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Total Results: 5,319 records

Showing results for "lessons learned".

441. 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.

442. 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

443. 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.

444. Development of a standardized, citywide process for managing smart-pump drug libraries. | PSNet
     psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
     June 07, 2017 - June 7, 2017 Changing smart pump vendors: lessons learned. … June 16, 2019 Changing smart pump vendors: lessons learned.

445. Addressing electronic health record contributions to diagnostic error. | PSNet
     psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
     July 29, 2009 - January 2, 2017 Intravenous medication safety and smart infusion systems: lessons learned … August 26, 2020 Lessons learned implementing a complex and innovative patient safety

446. Spotlight on Maine -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … learned, and outcomes from Maine’s experience from February 2010 to February 2016 with the quality … Partner States: Maine and Vermont implemented similar projects and met regularly to discuss shared lessons … /highlight06.pdf https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html https … /chipra/demoeval/what-we-learned/highlight13.html https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned

447. Figure 1. Map of Model and Partner States | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/fig1.html
     October 01, 2015 - Methods Model State Enhancement Efforts Spreading the Model to Partner States External Context Lessons … Learned From IMPaCT About PCEPs Conclusions and Implications References

448. Behind the Scenes: Patient Safety in the Operating Room and Central Materiel Service During Deployments (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
     February 01, 2005 - The lessons learned from these situations can assist in patient safety in future operations. … Lessons learned related to patient safety are extremely important to any Department of Defense (DOD) … Lessons learned in Operation Iraqi Freedom 2003–2004 involved understanding and adapting to structural … Lessons learned Cleaning and work traffic patterns Preoperative concerns Despite the stringent … The human element of infection control One of the lessons learned was that OR and CMS staff need to

449. Figure 1. Map of Model and Partner States | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-impact/model.html
     February 01, 2017 - Methods Model State Enhancement Efforts Spreading the Model to Partner States External Context Lessons … Learned From IMPaCT About PCEPs Conclusions and Implications References Return

450. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46543/psn-pdf
     July 11, 2018 - A PSNet perspective assessed lessons learned about electronic health record safety. … reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned

451. 6. Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen6.html
     April 01, 2018 - Lessons Learned A key lesson learned from our experience with SATIS-PHI/CRC is that it is important … Transferability to Other Systems/Settings Based on our assessment findings and our lessons learned,

452. AHRQ Transforming Primary Care Grants | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/index.html
     October 01, 2015 - transformation efforts that were studied and a summary of the key impacts and challenges, as well as the main lessons … learned and implications for others considering primary care transformation. … New York City Department of Health and Mental Hygiene A Study of the Patient-Centered Medical Home: Lessons … 233 KB) | Robert Reid, MD, PhD, MPH; Group Health Cooperative Transforming Primary Care Practice: Lessons

453. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/46182/psn-pdf
     June 28, 2017 - This commentary outlines lessons learned by a team that implemented a multifaceted safety intervention … what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice https://psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations

454. USA, MD, Columbia | Digital Healthcare Research
     digital.ahrq.gov/location/usa-md-columbia
     January 01, 2023 - USA, MD, Columbia Applying Lessons Learned in Community Collaboration

455. Clinical alarms: improving efficiency and effectiveness. | PSNet
     psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
     February 22, 2010 - November 3, 2021 Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022 View More Related Resources Lessons learned from

456. Predictors of successful implementation of preoperative briefings and postoperative debriefings after medical team training. | PSNet
     psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
     December 21, 2014 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

457. Adverse events in hospitals: the patient's point of view. | PSNet
     psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
     December 29, 2014 - April 12, 2019 Lessons learned for reducing the negative impact of adverse events on … December 29, 2014 Communication-and-resolution programs: the challenges and lessons learned

458. Provider perspectives on partnering with parents of hospitalized children to improve safety. | PSNet
     psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
     November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons … learned. … February 2, 2011 Lessons learned for reducing the negative impact of adverse events on

459. Using root cause analysis to reduce falls with injury in community settings. | PSNet
     psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
     April 25, 2016 - April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

460. Digital health and patient safety. | PSNet
     psnet.ahrq.gov/issue/digital-health-and-patient-safety
     September 01, 2016 - May 4, 2022 Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018 Changing smart pump vendors: lessons learned.