Results

Total Results: 5,362 records

Showing results for "lessons learned".

2401. Assessing the state of safe medication practices using the ISMP Medication Safety Self Assessment for Hospitals: 2000 and 2011. | PSNet
      psnet.ahrq.gov/issue/assessing-state-safe-medication-practices-using-ismp-medication-safety-self-assessment
      March 02, 2016 - June 16, 2019 Shaping systems for better behavioral choices: lessons learned from a fatal

2402. Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients. | PSNet
      psnet.ahrq.gov/issue/escalation-care-surgery-systematic-risk-assessment-prevent-avoidable-harm-hospitalized
      December 17, 2014 - November 1, 2016 Project BOOST implementation: lessons learned.

2403. Factors influencing a nurse's decision to question medication administration in a neonatal clinical care unit. | PSNet
      psnet.ahrq.gov/issue/factors-influencing-nurses-decision-question-medication-administration-neonatal-clinical-care
      April 21, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2404. Implementation of barcode medication administration (BMCA) technology on infusion pumps in the operating rooms. | PSNet
      psnet.ahrq.gov/issue/implementation-barcode-medication-administration-bmca-technology-infusion-pumps-operating
      April 12, 2019 - 27, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

2405. Use of prescribing safety quality improvement reports in UK general practices: a qualitative assessment. | PSNet
      psnet.ahrq.gov/issue/use-prescribing-safety-quality-improvement-reports-uk-general-practices-qualitative
      December 08, 2021 - March 10, 2021 Support opportunities for second victims lessons learned: a qualitative

2406. Undertaking risk and relational work to manage vulnerability: acute medical patients' involvement in patient safety in the NHS. | PSNet
      psnet.ahrq.gov/issue/undertaking-risk-and-relational-work-manage-vulnerability-acute-medical-patients-involvement
      September 29, 2021 - August 25, 2021 Lessons learned from a systems approach to engaging patients and families

2407. Patient, physician, medical assistant, and office visit factors associated with medication list agreement. | PSNet
      psnet.ahrq.gov/issue/patient-physician-medical-assistant-and-office-visit-factors-associated-medication-list
      June 28, 2017 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

2408. Potentially inappropriate medication use among elderly home care patients in Europe. | PSNet
      psnet.ahrq.gov/issue/potentially-inappropriate-medication-use-among-elderly-home-care-patients-europe
      September 19, 2016 - January 19, 2014 Lessons learned for reducing the negative impact of adverse events on

2409. Analysis of adverse events associated with adult moderate procedural sedation outside the operating room. | PSNet
      psnet.ahrq.gov/issue/analysis-adverse-events-associated-adult-moderate-procedural-sedation-outside-operating-room
      August 13, 2014 - August 13, 2014 Trends in anesthesia-related liability and lessons learned.

2410. Association of default electronic medical record settings with health care professional patterns of opioid prescribing in emergency departments: A randomized quality improvement study | PSNet
      psnet.ahrq.gov/issue/association-default-electronic-medical-record-settings-health-care-professional-patterns
      February 12, 2020 - February 12, 2020 Lessons learned from a systems approach to engaging patients and families

2411. A report of information technology and health deficiencies in U.S. nursing homes. | PSNet
      psnet.ahrq.gov/issue/report-information-technology-and-health-deficiencies-us-nursing-homes
      October 28, 2020 - U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

2412. The TAKEheart Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/about/initiative/index.html
      December 01, 2022 - Lessons learned from the experiences of the Partner Hospitals helped coaches produce a revised, stand-alone

2413. Using failure mode and effect analysis to identify potential failures in a psychiatric hospital emergency department. | PSNet
      psnet.ahrq.gov/issue/using-failure-mode-and-effect-analysis-identify-potential-failures-psychiatric-hospital
      June 22, 2017 - February 15, 2023 Lessons learned implementing a complex and innovative patient safety

2414. Appendix B. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/appb.html
      August 01, 2022 - Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons … Learned From Implementation Challenges Followup to the PSML Demonstration Projects Recommendations

2415. 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

2416. 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

2417. 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

2418. 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.

2419. 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

2420. 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