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Showing results for "lessons learned".

2561. Design and implementation of an automated email notification system for results of tests pending at discharge. | PSNet
      psnet.ahrq.gov/issue/design-and-implementation-automated-email-notification-system-results-tests-pending-discharge
      March 04, 2015 - November 16, 2022 Lessons learned from implementation of a computerized application for

2562. Assessment of the implementation of a national patient safety alert to reduce wrong site surgery. | PSNet
      psnet.ahrq.gov/issue/assessment-implementation-national-patient-safety-alert-reduce-wrong-site-surgery
      March 28, 2011 - Related Resources Patients' perspectives on quality and patient safety failures: lessons … learned from an inquiry into transvaginal mesh in Australia.

2563. 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.

2564. 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.

2565. 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

2566. 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

2567. 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.

2568. 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.

2569. Association of off-label drug use and adverse drug events in an adult population. | PSNet
      psnet.ahrq.gov/issue/association-label-drug-use-and-adverse-drug-events-adult-population
      February 03, 2011 - 2019 Transition to a new electronic health record and pediatric medication safety: lessons … learned in pediatrics within a large academic health system.

2570. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
      January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing … particular around how the near miss or mistake is being conceptualized by the individual and the larger lessons … to be learned from it. … to compare and contrast different mistake situations with each other, creating more generalizable lessons … On mistake management: lessons from aviation. BMJ 2000 March;320:781–5. 27.

2571. Final Report, Year 3: CDS Connect (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year3-final-report-2019.pdf
      January 01, 2019 - Lessons Learned affecting the development of and enhancements to CDS Connect prototype tools: • The … Lessons learned throughout the CDS pilot process: • During the pilot, the CQL Services software failed … Lessons learned affecting CDS artifact development: • The CDS Connect team desired to reuse value sets … These are discussed in greater detail in the Lessons Learned section of the document. … CDS Connect is also contributing to a learning health community by documenting lessons learned across

2572. Promising Areas for Patient Safety Research | PSNet
      psnet.ahrq.gov/perspective/promising-areas-patient-safety-research
      November 02, 2016 - funded 39 patient safety simulation grants.( 8 ) While many of these grants are still in progress, the lessons … learned from successfully completed research projects have been integrated into several AHRQ-sponsored … The time spent, lessons learned, and software developed for localized projects do not transfer easily … Characteristics and lessons learned from practice-based research networks (PBRNs) in the United States … MPH December 1, 2013 Perspective What We've Learned

2573. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
      March 01, 2004 - patient safety collaborative, delineates some obstacles to long-term success, and presents some of the lessons … we have learned from this endeavor. … we have learned from this endeavor. … Lessons learned Despite its limitations, the SDCPS has made substantial progress. … learned Conclusions Acknowledgments Author affiliations References Figure 1.

2574. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
      October 01, 2015 - Lessons learned from the study of primary care transformation. … A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center. … Contrasting trajectories of change in primary care clinics: lessons from New Orleans safety net.

2575. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/grants-transform/references.html
      March 01, 2017 - Lessons learned from the study of primary care transformation. … A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center. … Contrasting trajectories of change in primary care clinics: lessons from New Orleans safety net.

2576. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
      May 01, 2016 - Challenges Identified and Lessons Learned VI. Summary and Conclusions References Appendix A. … We learned, however, that affording patients an opportunity to report their patient safety concerns in … We believe that one of the most important lessons learned from this experience is that it is possible

2577. A New Model of Tracheostomy Care: Closing the Research–Practice Gap (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
      January 01, 2004 - As we near the end of this pilot project, we have learned many lessons from the adaptation process, … some of which were learned thanks to the strong resources available to us at WRAMC. … Using the lessons that we have learned we hope to adapt more nursing procedures, in a A New Model

2578. Aseptic-Catheter-Insertion-Practices-Inthe Ed Transcript (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
      June 02, 2015 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.

2579. Aseptic Catheter Insertion Practices in the Emergency Department | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
      December 01, 2017 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.

2580. 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