Results

Total Results: 5,323 records

Showing results for "lessons learned".

2361. Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety. | PSNet
      psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
      October 18, 2018 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning

2362. Impact of altering referral threshold from out-of-hours primary care to hospital on patient safety and further health service use: a cohort study. | PSNet
      psnet.ahrq.gov/issue/impact-altering-referral-threshold-out-hours-primary-care-hospital-patient-safety-and-further
      February 02, 2022 - May 4, 2022 Lessons learned from a systems approach to engaging patients and families

2363. Interdisciplinary Quality Improvement Conference: using a revised morbidity and mortality format to focus on systems-based patient safety issues in a VA hospital: design and outcomes. | PSNet
      psnet.ahrq.gov/issue/interdisciplinary-quality-improvement-conference-using-revised-morbidity-and-mortality-format
      July 22, 2020 - October 27, 2021 Lessons learned from a systems approach to engaging patients and families

2364. Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. | PSNet
      psnet.ahrq.gov/issue/effect-computerized-physician-order-entry-and-team-intervention-prevention-serious-medication
      February 10, 2011 - December 30, 2014 Lessons learned from implementation of computerized provider order

2365. The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation. | PSNet
      psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
      July 10, 2008 - Related Resources Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2366. Validation of a diagnostic reminder system in emergency medicine: a multi-centre study. | PSNet
      psnet.ahrq.gov/issue/validation-diagnostic-reminder-system-emergency-medicine-multi-centre-study
      April 14, 2011 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.

2367. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. | PSNet
      psnet.ahrq.gov/issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
      May 08, 2017 - May 19, 2021 Lessons learned implementing a complex and innovative patient safety learning

2368. Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: the Promoting Respect and Ongoing Safety through Patient Engagement Communication and Technology study. | PSNet
      psnet.ahrq.gov/issue/prospective-evaluation-multifaceted-intervention-improve-outcomes-intensive-care-promoting
      August 03, 2022 - August 3, 2022 Lessons learned implementing a complex and innovative patient safety learning

2369. A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs healthcare settings. | PSNet
      psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
      April 24, 2018 - September 13, 2023 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2370. Prevalence and characteristics of physicians prone to malpractice claims. | PSNet
      psnet.ahrq.gov/issue/prevalence-and-characteristics-physicians-prone-malpractice-claims
      April 03, 2019 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

2371. 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

2372. 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

2373. 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.

2374. 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

2375. 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

2376. 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.

2377. 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.

2378. 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

2379. 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

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