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Total Results: 5,319 records

Showing results for "lessons learned".

421. Advanced practice nurses' experiences of patient safety: a focus group study. | PSNet
     psnet.ahrq.gov/issue/advanced-practice-nurses-experiences-patient-safety-focus-group-study
     March 06, 2024 - July 31, 2024 Quality improvement lessons learned from National Implementation of the … July 29, 2020 Lessons learned from a systems approach to engaging patients and families

422. Innovation Core 1: Measurement and Value of Clinical Decision Support | CDSiC
     cdsic.ahrq.gov/cdsic/innovation-center/measurement-value
     May 22, 2025 - Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision … Support This article, published in Applied Clinical Informatics, describes lessons learned from an

423. 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

424. 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

425. 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.

426. 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

427. 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.

428. 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.

429. 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.

430. 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.

431. 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

432. "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.

433. 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

434. Administrative compensation for medical injuries: lessons from three foreign systems. | PSNet
     psnet.ahrq.gov/issue/administrative-compensation-medical-injuries-lessons-three-foreign-systems
     September 29, 2017 - Newspaper/Magazine Article Administrative compensation for medical injuries: lessons … Administrative compensation for medical injuries: lessons from three foreign systems. … Administrative compensation for medical injuries: lessons from three foreign systems. … October 11, 2017 Apology laws and malpractice liability: what have we learned?

435. 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

436. 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

437. Medication safety infrastructure in critical-access hospitals in Florida. | PSNet
     psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
     December 06, 2017 - Technology as a Tool for Improving Patient Safety March 29, 2023 Lessons … learned implementing a complex and innovative patient safety learning laboratory project in a large … academic medical center January 15, 2020 Changing smart pump vendors: lessons learned

438. How policy makers can smooth the way for communication-and-resolution programs. | PSNet
     psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
     December 19, 2018 - December 19, 2018 Communication-and-resolution programs: the challenges and lessons learned … January 7, 2015 Communication-and-resolution programs: the challenges and lessons learned

439. Putting the 'patient' in patient safety: a qualitative study of consumer experiences. | PSNet
     psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
     October 12, 2011 - November 16, 2022 Project BOOST implementation: lessons learned. … November 23, 2016 Communication-and-resolution programs: the challenges and lessons learned

440. 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 … July 14, 2021 Lessons from walking the medical distancing tightrope. … August 3, 2020 Apology laws and malpractice liability: what have we learned?