Results

Total Results: 5,362 records

Showing results for "lessons learned".

2381. Effects of a communication-and-resolution program on hospitals' malpractice claims and costs. | PSNet
      psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
      October 11, 2017 - July 7, 2021 Lessons learned from a death outside a hospital's doorstep.

2382. Implementation of hand hygiene in health-care facilities: results from the WHO Hand Hygiene Self-Assessment Framework global survey 2019. | PSNet
      psnet.ahrq.gov/issue/implementation-hand-hygiene-health-care-facilities-results-who-hand-hygiene-self-assessment
      September 09, 2020 - August 5, 2020 Lessons learned from a systems approach to engaging patients and families

2383. Safe but sound: patient safety meets evidence-based medicine. | PSNet
      psnet.ahrq.gov/issue/safe-sound-patient-safety-meets-evidence-based-medicine
      March 13, 2013 - May 24, 2012 A very public failure: lessons for quality improvement in healthcare organisations … April 19, 2011 Five years after 'To Err is Human': what have we learned?

2384. Promoting Patient Safety Through Effective Health Information Technology Risk Management. | PSNet
      psnet.ahrq.gov/issue/promoting-patient-safety-through-effective-health-information-technology-risk-management
      May 25, 2016 - related to health IT in 11 health care organizations, and this publication outlines experiences and lessons … learned from participating institutions.

2385. Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events. | PSNet
      psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
      March 30, 2022 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2386. 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

2387. Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool. | PSNet
      psnet.ahrq.gov/issue/relationship-between-medication-event-rates-and-leapfrog-computerized-physician-order-entry
      November 26, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry

2388. 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

2389. Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. | PSNet
      psnet.ahrq.gov/issue/effects-refined-evidence-based-toolkit-and-mentored-implementation-medication-reconciliation
      April 12, 2023 - Building upon lessons learned in the MARQUIS1 study, this pragmatic quality improvement study (MARQUIS2

2390. Low rate of completion of recommended tests and referrals in an academic primary care practice with resident trainees. | PSNet
      psnet.ahrq.gov/issue/low-rate-completion-recommended-tests-and-referrals-academic-primary-care-practice-resident
      January 17, 2024 - July 13, 2022 Lessons learned in implementing a chronic opioid therapy management system

2391. The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system. | PSNet
      psnet.ahrq.gov/issue/irish-national-adverse-event-study-2-inaes-2-longitudinal-trends-adverse-event-rates-irish
      March 03, 2021 - February 9, 2022 Lessons learned from a systems approach to engaging patients and families

2392. Associations of person-related, environment-related and communication-related factors on medication errors in public and private hospitals: a retrospective clinical audit. | PSNet
      psnet.ahrq.gov/issue/associations-person-related-environment-related-and-communication-related-factors-medication
      January 19, 2022 - Related Resources From the Same Author(s) Support opportunities for second victims lessons … learned: a qualitative study of the top 20 US News and World Report Honor Roll Hospitals.

2393. Engaging patients in the use of real-time electronic clinical data to improve the safety and reliability of their own care. | PSNet
      psnet.ahrq.gov/issue/engaging-patients-use-real-time-electronic-clinical-data-improve-safety-and-reliability-their
      March 16, 2022 - March 30, 2022 Lessons learned from a systems approach to engaging patients and families

2394. Patient-clinician diagnostic concordance upon hospital admission. | PSNet
      psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
      October 16, 2024 - August 3, 2022 Lessons learned implementing a complex and innovative patient safety learning

2395. 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

2396. 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

2397. 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

2398. 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.

2399. 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

2400. 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