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Total Results: 5,362 records

Showing results for "lessons learned".

2441. A Lifecycle Framework Illustrates Eight Stages Necessary for Realizing the Benefits of Patient-Centered Clinical Decision Support | CDSiC
      cdsic.ahrq.gov/cdsic/lifecycle-framework-publication-resource
      July 06, 2023 - Advancing Patient-Centered Clinical Decision Support: Findings from a Horizon Scan May 9, 2022 Lessons … Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support

2442. CDSiC Stakeholder Community and Outreach Center Operational Framework - Option Year 2 | CDSiC
      cdsic.ahrq.gov/cdsic/stakeholder-community-outreach-center-operational-framework-oy2
      December 06, 2024 - Related Resources Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based

2443. Patient-Centered Clinical Decision Support Challenges and Opportunities Identified from Workflow Execution Models | CDSiC
      cdsic.ahrq.gov/cdsic/workflow-execution-publication-resource
      June 22, 2024 - Advancing Patient-Centered Clinical Decision Support: Findings from a Horizon Scan May 9, 2022 Lessons … Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support

2444. Work-related factors, cognitive skills, unsafe behavior and safety incident involvement among emergency medical services crew members: relationships and indirect effects. | PSNet
      psnet.ahrq.gov/issue/work-related-factors-cognitive-skills-unsafe-behavior-and-safety-incident-involvement-among
      October 27, 2021 - U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

2445. New Dashboard to Track Progress Toward 50 Percent Reduction in Patient and Workforce Harm | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsroom/press-releases/new-national-healthcare-safety-dashboard.html
      December 01, 2024 - The NAA catalyzes change by applying known harm reduction strategies, sharing best practices and lessons … learned and tracking our progress on healthcare safety with the recognition that healthcare is not

2446. The presence and potential impact of psychological safety in the healthcare setting: an evidence synthesis. | PSNet
      psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
      October 20, 2021 - June 23, 2021 Support opportunities for second victims lessons learned: a qualitative

2447. AHRQ and PCORI Invest in Learning Health Systems Scientist Training | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/blog/ahrqviews/lhs-scientist-training.html
      January 01, 2024 - The new awards will support building on lessons learned from that 2018 effort.

2448. What Are the 4Es? | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/surgery/4-es.html
      April 01, 2025 - SSI and MRSA Prevention (DOCX, 395 KB) A guidance document on recognizing success and sharing the lessons … learned broadly.

2449. Overview of the National Action Alliance for Patient and Workforce Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/overview/index.html
      October 01, 2024 - Alliance catalyzes change by applying known harm reduction strategies and sharing best practices and lessons … learned.

2450. 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

2451. 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

2452. Benefits and risks of using smart pumps to reduce medication error rates: a systematic review. | PSNet
      psnet.ahrq.gov/issue/benefits-and-risks-using-smart-pumps-reduce-medication-error-rates-systematic-review
      July 16, 2019 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning

2453. Effect of a quality improvement intervention with daily round checklists, goal setting, and clinician prompting on mortality of critically ill patients. | PSNet
      psnet.ahrq.gov/issue/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
      June 25, 2014 - January 19, 2014 Lessons learned for reducing the negative impact of adverse events on

2454. Exploring everyday work as a dynamic non-event and adaptations to manage safety in intraoperative anaesthesia care: an interview study. | PSNet
      psnet.ahrq.gov/issue/exploring-everyday-work-dynamic-non-event-and-adaptations-manage-safety-intraoperative
      February 03, 2021 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

2455. 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

2456. 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

2457. 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

2458. 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.

2459. 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

2460. 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