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Total Results: 5,323 records

Showing results for "lessons learned".

2541. Appendix A: Approach and Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/appendixa.html
      August 01, 2025 - validate our understanding of the study’s approach and findings, and glean additional insights and lessons … learned beyond those available in the published literature.

2542. Two sides of the safety coin?: how patient engagement and safety climate jointly affect error occurrence in hospital units. | PSNet
      psnet.ahrq.gov/issue/two-sides-safety-coin-how-patient-engagement-and-safety-climate-jointly-affect-error
      March 11, 2020 - December 20, 2017 Lessons learned for reducing the negative impact of adverse events

2543. 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

2544. 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

2545. Rudin, Robert Samuel | Digital Healthcare Research
      digital.ahrq.gov/principal-investigator/rudin-robert-samuel
      July 01, 2021 - Care: Monitoring Asthma Between Visits Opportunities for Digital Healthcare: Lessons … Learned from the COVID-19 Pandemic Event Date July 01, 2021 - 1:00pm - July 01, 2021 -

2546. Opioid Use Disorder News—2019 Updates | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-news-2019-updates
      October 04, 2019 - Opioid Legislation on Medicaid's Health Homes Program   This article from the Urban Institute describes lessons … learned from States that have implemented Medicaid health homes for individuals with substance use disorders

2547. Primary Care MAT Opioid Use Disorder Grantees | The Academy
      integrationacademy.ahrq.gov/about/initiatives/opioid/grantees
      June 01, 2022 - Using the lessons learned from these projects, AHRQ, together with the grantees, is providing information

2548. Clinician collaboration to improve clinical decision support: the Clickbusters initiative. | PSNet
      psnet.ahrq.gov/innovation/clinician-collaboration-improve-clinical-decision-support-clickbusters-initiative
      October 21, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2549. 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

2550. A cross-sectional observational study of high override rates of drug allergy alerts in inpatient and outpatient settings, and opportunities for improvement. | PSNet
      psnet.ahrq.gov/issue/cross-sectional-observational-study-high-override-rates-drug-allergy-alerts-inpatient-and
      July 02, 2019 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2551. 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

2552. The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals. | PSNet
      psnet.ahrq.gov/issue/safety-electronic-prescribing-manifestations-mechanisms-and-rates-system-related-errors
      February 15, 2012 - February 12, 2014 Lessons learned from implementation of computerized provider order

2553. Evaluation of medium-term consequences of implementing commercial computerized physician order entry and clinical decision support prescribing systems in two 'early adopter' hospitals. | PSNet
      psnet.ahrq.gov/issue/evaluation-medium-term-consequences-implementing-commercial-computerized-physician-order
      December 21, 2022 - May 7, 2014 Lessons learned from implementation of computerized provider order entry

2554. Renal medication-related clinical decision support (CDS) alerts and overrides in the inpatient setting following implementation of a commercial electronic health record: implications for designing more effective alerts. | PSNet
      psnet.ahrq.gov/issue/renal-medication-related-clinical-decision-support-cds-alerts-and-overrides-inpatient-setting
      May 20, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

2555. Self-reported adherence to high reliability practices among participants in the Children's Hospitals' Solutions for Patient Safety Collaborative. | PSNet
      psnet.ahrq.gov/issue/self-reported-adherence-high-reliability-practices-among-participants-childrens-hospitals
      October 20, 2021 - March 20, 2019 Lessons learned from a systems approach to engaging patients and families

2556. 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.

2557. 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

2558. 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.

2559. 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

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