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psnet.ahrq.gov/issue/adverse-events-veterans-affairs-inpatient-psychiatric-units-staff-perspectives-contributing
January 30, 2019 - Study
Adverse events in Veterans Affairs inpatient psychiatric units: staff perspectives … Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and … Adverse events in veterans affairs inpatient psychiatric units: Staff perspectives on contributing and … Affairs skilled-nursing facility. … January 3, 2017
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals
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psnet.ahrq.gov/issue/inpatient-suicide-mental-health-units-veterans-affairs-va-hospitals-avoiding-environmental
September 05, 2018 - Study
Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards … This study examined inpatient suicides at Veterans Affairs hospitals and provided recommendations for … Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals: avoiding environmental hazards … August 21, 2013
Department of Veterans Affairs Chief Resident in Quality and Patient
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psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
August 04, 2021 - Department of Veterans Affairs: a qualitative analysis. … Department of Veterans Affairs: a qualitative analysis. … Department of Veterans Affairs: a qualitative analysis. … A virtual breakthrough series collaborative to support deprescribing interventions across Veterans … Affairs healthcare settings.
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psnet.ahrq.gov/issue/analysis-adverse-events-rehabilitation-department-using-veterans-affairs-root-cause-analysis
June 21, 2017 - Affairs root cause analysis system. … An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause … An Analysis of Adverse Events in the Rehabilitation Department: Using the Veterans Affairs Root Cause … A follow-up study from US Veterans Health Administration medical centers. … December 4, 2016
Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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psnet.ahrq.gov/issue/effect-transformation-veterans-affairs-health-care-system-quality-care
July 28, 2014 - Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. … Findings illustrated significant improvements over time for all indicators within the Veterans Affairs … Effect of the transformation of the Veterans Affairs Health Care System on the quality of care. … Affairs prevention initiative. … Affairs.
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psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
September 05, 2018 - Commentary
Department of Veterans Affairs Chief Resident in Quality and Patient Safety … Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread … This commentary describes a Veterans Affairs program to incorporate safety leadership and educational … Department of Veterans Affairs Chief Resident in Quality and Patient Safety Program: A Model to Spread … November 21, 2012
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/improving-bar-coded-medication-administration-system-department-veterans-affairs
November 18, 2009 - Study
Improving the bar-coded medication administration system at the Department of Veterans … Affairs. … Improving the bar-coded medication administration system at the Department of Veterans Affairs. … The authors present the challenges that developed in the Veterans Affairs system after implementation … Improving the bar-coded medication administration system at the Department of Veterans Affairs.
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psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
August 18, 2010 - Study
Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training … Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the … The Department of Veterans Affairs Medical Team Training program is among the most effective in demonstrating … Code debriefing from the Department of Veterans Affairs (VA) Medical Team Training program improves the … A follow-up study from US Veterans Health Administration medical centers.
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psnet.ahrq.gov/issue/medication-use-evaluation-high-dose-long-term-opioid-de-prescribing-multiple-veterans-affairs
October 12, 2022 - Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans … Affairs medical centers. … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical … Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical … stopping prescriptions for opioids, length of opioid treatment, and overdose or suicide deaths in US veterans
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psnet.ahrq.gov/issue/introduction-rapid-response-system-united-states-veterans-affairs-hospital-reduced-cardiac
January 02, 2017 - Study
Introduction of a rapid response system at a United States Veterans Affairs … Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac … The findings add to the existing literature by showing its potential value in the Veterans Affairs … Introduction of a rapid response system at a United States veterans affairs hospital reduced cardiac … Affairs leadership, policymaker, research and stakeholder partnership.
