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Total Results: 5,323 records

Showing results for "lessons learned".

2441. The impact of an electronic alert to reduce the risk of co-prescription of low molecular weight heparins and direct oral anticoagulants. | PSNet
      psnet.ahrq.gov/issue/impact-electronic-alert-reduce-risk-co-prescription-low-molecular-weight-heparins-and-direct
      August 17, 2022 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2442. Human factors and safety analysis methods used in the design and redesign of electronic medication management systems: a systematic review. | PSNet
      psnet.ahrq.gov/issue/human-factors-and-safety-analysis-methods-used-design-and-redesign-electronic-medication
      April 10, 2024 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2443. The impact of TeamSTEPPS training on obstetric team attitudes and outcomes on the labor and delivery unit of a regional perinatal center. | PSNet
      psnet.ahrq.gov/issue/impact-teamstepps-training-obstetric-team-attitudes-and-outcomes-labor-and-delivery-unit
      October 27, 2021 - postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons … learned, October 27, 2021 Combined impact of Medicare's hospital pay for performance

2444. Randomized trial of reducing ambulatory malpractice and safety risk: results of the Massachusetts PROMISES Project. | PSNet
      psnet.ahrq.gov/issue/randomized-trial-reducing-ambulatory-malpractice-and-safety-risk-results-massachusetts
      February 25, 2015 - Through pre–post surveys, they learned that patient perceptions of quality and safety improved modestly … , 2023 Quality improvement priorities for safer out-of-hours palliative care: lessons

2445. 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

2446. The effect of transitions intervention to ensure patient safety and satisfaction when transferred from hospital to home health care-a systematic review. | PSNet
      psnet.ahrq.gov/issue/effect-transitions-intervention-ensure-patient-safety-and-satisfaction-when-transferred
      October 20, 2021 - February 2, 2022 Lessons learned from a systems approach to engaging patients and families

2447. We're all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability. | PSNet
      psnet.ahrq.gov/issue/were-all-together-how-covid-19-revealed-co-construction-mindful-organising-and-organisational
      February 16, 2022 - September 16, 2020 Lessons learned from a systems approach to engaging patients and families

2448. 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

2449. 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.

2450. 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

2451. 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

2452. 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

2453. 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.

2454. 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

2455. 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

2456. 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.

2457. 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.

2458. 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

2459. 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

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