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Total Results: 5,319 records

Showing results for "lessons learned".

461. A patient safety objective structured clinical examination. | PSNet
     psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
     October 06, 2011 - Citation Related Resources From the Same Author(s) The safety journal: lessons … learned with an error reporting tool to stimulate systems thinking. … November 2, 2011 The safety journal: lessons learned with an error reporting tool to

462. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38692/psn-pdf
     March 04, 2015 - clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety https … ://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and

463. CDSiC Base Period of Performance Report | CDSiC
     cdsic.ahrq.gov/cdsic/base-period-performance-report
     October 01, 2023 - overview of the activities, outputs, and outcomes of the first two years of the CDSiC and summarizes lessons … learned. … October 1, 2023 Related Resources Lessons Learned from a

464. Impact of pharmacist-led multidisciplinary medication review on the safety and medication cost of the elderly people living in a nursing home: a before-after study. | PSNet
     psnet.ahrq.gov/issue/impact-pharmacist-led-multidisciplinary-medication-review-safety-and-medication-cost-elderly
     May 25, 2022 - May 4, 2022 Lessons learned from a systems approach to engaging patients and families … August 21, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

465. Identifying safety practices perceived as low value: an exploratory survey of healthcare staff in the United Kingdom and Australia. | PSNet
     psnet.ahrq.gov/issue/identifying-safety-practices-perceived-low-value-exploratory-survey-healthcare-staff-united
     February 03, 2021 - January 16, 2025 Quality improvement lessons learned from National Implementation of … July 7, 2021 Lessons learned from a systems approach to engaging patients and families

466. Ambulatory Safety and Quality Program: Improving Quality through Clinician Use of Health IT (R18) | Digital Healthcare Research
     digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-improving-quality-through-clinician-use
     January 01, 2023 - Trial Diabetes and hypertension quality measurement in four safety-net sites: lessons … learned after implementation of the same commercial electronic health record. … Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation

467. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. | PSNet
     psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
     September 01, 2021 - June 2, 2021 Lessons learned from a systems approach to engaging patients and families … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

468. Development of the just culture assessment tool: measuring the perceptions of health-care professionals in hospitals. | PSNet
     psnet.ahrq.gov/issue/development-just-culture-assessment-tool-measuring-perceptions-health-care-professionals
     January 12, 2022 - December 18, 2014 Communication-and-resolution programs: the challenges and lessons learned … December 11, 2013 Lessons learned from implementation of computerized provider order

469. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39716/psn-pdf
     August 09, 2013 - managers of Formula One auto racing teams to determine the key elements of racing "pit stops" and draw lessons … The key lessons learned from the auto racing approach—proactive planning, active management of the handover

470. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43670/psn-pdf
     November 12, 2014 - A past AHRQ WebM&M perspective covers lessons learned from early rapid response system implementation … psnet.ahrq.gov/primer/reporting-patient-safety-events https://psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience

471. Evaluating the Impact of an ACPOE/CDS System on Outcomes (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015319-sullivan-final-report-2007.pdf
     January 01, 2007 - Throughout implementation, iterative improvements were made and lessons learned captured. … Lessons learned during implementation can be further categorized into those that involve networking, … As we have seen, the lessons that The Everett Clinic has learned transcend the type of software and … We captured these steps, strategies and lessons learned that enabled this successful adoption. … Electronic medical records: lessons learned from small physician practices.

472. An analysis of adverse events in the rehabilitation department: using the Veterans Affairs root cause analysis system. | PSNet
     psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
     June 21, 2017 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

473. Validating the Patient Safety Indicators in the Veterans Health Administration: do they accurately identify true safety events? | PSNet
     psnet.ahrq.gov/issue/validating-patient-safety-indicators-veterans-health-administration-do-they-accurately
     January 18, 2013 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of

474. Using estimated true safety event rates versus flagged safety event rates: does it change hospital profiling and payment? | PSNet
     psnet.ahrq.gov/issue/using-estimated-true-safety-event-rates-versus-flagged-safety-event-rates-does-it-change
     December 15, 2011 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … March 6, 2019 Quality improvement lessons learned from National Implementation of the

475. Hospital reputation and perceptions of patient safety. | PSNet
     psnet.ahrq.gov/issue/hospital-reputation-and-perceptions-patient-safety
     October 11, 2017 - RIS Download Citation Related Resources From the Same Author(s) Lessons … learned for reducing the negative impact of adverse events on patients, health professionals and healthcare … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

476. Applying the high reliability health care maturity model to assess hospital performance: a VA case study. | PSNet
     psnet.ahrq.gov/issue/applying-high-reliability-health-care-maturity-model-assess-hospital-performance-va-case
     December 19, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … January 27, 2019 Quality improvement lessons learned from National Implementation of

477. Parents' perspectives on "keeping their children safe" in the hospital. | PSNet
     psnet.ahrq.gov/issue/parents-perspectives-keeping-their-children-safe-hospital
     June 27, 2018 - 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

478. Assessment of incorrect surgical procedures within and outside the operating room. A follow-up study from US Veterans Health Administration medical centers. | PSNet
     psnet.ahrq.gov/issue/assessment-incorrect-surgical-procedures-within-and-outside-operating-room-follow-study-us
     October 24, 2018 - July 3, 2014 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

479. Improving detection of intraoperative medical errors (iMEs) and intraoperative adverse events (iAEs) and their contribution to postoperative outcomes. | PSNet
     psnet.ahrq.gov/issue/improving-detection-intraoperative-medical-errors-imes-and-intraoperative-adverse-events-iaes
     June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … April 15, 2020 Implementing hospital-based communication-and-resolution programs: lessons … learned in New York City.

480. Hospitalists as emerging leaders in patient safety: targeting a few to affect many. | PSNet
     psnet.ahrq.gov/issue/hospitalists-emerging-leaders-patient-safety-targeting-few-affect-many
     January 29, 2010 - Resources From the Same Author(s) Hospitalists as Emerging Leaders in Patient Safety: lessons … learned and future directions. … March 17, 2010 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and