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Showing results for "veterans affairs".

  1. Veterans Administration (VA) Integrated Medication Manager | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager
    January 01, 2023 - Affairs Medical Center Medical Condition Hypertension Population Nurse … Nurse Practitioner Pharmacist Physician Physician Assistant Veteran Type of Care … Veterans Administration (VA) Integrated Medication Manager - 2011 Veterans Administration (VA) … Affairs Integrated Medication Manager - Final Report Citation: Nebeker J. … Veterans Affairs Integrated Medication Manager - Final Report.

  2. Disclosure of Adverse Events to Patients. | PSNet

    psnet.ahrq.gov/issue/disclosure-adverse-events-patients
    November 29, 2023 - Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018. … Facebook Twitter Linkedin Copy URL May 4, 2015 Department of Veterans … Affairs, Washington DC: Veterans Health Administration; October 31, 2018. … This Veterans Health Administration (VHA) directive provides direction for disclosing medical mistakes … Department of Veterans Affairs, Washington DC: Veterans Health Administration; October 31, 2018.

  3. Death by suicide within 1 week of hospital discharge: a retrospective study of root cause analysis reports. | PSNet

    psnet.ahrq.gov/issue/death-suicide-within-1-week-hospital-discharge-retrospective-study-root-cause-analysis
    May 04, 2022 - August 11, 2021 Inpatient suicide on mental health units in Veterans Affairs (VA) hospitals … Affairs root cause analysis system. … September 19, 2016 Department of Veterans Affairs Chief Resident in Quality and Patient … through Department of Veterans Affairs-contracted community care. … February 21, 2018 Inpatient suicide and suicide attempts in Veterans Affairs hospitals

  4. Awareness and use of a cognitive aid for anesthesiology. | PSNet

    psnet.ahrq.gov/issue/awareness-and-use-cognitive-aid-anesthesiology
    January 05, 2017 - January 5, 2017 Inpatient suicide and suicide attempts in Veterans Affairs hospitals. … April 30, 2014 A checklist to identify inpatient suicide hazards in Veterans Affairs … Affairs (VA) system. … Affairs. … Affairs hospitals.

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37546/psn-pdf
    June 14, 2011 - Effective interventions and implementation strategies to reduce adverse drug events in the Veterans … Affairs (VA) system. … Effective interventions and implementation strategies to reduce adverse drug events in the Veterans … Affairs (VA) system. … https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action https://psnet.ahrq.gov

  6. Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology. | PSNet

    psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
    September 09, 2020 - Improving administration and documentation of enteral nutrition support therapy in a Veteran … Affairs health care system: use of medication administration record and bar code scanning technology … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs … Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs

  7. The effectiveness of root cause analysis: what does the literature tell us? | PSNet

    psnet.ahrq.gov/issue/effectiveness-root-cause-analysis-what-does-literature-tell-us
    February 11, 2013 - Affairs medical centers. … 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. … A systematic review at the Department of Veterans Affairs.

  8. Nebeker, Jonathan | Digital Healthcare Research

    digital.ahrq.gov/principal-investigator/nebeker-jonathan
    January 01, 2023 - Medication Manager Veterans Affairs Integrated Medication Manager - Final Report … Veterans Affairs Integrated Medication Manager - Final Report. … Medication Manager Veterans Administration (VA) Integrated Medication Manager … Manager - 2010 Principal Investigator Nebeker, Jonathan Project Name Veterans … Administration (VA) Integrated Medication Manager Veterans Administration (VA

  9. Improving RCA performance: the Cornerstone Award and the power of positive reinforcement. | PSNet

    psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive-reinforcement
    September 03, 2015 - The Veterans Affairs system improved the timeliness and quality of root cause analysis by implementing … Affairs root cause analysis system in action. … January 2, 2017 Systemic vulnerabilities to suicide among veterans from the Iraq and … Afghanistan conflicts: review of case reports from a national Veterans Affairs database. … Affairs.

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/849332/psn-pdf
    May 24, 2023 - Analysis of reported suicide safety events among veterans who received treatment through Department … of Veterans Affairs-contracted community care. … Analysis of reported suicide safety events among veterans who received treatment through Department … of Veterans Affairs-contracted community care. … Patient suicide is a sentinel event, and suicide among veterans has gained attention.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50644/psn-pdf
    November 06, 2019 - Hearing: Broken Promises: Assessing VA’s Systems for Protecting Veterans from Clinical Harm. … November 6, 2019 US House of Representatives Committee on Veterans Affairs Subcommittee on Oversight … https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical … - harm The Veterans Affairs (VA) health system is responsible for both systemic achievements and challenges … https://psnet.ahrq.gov/issue/hearing-broken-promises-assessing-vas-systems-protecting-veterans-clinical-harm

  12. Facility-level variation in potentially inappropriate prescribing for older veterans. | PSNet

    psnet.ahrq.gov/issue/facility-level-variation-potentially-inappropriate-prescribing-older-veterans
    February 17, 2017 - Facility-level variation in potentially inappropriate prescribing for older veterans. … Substantial variation was found between Veterans Affairs hospitals in the frequency of prescribing inappropriate … Facility-level variation in potentially inappropriate prescribing for older veterans. … Affairs: a multi-state qualitative study. … Affairs.

  13. Deficiencies in Emergency Preparedness for Veterans Health Administration Telemental Health Care at VA Clinic Locations Prior to the Pandemic. | PSNet

    psnet.ahrq.gov/issue/deficiencies-emergency-preparedness-veterans-health-administration-telemental-health-care-va
    August 02, 2023 - Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. … Affairs, Office of Inspector General. … Washington, DC: Department of Veterans Affairs, Office of Inspector General. June 24, 2021. … September 30, 2020 Deficiencies in the Veterans Crisis Line Response to a Veteran Caller … Truman Memorial Veterans' Hospital in Columbia, Missouri.

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/854258/psn-pdf
    October 04, 2023 - A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs … A virtual breakthrough series collaborative to support deprescribing interventions across Veterans Affairs … psnet.ahrq.gov/issue/virtual-breakthrough-series-collaborative-support-deprescribing-interventions- across-veterans … Polypharmacy is a common patient safety concern among veterans. … In this study, 21 Veterans Health Administration (VA) sites developed their own deprescribing protocols

  15. Evaluation of Quality, Safety, and Value in Veterans Health Administration Facilities, FY 2020. | PSNet

    psnet.ahrq.gov/issue/evaluation-quality-safety-and-value-veterans-health-administration-facilities-fy-2020
    September 10, 2014 - Book/Report Evaluation of Quality, Safety, and Value in Veterans Health Administration … Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. … Affairs Office of Inspector General; August 26, 2021. … Washington, DC: Veterans Affairs Office of Inspector General; August 26, 2021. … Truman Memorial Veterans' Hospital in Columbia, Missouri.

  16. Potential safety gaps in order entry and automated drug alerts: a nationwide survey of VA physician self-reported practices with computerized order entry. | PSNet

    psnet.ahrq.gov/issue/potential-safety-gaps-order-entry-and-automated-drug-alerts-nationwide-survey-va-physician
    March 10, 2011 - In contrast to most hospitals and clinics , the Veterans Affairs (VA) health care system has had a … Affairs administrative databases. … Affairs: a multi-state qualitative study. … Affairs healthcare settings. … Affairs' computerized patient record system.

  17. Root cause analysis of ICU adverse events in the Veterans Health Administration. | PSNet

    psnet.ahrq.gov/issue/root-cause-analysis-icu-adverse-events-veterans-health-administration
    June 23, 2021 - Root Cause Analysis of ICU Adverse Events in the Veterans Health Administration. … March 25, 2020 Review of reported adverse events occurring among the homeless veteran … population in the Veterans Health Administration. … Affairs root cause analysis system. … November 21, 2017 Inpatient suicide and suicide attempts in Veterans Affairs hospitals

  18. Development and applications of the Veterans Health Administration's Stratification Tool for Opioid Risk Mitigation (STORM) to improve opioid safety and prevent overdose and suicide. | PSNet

    psnet.ahrq.gov/issue/development-and-applications-veterans-health-administrations-stratification-tool-opioid-risk
    April 01, 2020 - Study Development and applications of the Veterans Health Administration's Stratification … Electronic medical record alert associated with reduced opioid and benzodiazepine coprescribing in high-risk Veteran … Affairs. … Affairs prevention initiative. … February 22, 2017 Inpatient suicide and suicide attempts in Veterans Affairs hospitals

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40350/psn-pdf
    April 20, 2011 - Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan conflicts: review of … case reports from a national Veterans Affairs database. … Systemic vulnerabilities to suicide among veterans from the Iraq and Afghanistan Conflicts: review of … case reports from a National Veterans Affairs Database. … analysis to identify systematic problems that resulted in incorrect assessment of suicide risk among veterans

  20. Suicide and suicide attempts on hospital grounds and clinic areas. | PSNet

    psnet.ahrq.gov/issue/suicide-and-suicide-attempts-hospital-grounds-and-clinic-areas
    October 29, 2017 - June 1, 2022 Review of reported adverse events occurring among the homeless veteran population … in the Veterans Health Administration. … treatment through Department of Veterans Affairs-contracted community care. … September 19, 2016 Inpatient suicide on mental health units in Veterans Affairs (VA) … September 19, 2016 Inpatient suicide and suicide attempts in Veterans Affairs hospitals
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