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psnet.ahrq.gov/issue/mastering-improvement-science-skills-new-era-quality-and-safety-veterans-affairs-national
December 12, 2012 - Mastering improvement science skills in the new era of quality and safety: the Veterans … Affairs National Quality Scholars Program. … Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National … Mastering improvement science skills in the new era of quality and safety: the Veterans Affairs National … January 25, 2023
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Related Resources
The Veterans Affairs
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psnet.ahrq.gov/issue/veterans-affairs-national-quality-scholars-program-model-interprofessional-education-quality
May 02, 2012 - Commentary
The Veterans Affairs National Quality Scholars Program: a model for interprofessional … The Veterans Affairs National Quality Scholars program: a model for interprofessional education in quality … The Veterans Affairs National Quality Scholars program: a model for interprofessional education in quality … Affairs National Quality Scholars Program. … September 23, 2020
Root cause analysis of reported patient falls in ORs in the Veterans
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psnet.ahrq.gov/issue/john-m-eisenberg-patient-safety-awards-advocacy-lexington-veterans-affairs-medical-center
March 02, 2011 - Advocacy: the Lexington Veterans Affairs Medical Center. … Advocacy: the Lexington Veterans Affairs Medical Center. … Advocacy: the Lexington Veterans Affairs Medical Center. … System innovation: Veterans Health Administration National Center for Patient Safety. … Affairs leadership, policymaker, research and stakeholder partnership.
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psnet.ahrq.gov/issue/healthcare-associated-infections-veterans-affairs-acute-care-and-long-term-healthcare
February 07, 2022 - Study
Healthcare-associated infections in Veterans Affairs acute-care and long-term … Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during … HAI data reported to the Veterans Affairs centralized database was analyzed to determine rates of several … Healthcare-associated infections in Veterans Affairs acute-care and long-term healthcare facilities during
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psnet.ahrq.gov/issue/cross-sectional-study-relationship-between-utilization-root-cause-analysis-and-patient-safety
January 11, 2017 - Affairs medical centers. … This cross-sectional study used the Veteran Affairs (VA) National Center for Patient Safety database … April 24, 2011
Code debriefing from the Department of Veterans Affairs (VA) Medical Team … September 19, 2016
A checklist to identify inpatient suicide hazards in Veterans Affairs … Afghanistan conflicts: review of case reports from a national Veterans Affairs database.
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psnet.ahrq.gov/issue/improving-patient-care-through-leadership-engagement-frontline-staff-department-veterans
October 14, 2009 - Improving patient care through leadership engagement with frontline staff: a Department of Veterans … Affairs case study. … Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs … Improving patient care through leadership engagement with frontline staff: a Department of Veterans Affairs … September 19, 2016
Veterans Affairs initiative to prevent methicillin-resistant Staphylococcus
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psnet.ahrq.gov/issue/factors-associated-unanticipated-day-surgery-deaths-department-veterans-affairs-hospitals
July 12, 2010 - Study
Factors associated with unanticipated day of surgery deaths in Department of Veterans … Affairs hospitals. … Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals … Factors associated with unanticipated day of surgery deaths in Department of Veterans Affairs hospitals … Affairs' National Surgical Quality Improvement Program in the private sector: the Patient Safety in
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psnet.ahrq.gov/issue/improving-medication-reconciliation-comprehensive-evaluation-veterans-affairs-skilled-nursing
May 19, 2021 - Study
Improving medication reconciliation with comprehensive evaluation at a Veterans … Affairs skilled-nursing facility. … Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing … Improving medication reconciliation with comprehensive evaluation at a Veterans Affairs skilled-nursing
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psnet.ahrq.gov/issue/impact-pharmacist-medication-reconciliation-patient-admission-veterans-affairs-medical-center
July 22, 2020 - Study
Impact of a pharmacist on medication reconciliation on patient admission to a Veterans … Affairs Medical Center. … Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical … Impact of a Pharmacist on Medication Reconciliation on Patient Admission to a Veterans Affairs Medical
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psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions-across-veterans
April 24, 2018 - Affairs healthcare settings. … A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs … Polypharmacy is a common patient safety concern among veterans . … A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs … Department of Veterans Affairs: a qualitative analysis.