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Total Results: 5,362 records

Showing results for "lessons learned".

2281. 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.

2282. 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.

2283. 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.

2284. 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

2285. 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

2286. 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.

2287. Option Period Final Project Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/ahrq_cedar_final_project_report_2023.pdf
      January 01, 2023 - learned from this experience in future initiatives. … Lessons Learned and Recommendations The CEDAR demonstration project aimed to improve user access to … Lessons Learned and Recommendations The Option Period produced key lessons learned and recommendations … learned to other efforts? … https://www.ahrq.gov/data/resources/index.html/ Executive Summary Project Activities Lessons Learned

2288. AHRQ Slide Template-Regular
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/assessing/takeheart-summary-presentation.pptx
      April 26, 2023 - Increase Patient Participation in Cardiac Rehabilitation What We Planned, What Happened, and What We Learned … characteristics vs. geography While some overlap between 2 cohorts: Some adaptations in response to lessons … Lessons learned for implementation of similar working groups on high priority health care topics in the … relevant.); modified: interviews with selected champions changed to group interviews. 26 What We Learned … programs that better fit their own system’s requirements and capabilities. 27 Evaluation What We Learned

2289. Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. | PSNet
      psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
      September 09, 2015 - Book/Report Culture Change in the NHS: Applying the Lessons of the Francis Inquiries … Citation Text: Culture Change in the NHS: Applying the Lessons of the Francis Inquiries. … Cite Citation Citation Text: Culture Change in the NHS: Applying the Lessons

2290. Inpatient Computerized Provider Order Entry (CPOE) | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/emerging-lessons/computerized-provider-order-entry-inpatient/inpatient-computerized-provider-order-entry-cpoe
      January 01, 2023 - learned regarding inpatient CPOE implementation and use. … learned, and future directions for inpatient CPOE use within their respective hospitals. … Findings The interviews provided rich detail about grantees’ successes, failures, and lessons learned … Their experiences and lessons learned emphasize the need for strong leadership, a solid implementation … By sharing these lessons, AHRQ hopes to help those who are headed down the path of implementing CPOE

2291. AHRQ National Web Conference on the Role of Health IT to Improve Care Transitions - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
      September 26, 2019 - Learned IMPLEMENTATION BARRIERS STRATEGIES TO PROMOTE USE Video Timing and access of video after … languages (e.g., Spanish) using m edical interpreters 19 Lessons … Learned IMPLEMENTATION BARRIERS STRATEGIES TO PROMOTE USE Checklist Timing and administration … Learned IMPLEMENTATION BARRIERS STRATEGIES TO PROMOTE USE Safety Dashboard Discharge Column Variable … Learned IMPLEMENTATION BARRIERS STRATEGIES TO PROMOTE USE Secure Post-Discharge Messaging Physician

2292. 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

2293. 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

2294. 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.

2295. 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

2296. 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

2297. 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

2298. 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.

2299. 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

2300. 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