Results

Total Results: 5,362 records

Showing results for "lessons learned".

2321. Primary care collaboration to improve diagnosis and screening for colorectal cancer. | PSNet
      psnet.ahrq.gov/issue/primary-care-collaboration-improve-diagnosis-and-screening-colorectal-cancer
      July 13, 2022 - July 13, 2022 Lessons learned in implementing a chronic opioid therapy management system

2322. Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients. | PSNet
      psnet.ahrq.gov/issue/association-coworker-reports-about-unprofessional-behavior-surgeons-surgical-complications
      June 27, 2018 - Related Resources Patients' perspectives on quality and patient safety failures: lessons … learned from an inquiry into transvaginal mesh in Australia.

2323. Redeployment of health care workers in the COVID-19 pandemic: a qualitative study of health system leaders' strategies. | PSNet
      psnet.ahrq.gov/issue/redeployment-health-care-workers-covid-19-pandemic-qualitative-study-health-system-leaders
      March 17, 2021 - The authors discuss effective practices and lessons learned preparing for and executing workforce redeployment

2324. Evaluation of perioperative medication errors and adverse drug events. | PSNet
      psnet.ahrq.gov/issue/evaluation-perioperative-medication-errors-and-adverse-drug-events
      July 16, 2019 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2325. Effect of burnout among physicians on observed adverse patient outcomes: a literature review. | PSNet
      psnet.ahrq.gov/issue/effect-burnout-among-physicians-observed-adverse-patient-outcomes-literature-review
      October 27, 2021 - June 23, 2021 Support opportunities for second victims lessons learned: a qualitative

2326. Incivility and patient safety: a longitudinal study of rudeness, protocol compliance, and adverse events. | PSNet
      psnet.ahrq.gov/issue/incivility-and-patient-safety-longitudinal-study-rudeness-protocol-compliance-and-adverse
      June 21, 2016 - April 12, 2019 Lessons learned for reducing the negative impact of adverse events on

2327. Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review. | PSNet
      psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
      October 05, 2022 - May 25, 2022 Rooting an error review process in just culture: lessons learned.

2328. Evaluation of older persons' medications: a critical incident technique study exploring healthcare professionals' experiences and actions. | PSNet
      psnet.ahrq.gov/issue/evaluation-older-persons-medications-critical-incident-technique-study-exploring-healthcare
      July 14, 2021 - October 20, 2021 Support opportunities for second victims lessons learned: a qualitative

2329. Association of low-dose whole-body computed tomography with missed injury diagnoses and radiation exposure in patients with blunt multiple trauma. | PSNet
      psnet.ahrq.gov/issue/association-low-dose-whole-body-computed-tomography-missed-injury-diagnoses-and-radiation
      February 12, 2020 - September 29, 2021 Lessons learned from a systems approach to engaging patients and families

2330. A Compendium of Strategies to Prevent Healthcare-Associated Infections in Acute Care Hospitals. | PSNet
      psnet.ahrq.gov/issue/compendium-strategies-prevent-healthcare-associated-infections-acute-care-hospitals
      September 01, 2014 - March 26, 2008 Preventing Healthcare-Associated Infections: Results and Lessons Learned

2331. Keeping patients at risk for self-harm safe in the emergency department: a protocolized approach. | PSNet
      psnet.ahrq.gov/issue/keeping-patients-risk-self-harm-safe-emergency-department-protocolized-approach
      December 02, 2020 - November 18, 2020 Lessons learned from a systems approach to engaging patients and families

2332. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet
      psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit
      October 27, 2021 - postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Combined impact of Medicare's hospital pay for performance

2333. Collaborative case review: a systems-based approach to patient safety event investigation and analysis. | PSNet
      psnet.ahrq.gov/issue/collaborative-case-review-systems-based-approach-patient-safety-event-investigation-and
      May 04, 2022 - May 4, 2022 Lessons learned from a systems approach to engaging patients and families

2334. Incidence and characteristics of potential and actual retained foreign object events in surgical patients. | PSNet
      psnet.ahrq.gov/issue/incidence-and-characteristics-potential-and-actual-retained-foreign-object-events-surgical
      January 02, 2017 - July 26, 2017 Gossypiboma: tales of lost sponges and lessons learned.

2335. 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

2336. 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

2337. 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

2338. 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.

2339. 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

2340. 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