conclusions Acknowledgments Author affiliations References Table 1.

32. Wrong-side thoracentesis: lessons learned from root cause analysis. | PSNet
    psnet.ahrq.gov/issue/wrong-side-thoracentesis-lessons-learned-root-cause-analysis
    July 16, 2015 - Study Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … learned.

33. Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. | PSNet
    psnet.ahrq.gov/issue/exploring-clinical-lessons-learned-experienced-hospitalists-diagnostic-errors-and-successes
    January 15, 2025 - Study Exploring clinical lessons learned by experienced hospitalists from diagnostic … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes. … this qualitative study, researchers interviewed hospitalists at five hospitals to examine clinical lessons … learned from diagnostic errors and successes. … Exploring clinical lessons learned by experienced hospitalists from diagnostic errors and successes.

34. Sharing lessons learned to prevent adverse events in anesthesiology nationwide. | PSNet
    psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
    April 12, 2019 - Study Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. … Of participants who had been aware of lessons learned, 90% shared them with staff and 75% described changing … Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

35. Practice Transformation: Lessons Learned From Multiple Integration Projects | The Academy
    integrationacademy.ahrq.gov/expert-insight/webcast/10976
    January 01, 2013 - NIAC Videos Webcasts Practice Transformation: Lessons … Learned From Multiple Integration Projects For their efforts to … Perry Dickinson presented lessons learned from multiple integration projects regarding the practice transformation

36. Lessons learned from implementing a principled approach to resolution following patient harm. | PSNet
    psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
    February 12, 2020 - Commentary Lessons learned from implementing a principled approach to resolution … Lessons learned from implementing a principled approach to resolution following patient harm. … Lessons learned from implementing a principled approach to resolution following patient harm. … RIS Download Citation Related Resources From the Same Author(s) Lessons … learned from a systems approach to engaging patients and families in patient safety transformation.

37. Applying Lessons Learned in Community Collaboration to Health IT | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/applying-lessons-learned-community-collaboration-health-it
    January 01, 2023 - Applying Lessons Learned in Community Collaboration to Health IT Project … Applying Lessons Learned in Community Collaboration to Health Information Technology - 2010

38. Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED. | PSNet
    psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
    October 19, 2022 - Commentary Regulatory and policy barriers to effective clinical data exchange: lessons … learned from MedsInfo-ED. … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to clinical … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED.

39. Shaping systems for better behavioral choices: lessons learned from a fatal medication error. | PSNet
    psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
    February 12, 2020 - Commentary Shaping systems for better behavioral choices: lessons learned from a … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … learned from a systems approach to engaging patients and families in patient safety transformation. … April 30, 2014 Interdisciplinary team training: five lessons learned.

40. V. Challenges Identified and Lessons Learned | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/reports/hotline/lessons5.html
    May 01, 2016 - Challenges Identified and Lessons Learned Previous Page Next Page Table of Contents … Challenges Identified and Lessons Learned VI. Summary and Conclusions References Appendix A. … We had hoped to use the AHRQ Common Formats language in the hotline, but we learned in focus groups with … Lessons Learned Given the many challenges associated with the hotline, we learned a number of useful … lessons: Patient safety reporting is both desirable and feasible.