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Showing results for "learned".

221. Module 2: Example (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/example-pdsa-form.docx
     May 01, 2017 - In the “study” step, you review how the test went and lessons learned. … Act: PLAN for our next cycle based on what we learned. … What decisions do we make based on what we learned? … Act: PLAN for our next cycle based on what we learned. … What decisions do we make based on what we learned?

222. Using the AHRQ Pharmacy Survey on Patient Safety Culture (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/pharmacy/pharmwebinar/amermanslides.pdf
     June 02, 2025 - confidentiality) • Management was excited to hear uncensored what the staff had to say 41 Things Learned … repercussions. 44 Safety Survey Reasons for Taking the Survey Taking the Survey Things Learned

223. TeamSTEPPS Video Debrief Guide: SBAR on Inpatient Medical Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/sbar-inpatient-guide.pdf
     June 02, 2025 - Lessons Learned 1. … TeamSTEPPS Tool or Concept Brief Video Description Discussion Questions Discussion Answers Lessons Learned

224. Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. | PSNet
     psnet.ahrq.gov/issue/missed-lesions-abdominal-oncologic-ct-lessons-learned-quality-assurance
     April 21, 2011 - Study Missed lesions at abdominal oncologic CT: lessons learned from quality assurance … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance. … Missed lesions at abdominal oncologic CT: lessons learned from quality assurance.

225. Assessing the Safety of Electronic Health Records: What Have We Learned? | PSNet
     psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
     September 01, 2017 - Assessing the Safety of Electronic Health Records: What Have We Learned? Dean F. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet]. … We've learned that even really well-designed software can be made very challenging for clinicians when … Assessing the Safety of Electronic Health Records: What Have We Learned?. PSNet [internet].

226. Five years after 'To Err is Human': what have we learned? | PSNet
     psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
     March 18, 2019 - Classic Five years after 'To Err is Human': what have we learned … Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90. … Five years after To Err Is Human: what have we learned? JAMA. 2005;293(19):2384-90.

227. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/39801/psn-pdf
     December 21, 2014 - Gossypiboma: tales of lost sponges and lessons learned. December 21, 2014 McIntyre LK. … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned This study describes … https://psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned https://psnet.ahrq.gov

228. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38393/psn-pdf
     October 03, 2017 - Adverse Health Care Events Reporting System: What Have We Learned? October 3, 2017 St. … https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned Through … https://psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned https:/

229. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/40523/psn-pdf
     August 31, 2011 - A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing This webinar … https://psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing https://psnet.ahrq.gov

230. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/36212/psn-pdf
     February 02, 2010 - SafetyNet: Lessons Learned from Close Calls in the OR. … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or This special issue includes a … https://psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or https://psnet.ahrq.gov/issue/patient-worker-safety

231. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37231/psn-pdf
     May 02, 2018 - Fluorouracil error ends tragically, but application of lessons learned will save lives. … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives … https://psnet.ahrq.gov/issue/fluorouracil-error-ends-tragically-application-lessons-learned-will-save-lives

232. Improving service systems for youth with serious emotional disorders and their families | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
     September 01, 2015 - Lessons learned Designing or improving CMEs is a complex and lengthy undertaking.

233. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary1.html
     September 01, 2015 - throughout the evaluation, 4 highlights program objectives, the strategies States used, and the lessons learned … To illustrate some of the lessons learned, this report includes short descriptions of selected activities

234. Applying health information technologies (IT) for QI | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary5.html
     September 01, 2015 - Lessons learned Implementing health IT applications to support QI for children typically takes far

235. In conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
     September 01, 2015 - chart new directions to stimulate innovation in service delivery systems, they can look to the lessons learned

236. Using Federal grants to build intellectual capital at the State level | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary7.html
     September 01, 2015 - Lessons learned Because of the demonstration, States had an opportunity to enhance their technical … IHAWCC will use what was learned during the demonstration to continue offering learning collaboratives

237. Building partnerships to improve quality of children’s health care | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
     September 01, 2015 - Lessons learned The multi-State partnerships created for this grant program led to substantial transfer … Apply lessons learned from each other to avoid repeating mistakes and improve the quality of their projects

238. Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in 6 years and the need for continued patient education. | PSNet
     psnet.ahrq.gov/issue/promoting-culture-patient-safety-review-florida-moratoria-data-what-we-have-learned-6-years
     August 04, 2021 - Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in … Promoting a culture of patient safety: a review of the Florida moratoria data: what we have learned in

239. The postpartum hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned, | PSNet
     psnet.ahrq.gov/issue/postpartum-hemorrhage-patient-safety-bundle-implementation-single-institution-successes
     February 01, 2023 - hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned … hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned … hemorrhage patient safety bundle implementation at a single institution: successes, failures, and lessons learned

240. U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned. | PSNet
     psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
     August 24, 2022 - U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned