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Total Results: 5,362 records

Showing results for "lessons learned".

  1. Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital. | PSNet

    psnet.ahrq.gov/issue/impact-inpatient-electronic-prescribing-system-prescribing-error-causation-qualitative
    February 16, 2022 - A PSNet perspective assessed lessons learned about electronic health record safety.

  2. Management Practices for Sustainability Module 5: Visual Management | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/visual-slides.html
    June 01, 2017 - Study: Review how the test went and what lessons were learned.

  3. Management Practices for Sustainability - Module 2: Daily Huddles | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/huddles-slides.html
    June 01, 2017 - the specifications of your test Do : Conduct the test Study : Review how the test went and what lessons … were learned Act : Integrate learning into your next test or into daily practice Slide 7: Details

  4. Module 3: PowerPoint Presentation

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/problem-solving/problem-solving.pptx
    May 01, 2017 - Plan: Lay out the specifications of your test Do: Conduct the test Study: Review how the test went and lessons … learned Act: Integrate your learning into your next test or into daily practice 7 Module 3: Problem

  5. Doing 'detective work' to find a cancer: how are non-specific symptom pathways for cancer investigation organised, and what are the implications for safety and quality of care? A multisite qualitative approach. | PSNet

    psnet.ahrq.gov/issue/doing-detective-work-find-cancer-how-are-non-specific-symptom-pathways-cancer-investigation
    April 05, 2023 - June 25, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

  6. Alert burden in pediatric hospitals: a cross-sectional analysis of six academic pediatric health systems using novel metrics. | PSNet

    psnet.ahrq.gov/issue/alert-burden-pediatric-hospitals-cross-sectional-analysis-six-academic-pediatric-health
    September 29, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

  7. Do patients who read visit notes on the patient portal have a higher rate of "loop closure" on diagnostic tests and referrals in primary care? A retrospective cohort study. | PSNet

    psnet.ahrq.gov/issue/do-patients-who-read-visit-notes-patient-portal-have-higher-rate-loop-closure-diagnostic
    January 31, 2024 - July 13, 2022 Lessons learned in implementing a chronic opioid therapy management system

  8. Patients and relatives as auditors of safe practices in oncology and hematology day hospitals. | PSNet

    psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
    April 22, 2020 - November 17, 2021 Support opportunities for second victims lessons learned: a qualitative

  9. The tradeoffs between safety and alert fatigue: data from a national evaluation of hospital medication-related clinical decision support. | PSNet

    psnet.ahrq.gov/issue/tradeoffs-between-safety-and-alert-fatigue-data-national-evaluation-hospital-medication
    March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

  10. Impact of medication reviews on potentially inappropriate medications and associated costs among older women in aged care. | PSNet

    psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
    April 07, 2021 - 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.

  11. Patient and public involvement in healthcare: a systematic mapping review of systematic reviews - identification of current research and possible directions for future research. | PSNet

    psnet.ahrq.gov/issue/patient-and-public-involvement-healthcare-systematic-mapping-review-systematic-reviews
    August 24, 2016 - March 9, 2022 Lessons learned for reducing the negative impact of adverse events on patients

  12. An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management. | PSNet

    psnet.ahrq.gov/issue/evidence-and-consensus-based-definition-second-victim-strategic-topic-healthcare-quality
    September 13, 2023 - August 3, 2022 Support opportunities for second victims lessons learned: a qualitative

  13. Exploring the barriers and facilitators of psychological safety in primary care teams: a qualitative study. | PSNet

    psnet.ahrq.gov/issue/exploring-barriers-and-facilitators-psychological-safety-primary-care-teams-qualitative-study
    August 25, 2021 - August 25, 2021 Support opportunities for second victims lessons learned: a qualitative

  14. Spreading a strategy to prevent suicide after psychiatric hospitalization: results of a quality improvement spread initiative. | PSNet

    psnet.ahrq.gov/issue/spreading-strategy-prevent-suicide-after-psychiatric-hospitalization-results-quality
    May 04, 2022 - March 30, 2022 Lessons learned from a systems approach to engaging patients and families

  15. 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

  16. 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

  17. 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

  18. 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.

  19. 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

  20. 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
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