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Showing results for "lessons learned".

2361. Systems analysis of adverse drug events. | PSNet
      psnet.ahrq.gov/issue/systems-analysis-adverse-drug-events
      February 10, 2011 - November 13, 2013 Lessons learned from implementation of computerized provider order

2362. Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. | PSNet
      psnet.ahrq.gov/issue/making-inpatient-medication-reconciliation-patient-centered-clinically-relevant-and
      January 14, 2009 - September 9, 2013 Project BOOST implementation: lessons learned.

2363. Effects of nursing rounds on patients' call light use, satisfaction, and safety. | PSNet
      psnet.ahrq.gov/issue/effects-nursing-rounds-patients-call-light-use-satisfaction-and-safety
      September 01, 2021 - postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Patients' experiences and perspectives of patient-reported

2364. Informatics tools in deprescribing and medication optimization in older adults: development and dissemination of VIONE methodology in a high reliability organization. | PSNet
      psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
      February 05, 2020 - September 27, 2023 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2365. The medical liability climate and prospects for reform. | PSNet
      psnet.ahrq.gov/issue/medical-liability-climate-and-prospects-reform
      September 29, 2017 - January 4, 2012 Administrative compensation for medical injuries: lessons from three … October 11, 2017 Apology laws and malpractice liability: what have we learned?

2366. Impact of online education on intern behaviour around Joint Commission national patient safety goals: a randomised trial. | PSNet
      psnet.ahrq.gov/issue/impact-online-education-intern-behaviour-around-joint-commission-national-patient-safety
      September 30, 2012 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2367. Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-electronic-medication-reconciliation-application-and-process-redesign-potential
      June 09, 2011 - April 12, 2023 Lessons learned from implementation of a computerized application for

2368. Acting between guidelines and reality- an interview study exploring the strategies of first line managers in patient safety work. | PSNet
      psnet.ahrq.gov/issue/acting-between-guidelines-and-reality-interview-study-exploring-strategies-first-line
      May 19, 2021 - August 12, 2020 Support opportunities for second victims lessons learned: a qualitative

2369. Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis. | PSNet
      psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis
      May 17, 2017 - March 2, 2022 Communication-and-resolution programs: the challenges and lessons learned

2370. How safe are outpatient electronic health records? An evaluation of medication-related decision support using the Ambulatory Electronic Health Record Evaluation Tool. | PSNet
      psnet.ahrq.gov/issue/how-safe-are-outpatient-electronic-health-records-evaluation-medication-related-decision
      March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2371. Qualitative study about the experiences of colleagues of health professionals involved in an adverse event. | PSNet
      psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
      September 19, 2016 - September 19, 2016 Lessons learned for reducing the negative impact of adverse events

2372. How can task shifting put patient safety at risk? A qualitative study of experiences among general practitioners in Norway. | PSNet
      psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
      December 14, 2022 - October 11, 2023 Lessons learned in implementing a chronic opioid therapy management

2373. Patient safety culture: effects on errors, incident reporting, and patient safety grade. | PSNet
      psnet.ahrq.gov/issue/patient-safety-culture-effects-errors-incident-reporting-and-patient-safety-grade
      August 26, 2020 - February 21, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2374. Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. | PSNet
      psnet.ahrq.gov/issue/addition-electronic-prescription-transmission-computerized-prescriber-order-entry-effect
      March 13, 2019 - February 27, 2009 Intravenous medication safety and smart infusion systems: lessons learned

2375. 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

2376. 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

2377. 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

2378. 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.

2379. 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

2380. 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