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psnet.ahrq.gov/issue/comparing-catheter-associated-urinary-tract-infection-prevention-programs-between-veterans
December 21, 2017 - Affairs nursing homes and non–Veterans Affairs nursing homes. … Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing … Homes and Non-Veterans Affairs Nursing Homes. … Comparing Catheter-Associated Urinary Tract Infection Prevention Programs Between Veterans Affairs Nursing … Homes and Non-Veterans Affairs Nursing Homes.
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psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action
June 22, 2022 - Study
Classic
The Veterans Affairs root cause analysis … The Veterans Affairs Root Cause Analysis System in Action. … Affairs (VA) facilities in the RCA process. … The Veterans Affairs Root Cause Analysis System in Action. … January 17, 2019
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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psnet.ahrq.gov/issue/deficiencies-veterans-crisis-line-response-veteran-caller-who-died
September 30, 2020 - Book/Report
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller … Citation Text:
Deficiencies in the Veterans Crisis Line Response to a Veteran Caller Who Died. … Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020. … Crisis Line Response to a Veteran Caller Who Died. … Washington, DC: Department of Veterans Affairs, Office of Inspector General; November 17, 2020.
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psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals
January 02, 2017 - Study
Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … The Department of Veterans Affairs has pioneered the use of root cause analysis to identify systems … Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … who received treatment through Department of Veterans Affairs-contracted community care.
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psnet.ahrq.gov/issue/analysis-reported-suicide-safety-events-among-veterans-who-received-treatment-through
August 21, 2019 - through Department of Veterans Affairs-contracted community care. … Veterans Affairs-contracted community care. … Veterans Affairs-contracted community care. … A follow-up study from US Veterans Health Administration medical centers. … June 21, 2017
Inpatient suicide and suicide attempts in Veterans Affairs hospitals.
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psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
September 07, 2022 - Affairs. … Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans Affairs. … This commentary discusses US Veterans Affairs health system initiatives that focus on education, prescription … Addressing the Opioid Epidemic in the United States: Lessons From the Department of Veterans Affairs. … Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran
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psnet.ahrq.gov/issue/how-veterans-affairs-failed-stop-pathologist-who-misdiagnosed-3000-cases
October 23, 2019 - Newspaper/Magazine Article
How Veterans Affairs failed to stop a pathologist who … Citation Text:
How Veterans Affairs failed to stop a pathologist who misdiagnosed 3,000 cases. … This newspaper article discusses how a Veterans Affairs system pathologist with substance addiction continued … Linkedin
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How Veterans … Affairs failed to stop a pathologist who misdiagnosed 3,000 cases.
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psnet.ahrq.gov/issue/checklist-identify-inpatient-suicide-hazards-veterans-affairs-hospitals
April 20, 2011 - Study
A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals … A checklist to identify inpatient suicide hazards in veterans affairs hospitals. … A checklist to identify inpatient suicide hazards in veterans affairs hospitals. … April 20, 2011
Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … December 23, 2016
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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psnet.ahrq.gov/issue/does-root-cause-analysis-improve-patient-safety-systematic-review-department-veterans-affairs
March 24, 2021 - A systematic review at the Department of Veterans Affairs. … A systematic review at the Department of Veterans Affairs. … Health Affairs (VA) settings. … A systematic review at the Department of Veterans Affairs. … December 23, 2016
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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psnet.ahrq.gov/issue/systemic-vulnerabilities-suicide-among-veterans-iraq-and-afghanistan-conflicts-review-case
January 22, 2017 - conflicts: review of case reports from a national Veterans Affairs database. … case reports from a National Veterans Affairs Database. … case reports from a National Veterans Affairs Database. … March 25, 2020
A checklist to identify inpatient suicide hazards in Veterans Affairs … January 22, 2017
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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psnet.ahrq.gov/issue/veterans-affairs-initiative-prevent-methicillin-resistant-staphylococcus-aureus-infections
February 22, 2017 - Study
Classic
Veterans Affairs initiative to prevent methicillin-resistant … Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. … This large-scale study of an MRSA prevention bundle implemented in the Veterans Affairs system found … Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus aureus infections. … February 22, 2017
Healthcare-associated infections in Veterans Affairs acute-care and
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psnet.ahrq.gov/issue/veterans-affairs-shift-change-physician-physician-handoff-project
April 30, 2014 - Study
The Veterans Affairs shift change physician-to-physician handoff project. … The Veterans Affairs shift change physician-to-physician handoff project. … software that improved consistency of information transfer and perception of patient handoff within a Veterans … Affairs health care system. … The Veterans Affairs shift change physician-to-physician handoff project.
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psnet.ahrq.gov/issue/costs-associated-surgical-site-infections-veterans-affairs-hospitals
June 18, 2014 - Study
Costs associated with surgical site infections in Veterans Affairs hospitals … Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals. … excess hospital costs are significant for patients who experience surgical site infections in the Veterans … Affairs system. … Costs Associated With Surgical Site Infections in Veterans Affairs Hospitals.
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psnet.ahrq.gov/issue/improving-healthcare-systems-disclosures-large-scale-adverse-events-department-veterans
August 18, 2021 - Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans … Affairs leadership, policymaker, research and stakeholder partnership. … Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs … This interview study examined how the Veterans Affairs medical centers disclosed large-scale adverse … Improving healthcare systems' disclosures of large-scale adverse events: a Department of Veterans Affairs
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psnet.ahrq.gov/issue/passing-baton-grounded-practical-theory-handoff-communication-between-multidisciplinary
November 16, 2022 - Affairs outpatient settings. … Affairs outpatient settings. … Affairs outpatient settings. … June 21, 2015
Successful implementation of the Department of Veterans Affairs' National … November 7, 2018
The Veterans Affairs shift change physician-to-physician handoff project
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psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
March 23, 2012 - Affairs prevention initiative. … Researchers attribute these results to implementation of the Veterans Affairs MRSA Prevention Initiative … Affairs prevention initiative. … March 23, 2012
Healthcare-associated infections in Veterans Affairs acute-care and long-term … Affairs.
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psnet.ahrq.gov/issue/detection-potential-look-alikesound-alike-medication-errors-using-veterans-affairs
October 04, 2011 - Affairs administrative databases. … Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative … Using Veterans Affairs administrative data on prescriptions filled for look-alike and sound-alike medications … Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative … Affairs medical centers.
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psnet.ahrq.gov/issue/patient-safety-indicators-academic-veterans-affairs-hospital-addressing-dual-goals-clinical
August 09, 2023 - Study
Patient Safety Indicators at an academic veterans affairs hospital: addressing … Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical … In this study, one Veterans Affairs (VA) hospital implemented three clinical care and two accurate data … Patient Safety Indicators at an Academic Veterans Affairs Hospital: Addressing Dual Goals of Clinical … Resources From the Same Author(s)
Assessment of a wearable fall prevention system at a Veterans
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psnet.ahrq.gov/issue/association-hospital-employee-satisfaction-patient-safety-and-satisfaction-within-veterans
August 04, 2021 - Association of hospital employee satisfaction with patient safety and satisfaction within Veterans … Affairs medical centers. … Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs … Association of Hospital Employee Satisfaction with Patient Safety and Satisfaction within Veterans Affairs … July 3, 2014
Detecting adverse events in surgery: comparing events detected by the Veterans
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - Affairs (VA) system. … Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs … Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs … Affairs. … Affairs root cause analysis system.