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Showing results for "veterans affairs".

  1. Improving Communications Between Health Care Providers via a Statewide Infrastructure: Utah Health Information Network (UHIN) Clinical State and Regional Demonstration Project (currently known as UHIN) - 2011 | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2011
    January 01, 2011 - With the pilot complete, the ultimate goal will be to enable UHIN to become the statewide Veteran's Affairs

  2. LOINC | Digital Healthcare Research

    digital.ahrq.gov/loinc
    January 01, 2023 - Centers for Disease Control and Prevention (CDC), the Department of Defense (DoD), and the Department of Veterans … Affairs.

  3. Frontline hospital workers and the worker safety/patient safety nexus. | PSNet

    psnet.ahrq.gov/issue/frontline-hospital-workers-and-worker-safetypatient-safety-nexus
    July 05, 2017 - Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans … September 9, 2020 Department of Veterans Affairs Chief Resident in Quality and Patient … June 21, 2017 Root cause analysis of reported patient falls in ORs in the Veterans Health

  4. Connecting the Dots: Improving Unit Safety Culture to Stop HAI | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cauti-tools/archived-webinars/connecting-dots-slides.html
    December 01, 2017 - Improving patient care through leadership engagement with frontline staff: A Department of Veterans Affairs … US Department of Veterans Affairs. National Center for Patient Safety. Root Cause Analysis Tools. … US Department of Veterans Affairs. National Center for Patient Safety.

  5. Making Healthcare Safer IV: High Reliability Organization (HRO) as a Patient Safety Practice (pdf file)

    effectivehealthcare.ahrq.gov/sites/default/files/related_files/hro-protocol.pdf
    January 01, 2023 - context, resources, and constraints.6, 7 An evidence brief conducted by the Department of Veteran’s Affairs … Washington (DC): Department of Veterans Affairs (US); 2019. 9. Hines S, Luna K, Lofthus J. … An evidence brief conducted by the Department of Veteran’s Affairs (VA) in 2019 identified various published

  6. Enteral nutrition: an underappreciated source of patient safety events. | PSNet

    psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
    February 01, 2023 - 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 health care system: use of medication administration record and bar code scanning technology

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39008/psn-pdf
    October 14, 2009 - comparing-safety-climate-between-two-populations-hospitals-united-states This comparison of safety culture between Veterans …  Affairs (VA) hospitals and a broad group of non- federal hospitals found that perceptions of safety

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38352/psn-pdf
    June 14, 2011 - developing-tool-assessing-competency-root-cause-analysis https://psnet.ahrq.gov/primer/root-cause-analysis https://psnet.ahrq.gov/issue/veterans-affairs-root-cause-analysis-system-action

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40004/psn-pdf
    February 01, 2011 - introduces the failure mode and effects analysis process developed by the United States Department of Veterans … Affairs National Center for Patient Safety and reviews its usefulness in the context of clinical magnetic

  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37338/psn-pdf
    January 02, 2017 - Three case reports provide context for improvement after implementing medical emergency teams at a Veterans … Affairs health care facility.

  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36085/psn-pdf
    September 28, 2010 - va-health-care-selected-credentialing-requirements-seven-medical-facilities- met-aspect This report reviews findings from a federal inspection indicating that Veterans … Affairs (VA) facilities, while complying with basic credentialing policies, are not routinely submitting

  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40694/psn-pdf
    October 31, 2011 - psnet.ahrq.gov/issue/improving-rca-performance-cornerstone-award-and-power-positive- reinforcement The Veterans … Affairs system improved the timeliness and quality of root cause analysis by implementing a formal

  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41153/psn-pdf
    January 01, 2013 - issue/quality-improvement-patient-safety-project-level-versus-program-level-learning Conducted in four Veterans … Affairs hospitals, this qualitative study attempted to understand factors behind the success of quality

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39943/psn-pdf
    October 27, 2010 - development-training-program-bar-code-assisted-medication-administration- inpatient-pharmacy This commentary describes how a Veterans … Affairs Medical Center implemented a multidisciplinary training effort to improve bar-code medication

  15. Knowledge Engineering for Decision Support in Osteoporosis - Final Report (pdf file)

    digital.ahrq.gov/sites/default/files/docs/citation/k08hs018582-lafleur-final-report-2015.pdf
    January 01, 2015 - Affairs (VA)-­‐optimized fracture absolute risk assessment (VA-­‐FARA) rule for identifying males … PURPOSE Our goal was to produce (1) a Veterans Affairs (VA)-­‐optimized risk stratification rule … Comparison of fracture risks and risk factors in Veteran compared to non-­‐Veteran women: To determine … Veterans Affairs Medical Center (VAMC) and care site for elderly male Veterans who were dually eligible … Fracture rates and bone density among postmenopausal Veteran and non-­‐Veteran women from the Women

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39440/psn-pdf
    September 19, 2016 - psnet.ahrq.gov/primer/diagnostic-errors https://psnet.ahrq.gov/issue/inpatient-suicide-and-suicide-attempts-veterans-affairs-hospitals

  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41843/psn-pdf
    November 21, 2012 - https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery The Veterans Affairs

  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34036/psn-pdf
    March 28, 2005 - March 28, 2005 Department of Veterans Affairs (VA) National Center for Patient Safety https://psnet.ahrq.gov

  19. Identifying electronic medication administration record (eMAR) usability issues from patient safety event reports. | PSNet

    psnet.ahrq.gov/issue/identifying-electronic-medication-administration-record-emar-usability-issues-patient-safety
    July 07, 2021 - 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

  20. Medication dosage calculation among nursing students: does digital technology make a difference? A literature review. | PSNet

    psnet.ahrq.gov/issue/medication-dosage-calculation-among-nursing-students-does-digital-technology-make-difference
    October 12, 2022 - 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
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