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Total Results: 5,362 records

Showing results for "lessons learned".

421. Supplement to Evaluation Highlight No. 7 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight07.html
     February 01, 2014 - The Highlight focuses on the lessons learned from four States—Maryland, Georgia, Utah, and Idaho—that

422. Humanizing harm: using a restorative approach to heal and learn from adverse events. | PSNet
     psnet.ahrq.gov/issue/humanizing-harm-using-restorative-approach-heal-and-learn-adverse-events
     November 30, 2022 - December 23, 2020 Lessons learned from a systems approach to engaging patients and families … January 11, 2023 Rooting an error review process in just culture: lessons learned.

423. "Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation. | PSNet
     psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
     December 15, 2021 - September 30, 2020 Intravenous medication safety and smart infusion systems: lessons … learned and future opportunities. … April 6, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

424. Identifying and measuring administrative harms experienced by hospitalists and administrative leaders. | PSNet
     psnet.ahrq.gov/issue/identifying-and-measuring-administrative-harms-experienced-hospitalists-and-administrative
     April 12, 2023 - June 12, 2024 Exploring clinical lessons learned by experienced hospitalists from diagnostic … March 2, 2011 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and

425. Association of hospital public quality reporting with electronic health record medication safety performance. | PSNet
     psnet.ahrq.gov/issue/association-hospital-public-quality-reporting-electronic-health-record-medication-safety
     October 21, 2020 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned. … October 13, 2021 Intravenous medication safety and smart infusion systems: lessons learned

426. Evaluating an evidence-based bundle for preventing surgical site infection. | PSNet
     psnet.ahrq.gov/issue/evaluating-evidence-based-bundle-preventing-surgical-site-infection
     August 21, 2019 - Download Citation Related Resources From the Same Author(s) Sharing lessons … learned to prevent adverse events in anesthesiology nationwide. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

427. Using performance improvement to enhance time-out compliance and prevent wrong-site surgery. | PSNet
     psnet.ahrq.gov/issue/using-performance-improvement-enhance-time-out-compliance-and-prevent-wrong-site-surgery
     October 06, 2021 - February 1, 2012 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety. … September 21, 2022 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

428. Providers' and patients' perspectives on diagnostic errors in the acute care setting. | PSNet
     psnet.ahrq.gov/issue/providers-and-patients-perspectives-diagnostic-errors-acute-care-setting
     October 20, 2021 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning … October 28, 2020 Lessons learned from a systems approach to engaging patients and families

429. Assessment of changes in visits and antibiotic prescribing during the Agency for Healthcare Research and Quality Safety Program for Improving Antibiotic Use and the COVID-19 Pandemic. | PSNet
     psnet.ahrq.gov/issue/assessment-changes-visits-and-antibiotic-prescribing-during-agency-healthcare-research-and
     March 10, 2021 - May 25, 2022 Lessons learned from a national hospital antibiotic stewardship implementation … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management

430. Adverse patient safety events during the COVID epidemic. | PSNet
     psnet.ahrq.gov/issue/adverse-patient-safety-events-during-covid-epidemic
     May 03, 2023 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

431. Utilizing Health Information Technology (IT) to Improve Health Care Quality (R18) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/utilizing-health-information-technology-it-improve-health-care-quality-r18
     January 01, 2023 - The implementation of a perinatal continuum of care information system: lessons … learned. … The implementation of a perinatal continuum of care information system: lessons learned.

432. Spotlight on Maryland -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maryland-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … learned, and outcomes from Maryland’s experience from February 2010 to February 2016 with the quality … • Disseminate lessons learned about serving youth with complex behavioral health needs to stakeholders … highlight04.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned … highlight04.pdf https://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned

433. Spotlight on West Virginia -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-west-virginia-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … learned, and outcomes from West Virginia’s experience during the quality demonstration funded by the … States: Oregon and Alaska implemented similar projects and met quarterly with West Virginia to discuss lessons … learned. … /chipra/demoeval/what-we-learned/highlight13.html https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned

434. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36836/psn-pdf
     January 29, 2015 - Bristol, assessing the quality of care and system failures that contributed to deaths, and generating lessons … that could be learned for the entire National Health Service (NHS) in the United Kingdom. … resulted from the learnings of the Bristol inquiry, including a discussion of cultural entrapment and lessons … hospitals-cultures-entrapment-re-analysis-bristol-royal-infirmary https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

435. The deterrent effect of tort law: evidence from medical malpractice reform. | PSNet
     psnet.ahrq.gov/issue/deterrent-effect-tort-law-evidence-medical-malpractice-reform
     July 26, 2017 - July 7, 2021 Lessons learned from medical malpractice claims involving critical care … August 24, 2022 Lessons from walking the medical distancing tightrope. … August 3, 2020 Apology laws and malpractice liability: what have we learned?

436. Improving patient safety by practicing in a just culture. | PSNet
     psnet.ahrq.gov/issue/improving-patient-safety-practicing-just-culture
     June 14, 2017 - April 26, 2023 View More Related Resources Lessons learned from … March 1, 2023 Rooting an error review process in just culture: lessons learned.

437. Managing an acute adverse event in a radiology department. | PSNet
     psnet.ahrq.gov/issue/managing-acute-adverse-event-radiology-department
     June 14, 2011 - Related Resources From the Same Author(s) Missed lesions at abdominal oncologic CT: lessons … learned from quality assurance. … June 14, 2011 Missed lesions at abdominal oncologic CT: lessons learned from quality

438. Profiles in patient safety: misplaced femoral line guidewire and multiple failures to detect the foreign body on chest radiography. | PSNet
     psnet.ahrq.gov/issue/profiles-patient-safety-misplaced-femoral-line-guidewire-and-multiple-failures-detect-foreign
     April 03, 2017 - February 24, 2021 Lessons learned in implementing a chronic opioid therapy management … June 17, 2009 Lessons learned implementing a complex and innovative patient safety learning

439. Anatomy and pathophysiology of errors occurring in clinical radiology practice. | PSNet
     psnet.ahrq.gov/issue/anatomy-and-pathophysiology-errors-occurring-clinical-radiology-practice
     February 01, 2011 - July 1, 2017 Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … May 14, 2014 Missed lesions at abdominal oncologic CT: lessons learned from quality assurance

440. Association of emotional intelligence with malpractice claims: a review. | PSNet
     psnet.ahrq.gov/issue/association-emotional-intelligence-malpractice-claims-review
     August 02, 2015 - December 7, 2022 Understanding ultrarare adverse events - lessons learned from a twelve-year … July 7, 2021 Trends in anesthesia-related liability and lessons learned.