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Total Results: 5,362 records

Showing results for "lessons learned".

2541. Reducing hospital harm: establishing a command centre to foster situational awareness. | PSNet
      psnet.ahrq.gov/innovation/reducing-hospital-harm-establishing-command-centre-foster-situational-awareness
      June 29, 2022 - May 31, 2023 Lessons learned implementing a complex and innovative patient safety learning

2542. Duration of second victim symptoms in the aftermath of a patient safety incident and association with the level of patient harm: a cross-sectional study in the Netherlands. | PSNet
      psnet.ahrq.gov/issue/duration-second-victim-symptoms-aftermath-patient-safety-incident-and-association-level
      June 09, 2021 - March 3, 2011 Lessons learned for reducing the negative impact of adverse events on patients

2543. A novel approach for engagement in team training in high-technology surgery: the robotic-assisted surgery olympics. | PSNet
      psnet.ahrq.gov/innovation/novel-approach-engagement-team-training-high-technology-surgery-robotic-assisted-surgery
      June 21, 2023 - Related Resources From the Same Author(s) Understanding ultrarare adverse events - lessons … learned from a twelve-year review of intraoperative deaths at an academic medical center.

2544. Long-term outcomes of medication intervention using the screening tool of older persons potentially inappropriate prescriptions screening tool to alert doctors to right treatment criteria. | PSNet
      psnet.ahrq.gov/issue/long-term-outcomes-medication-intervention-using-screening-tool-older-persons-potentially
      July 31, 2024 - June 13, 2011 Quality improvement lessons learned from National Implementation of the

2545. Relationship between occurrence of surgical complications and hospital finances. | PSNet
      psnet.ahrq.gov/issue/relationship-between-occurrence-surgical-complications-and-hospital-finances
      April 21, 2015 - October 31, 2014 Sharing lessons learned to prevent incorrect surgery.

2546. Disentangling quality and safety indicator data: a longitudinal, comparative study of hand hygiene compliance and accreditation outcomes in 96 Australian hospitals. | PSNet
      psnet.ahrq.gov/issue/disentangling-quality-and-safety-indicator-data-longitudinal-comparative-study-hand-hygiene
      March 23, 2011 - October 31, 2014 Preventing Healthcare-Associated Infections: Results and Lessons Learned

2547. Potentially harmful medication dispenses after a fall or hip fracture: a mixed methods study of a commonly used quality measure. | PSNet
      psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
      May 05, 2021 - May 5, 2021 Lessons learned from a systems approach to engaging patients and families

2548. How intervention studies measure the effectiveness of medication safety-related clinical decision support systems in primary and long-term care: a systematic review. | PSNet
      psnet.ahrq.gov/issue/how-intervention-studies-measure-effectiveness-medication-safety-related-clinical-decision
      December 14, 2022 - October 4, 2023 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2549. Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Background
      hcup-us.ahrq.gov/datainnovations/clinicaldata/lvback.jsp
      July 01, 2016 - Method Series: Enhancing Clinical Information in Statewide Administrative Data: Project Summary and Lessons … Learned (PDF file, 248 KB), a summary of the experiences of the Pilot and Planning project states,

2550. Diagnostic errors reported in primary healthcare and emergency departments: a retrospective and descriptive cohort study of 4830 reported cases of preventable harm in Sweden. | PSNet
      psnet.ahrq.gov/issue/diagnostic-errors-reported-primary-healthcare-and-emergency-departments-retrospective-and
      March 11, 2020 - December 2, 2020 Lessons learned from a systems approach to engaging patients and families

2551. Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
      January 01, 2011 - One of the important lessons learned in the course of the project is that evaluation of outcomes should

2552. Comparing safety, performance and user perceptions of a patient-specific indication-based prescribing tool with current practice: a mixed methods randomised user testing study. | PSNet
      psnet.ahrq.gov/issue/comparing-safety-performance-and-user-perceptions-patient-specific-indication-based
      December 18, 2019 - January 17, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2553. Medicine communication from hospital to residential aged care facilities: a cross-sectional survey of aged care facility staff. | PSNet
      psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
      December 06, 2023 - November 15, 2023 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

2554. "SWARMing" to improve patient care: a novel approach to root cause analysis. | PSNet
      psnet.ahrq.gov/issue/swarming-improve-patient-care-novel-approach-root-cause-analysis
      September 23, 2020 - July 10, 2017 Project BOOST implementation: lessons learned.

2555. Variations in GPs' decisions to investigate suspected lung cancer: a factorial experiment using multimedia vignettes. | PSNet
      psnet.ahrq.gov/issue/variations-gps-decisions-investigate-suspected-lung-cancer-factorial-experiment-using
      August 03, 2022 - October 5, 2016 Missed opportunities for diagnosis: lessons learned from diagnostic errors

2556. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/match/intro.html
      July 01, 2022 - In addition to elements from the MATCH Web site, this toolkit also incorporates the experiences and lessons … learned of facilities that have implemented MATCH and facilities that received technical assistance

2557. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/match/intro.html
      July 01, 2022 - In addition to elements from the MATCH Web site, this toolkit also incorporates the experiences and lessons … learned of facilities that have implemented MATCH and facilities that received technical assistance

2558. Reduced effectiveness of interruptive drug–drug interaction alerts after conversion to a commercial electronic health record. | PSNet
      psnet.ahrq.gov/issue/reduced-effectiveness-interruptive-drug-drug-interaction-alerts-after-conversion-commercial
      May 20, 2019 - 2018 Transition to a new electronic health record and pediatric medication safety: lessons … learned in pediatrics within a large academic health system.

2559. Track 4: Assessing Value and Evaluating Project Impact | Digital Healthcare Research
      digital.ahrq.gov/track-4-assessing-value-and-evaluating-project-impact
      January 01, 2023 - recommendations from the 2006 ACMI winter symposium on CDS deployment, methods for measuring CDS/CPOE safety, and lessons … learned from 9 "Best Practices" sites.

2560. 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