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Total Results: 5,319 records

Showing results for "lessons learned".

381. The role of practice guidelines and evidence-based medicine in perioperative patient safety. | PSNet
     psnet.ahrq.gov/issue/role-practice-guidelines-and-evidence-based-medicine-perioperative-patient-safety
     June 26, 2024 - Citation Related Resources From the Same Author(s) Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation … December 14, 2010 SafetyNet: Lessons Learned from Close Calls in the OR.

382. Spotlight on Georgia -- National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-georgia-state-snapshot.pdf
     January 01, 2018 - Evaluation of the CHIPRA Quality Demonstration Grant Program This brief highlights the major strategies, lessons … learned, and outcomes from Georgia’s experience from February 2010 to February 2016 with the quality … • Disseminated lessons learned in peer support to other States. … highlight06.pdf http://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned … /highlight07.pdf http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/implementation-guides

383. A Multipayer Patient-Centered Medical Home Initiative in Pennsylvania (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
     April 01, 2015 - The practices focused on improving the care of patients with diabetes, with the goal of applying lessons … learned and practice changes to other patient populations. … Lessons Learned and Implications for Others • Supplemental financial support was critical to PCMH transformation … Location Transformational Elements Key Impacts of Transformation Challenges to Transformation Lessons … Learned and Implications for Others

384. Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge. | PSNet
     psnet.ahrq.gov/issue/development-tool-within-electronic-medical-record-facilitate-medication-reconciliation-after
     June 09, 2011 - Although initial uptake was low, the study reports on many lessons learned through initial implementation … July 10, 2008 Lessons learned implementing a complex and innovative patient safety learning

385. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/837975/psn-pdf
     August 31, 2022 - analyzing-and-discussing-human-factors-affecting-surgical-patient-safety- using-innovative Leveraging lessons … learned in aviation, patient safety researchers have begun exploring the use of medical data recorders … analyzing-and-discussing-human-factors-affecting-surgical-patient-safety-using-innovative https://psnet.ahrq.gov/issue/error-management-lessons-aviation

386. “I had no idea this happened”: electronic feedback on clinical reasoning for hospitalists. | PSNet
     psnet.ahrq.gov/issue/i-had-no-idea-happened-electronic-feedback-clinical-reasoning-hospitalists
     February 28, 2024 - Download Citation Related Resources From the Same Author(s) Exploring clinical lessons … learned by experienced hospitalists from diagnostic errors and successes. … June 12, 2024 Exploring clinical lessons learned by experienced hospitalists from diagnostic

387. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43315/psn-pdf
     May 10, 2016 - this commentary relates how two organizations implemented this strategy along with challenges and lessons … learned. … psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons

388. Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States. | PSNet
     psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
     January 13, 2021 - Webinar Medication Safety During the COVID-19 Pandemic: What Have We Learned in the … Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned in the United States … Citation Citation Text: Medication Safety During the COVID-19 Pandemic: What Have We Learned … June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in

389. Implementing PCOR To Increase Referral, Enrollment, and Retention in Cardiac Rehabilitation Through Automatic Referral With Care Coordination (pdf file)
     www.ahrq.gov/sites/default/files/publications2/files/takeheart-hybrid-workgroup-evaluation.pdf
     August 01, 2023 - Abt staff led discussions regarding Workgroup activities, lessons learned, and future plans, while Dr … learned. … This guide incorporated relevant insights and lessons learned captured through each process described … • Lessons learned and recommendations that are important to AHRQ but not well-suited for the Implementation … The guide will also incorporate lessons learned/captured from the workgroup participants and invited

390. Safety in office-based anesthesia: an updated review of the literature from 2016 to 2019 | PSNet
     psnet.ahrq.gov/issue/safety-office-based-anesthesia-updated-review-literature-2016-2019
     February 10, 2021 - July 27, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … February 10, 2010 Adverse event reporting: lessons learned from 4 years of Florida office

391. Mehr, David | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/mehr-david
     January 01, 2023 - blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons … learned. … blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons … learned.

392. A roadmap to advance patient safety in ambulatory care. | PSNet
     psnet.ahrq.gov/issue/roadmap-advance-patient-safety-ambulatory-care
     June 09, 2021 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … August 3, 2020 Apology laws and malpractice liability: what have we learned?

393. Race differences in a malpractice event database in a large healthcare system. | PSNet
     psnet.ahrq.gov/issue/race-differences-malpractice-event-database-large-healthcare-system
     December 15, 2021 - August 24, 2022 Lessons learned from a systems approach to engaging patients and families … July 15, 2020 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

394. A description of medical malpractice claims involving advanced practice providers. | PSNet
     psnet.ahrq.gov/issue/description-medical-malpractice-claims-involving-advanced-practice-providers
     August 19, 2020 - August 19, 2020 Lessons learned from medical malpractice claims involving critical care … September 7, 2022 Apology laws and malpractice liability: what have we learned? … June 24, 2020 Evidence that nurses need to participate in diagnosis: lessons from malpractice

395. The rising frequency of IT blackouts indicates the increasing relevance of IT emergency concepts to ensure patient safety. | PSNet
     psnet.ahrq.gov/issue/rising-frequency-it-blackouts-indicates-increasing-relevance-it-emergency-concepts-ensure
     October 12, 2022 - October 27, 2010 Understanding ultrarare adverse events - lessons learned from a twelve-year … November 8, 2017 Changing smart pump vendors: lessons learned.

396. Video capture of clinical care to enhance patient safety. | PSNet
     psnet.ahrq.gov/issue/video-capture-clinical-care-enhance-patient-safety
     March 28, 2012 - The investigators outline their approach in capturing 270 operating room cases with lessons learned and … October 6, 2016 Sharing lessons learned to prevent incorrect surgery.

397. Spotlight on Oregon -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-oregon-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … learned, and outcomes from Oregon’s experience during the quality demonstration funded by the Centers … States: Alaska and West Virginia implemented similar projects and met quarterly with Oregon to share lessons … learned. … https://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02

398. Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Feedback and Reporting Tools
     hcup-us.ahrq.gov/datainnovations/clinicaldata/lvfeedback.jsp
     February 01, 2025 - Evaluation of the LOINC Mapping Process Report ( PDF file, 141 KB; HTML ), FL Pilot project Lessons … Learned ( HTML ), page 26, FL Pilot project Evaluation of LOINC Mapping and Transmission of Data … Processes: Barriers and Lessons Learned ( PDF file, 2 MB; HTML ), presentation by B.

399. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43106/psn-pdf
     September 27, 2016 - The authors relate lessons learned from their experience. … sterile-cockpit-effective-approach-reducing-medication-errors https://psnet.ahrq.gov/issue/error-management-lessons-aviation

400. Ability of practitioners to identify solid oral dosage tablets. | PSNet
     psnet.ahrq.gov/issue/ability-practitioners-identify-solid-oral-dosage-tablets
     January 02, 2017 - January 2, 2017 Lessons learned implementing a complex and innovative patient safety … July 29, 2009 Intravenous medication safety and smart infusion systems: lessons learned