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Showing results for "lessons learned".

  1. psnet.ahrq.gov/issue/overrides-medication-related-clinical-decision-support-alerts-outpatients
    September 01, 2016 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessonslearned. … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessonslearned.
  2. 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: lessonslearned from the field. … March 6, 2019 Quality improvement lessons learned from National Implementation of the
  3. psnet.ahrq.gov/issue/developing-reliable-and-valid-patient-measure-safety-hospitals-pmos-validation-study
    January 19, 2014 - February 15, 2017 Lessons learned for reducing the negative impact of adverse events … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessonslearned from Sweden.
  4. psnet.ahrq.gov/issue/actions-and-implementation-strategies-reduce-suicidal-events-veterans-health-administration
    January 05, 2017 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessonslearned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide
  5. psnet.ahrq.gov/issue/hospital-organisation-management-and-structure-prevention-health-care-associated-infection
    January 22, 2014 - May 25, 2011 Lessons learned for reducing the negative impact of adverse events on patients … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessonslearned.
  6. psnet.ahrq.gov/issue/suicide-attempts-and-completions-medical-surgical-and-intensive-care-units
    June 21, 2017 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessonslearned.
  7. 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 lessonslearned.
  8. psnet.ahrq.gov/issue/how-do-hospitalized-patients-feel-about-resident-work-hours-fatigue-and-discontinuity-care
    July 02, 2008 - July 14, 2010 Hospitalists as Emerging Leaders in Patient Safety: lessons learned and … January 29, 2010 Project BOOST implementation: lessons learned.
  9. 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: lessonslearned from the field. … January 27, 2019 Quality improvement lessons learned from National Implementation of
  10. 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: lessonslearned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of
  11. 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.
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36163/psn-pdf
    September 29, 2010 - case study shares the experiences of the BTS, the positive impact they had on adverse events, and lessonslearned that fueled their success. … improving-bar-coded-medication-administration-system-department-veterans-affairs https://psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
  13. digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
    March 01, 2014 - Findings and Lessons Learned Dr. … Findings and lessons learned from the project can inform other community and State initiatives implementing … The findings and lessons learned from this research and demonstration project will inform other community
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36067/psn-pdf
    September 28, 2010 - describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and share lessonslearned since implementation.
  15. digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
    September 05, 2012 - Learned 66 EPCS Project Collaborators ■ MA Department of Public Health, Drug Control Program … Learned (cont … Learned (cont … Learned Lessons Learned (cont.) … Lessons Learned (cont.) Next Steps Contacts Q & A CME/CNE Credits
  16. psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
    June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessonslearned from the field. … November 10, 2010 Quality improvement lessons learned from National Implementation of
  17. psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
    March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessonslearned from the field. … September 25, 2019 Quality improvement lessons learned from National Implementation of
  18. psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
    January 02, 2017 - October 21, 2020 Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessonslearned.
  19. psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
    December 31, 2014 - July 31, 2013 Lessons learned from implementation of computerized provider order entry … February 12, 2014 Lessons learned from implementation of computerized provider order
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36421/psn-pdf
    August 05, 2008 - //psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons … the airline industry has learned about communication, teamwork, and error reporting and how they might