Results

Total Results: 5,319 records

Showing results for "lessons learned".

521. Developing a reliable and valid patient measure of safety in hospitals (PMOS): a validation study. | PSNet
     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: lessons … learned from Sweden.

522. Suicide attempts and completions on medical-surgical and intensive care units. | PSNet
     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 lessons … learned.

523. How do hospitalized patients feel about resident work hours, fatigue, and discontinuity of care? | PSNet
     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.

524. Examining the validity of AHRQ's Patient Safety Indicators (PSIs): is variation in PSI composite score related to hospital organizational factors? | PSNet
     psnet.ahrq.gov/issue/examining-validity-ahrqs-patient-safety-indicators-psis-variation-psi-composite-score-related
     November 10, 2010 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … January 3, 2017 Quality improvement lessons learned from National Implementation of the

525. The impact of the 80-hour work week on appropriate resident case coverage. | PSNet
     psnet.ahrq.gov/issue/impact-80-hour-work-week-appropriate-resident-case-coverage
     June 18, 2008 - September 2, 2015 Quality improvement lessons learned from National Implementation of … Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field.

526. Hospital organisation, management, and structure for prevention of health-care-associated infection: a systematic review and expert consensus. | PSNet
     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 lessons … learned.

527. Overrides of medication-related clinical decision support alerts in outpatients. | PSNet
     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: lessons … learned. … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.

528. Actions and implementation strategies to reduce suicidal events in the Veterans Health Administration. | PSNet
     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 lessons … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide

529. The dilemma of patient safety work: perceptions of hospital middle managers. | PSNet
     psnet.ahrq.gov/issue/dilemma-patient-safety-work-perceptions-hospital-middle-managers
     February 03, 2015 - February 1, 2023 Support opportunities for second victims lessons learned: a qualitative … February 8, 2018 Lessons learned for reducing the negative impact of adverse events on

530. 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 lessons … learned 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

531. Forging a Pathway for Electronic Prescribing of Controlled Substances (pdf file)
     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

532. 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 lessons … learned since implementation.

533. A National Web Conference on E-prescribing: Overcoming Barriers with Successful Implementation Techniques (pdf file)
     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

534. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/35932/psn-pdf
     October 03, 2017 - injury-research-volunteers-clinical-research-nightmare The authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons … learned can minimize future occurrences.

535. A systematic review of patient safety measures in adult primary care. | PSNet
     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: lessons … learned from the field. … September 25, 2019 Quality improvement lessons learned from National Implementation of

536. Medical team training and coaching in the veterans health administration; assessment and impact on the first 32 facilities in the programme. | PSNet
     psnet.ahrq.gov/issue/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
     December 21, 2014 - October 11, 2010 Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015 Sharing lessons learned to prevent incorrect surgery.

537. Return on investment for vendor computerized physician order entry in four community hospitals: the importance of decision support. | PSNet
     psnet.ahrq.gov/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
     November 26, 2014 - December 31, 2014 Lessons learned from implementation of computerized provider order … February 12, 2014 Lessons learned from implementation of computerized provider order

538. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. | PSNet
     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 lessons … learned.

539. Impact of vendor computerized physician order entry in community hospitals. | PSNet
     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

540. 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