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Showing results for "learned".

  1. digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
    January 01, 2019 - The ultimate performance was moderate, however many valuable lessons were learned during its development … Several valuable lessons were learned during the development of ISA.
  2. www.ahrq.gov/sites/default/files/2025-03/prabhakaran-holl-report.pdf
    January 01, 2025 - Final Progress Report: Enhancing Stroke Prehospital and Emergency Evaluation and Delivery 1. Title Page Project Title Enhancing Stroke Prehospital and Emergency Evaluation and Delivery MPIs Shyam Prabhakaran, MD, MS, and Jane L. Holl, MD, MPH Organization University of Chicago Dates of the Project 07/01/2018 - 04/30…
  3. psnet.ahrq.gov/primer/safety-i-safety-ii-and-new-views-safety
    October 02, 2024 - Safety I, Safety II, and the New Views of Safety Citation Text: Scanlon M, Jacobson N. Safety I, Safety II, and the New Views of Safety. PSNet [internet]. Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2025. Copy Citation Format: Google Scholar BibTeX E…
  4. www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
    October 01, 2020 - Several critical success factors are required to sustain the interventions learned and continued gains … The following examples will provide “lessons learned” to assist in sustainability in your facility.
  5. psnet.ahrq.gov/perspective/high-reliability-organization-hro-principles-and-patient-safety
    February 26, 2025 - We have learned that there might be underexplored sources of reliability. … I recently learned of a nursing unit that has embedded sensitivity to operations in an interesting way
  6. psnet.ahrq.gov/perspective/conversation-timothy-vogus-about-high-reliability-organization-hro-principles-and
    February 26, 2025 - We have learned that there might be underexplored sources of reliability. … I recently learned of a nursing unit that has embedded sensitivity to operations in an interesting way
  7. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/snac-final-report-mar2023.pdf
    January 01, 2025 - Subcommittee of the National Advisory Council: Informing the National Action Alliance to Advance Patient and Workforce Safety Final Report: December 19, 2023 Submitted by: Lucy A. Savitz, Ph.D., MBA on behalf of the AHRQ Subcommittee Subcommittee of the AHRQ National Advisory Cou…
  8. psnet.ahrq.gov/issue/application-system-dynamics-modelling-system-safety-improvement-present-use-and-future
    October 27, 2021 - Review Emerging Classic The application of system dynamics modelling to system safety improvement: present use and future potential. Citation Text: The application of system dynamics modelling to system safety improvement: present use and future potential. Ibrah…
  9. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/114-tenn-heart-health-newsletter.pdf
    November 01, 2021 - Tennessee Heart Health Network Newsletter, November 2021 Tennessee Heart Health Network Newsletter November 2021 1/4 View this email in your browser Welcome to Tennessee Heart Health Network! We are a partnership committed to improving the health of Tennesseans with or at risk for cardiovascular disease. Tenness…
  10. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
    January 01, 2015 - New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Caren Ginsberg, Ph.D. 5 AHRQ’s Surveys on Patient Safety Culture™ (SOPS®) Program Caren Ginsberg, Ph.D. Center for Quality Improvement and Patient Safety, AHRQ 6 Agency for Healthcare Research and Quality • AHRQ is: ► A research and sci…
  11. www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-new-sops-workplace-safety-mcgaffigan.pdf
    December 01, 2020 - New AHRQ SOPS® Workplace Safety Supplemental Items for Hospitals - McGaffigan Workforce Safety Patricia McGaffigan, RN, MS, CPPS pmcgaffigan@ihi.org; @Pmcgaffigan_IHI mailto:pmcgaffigan@ihi.org Why Workforce Safety Matters Workforce safety is essential for safe, high- quality care and is preconditional to …
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-material-guide.docx
    May 01, 2017 - Overview Definition of Sustainability and its Importance in Quality Improvement · Slides 4-8 Linking Sustainability and Spread · Slides 9-10 Planning Early for Sustainability · Slides 11-12 Barriers and Solutions to Sustaining Improvements · Slides 13-17 Steps to Creating and Implementing a Sustainability Plan · Slides…
  13. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/131-what-are-the-4-es-one-pager.docx
    May 24, 2024 - The aim is to Engage hearts and minds and thus, change attitudes and behaviors.1-6 Raise awareness of the problem, communicate benefits of the solution, and lay out the goals for the intervention. · Use unit data, published literature, and national benchmarks. Storytelling is an underrated tool. Engagement is not a on…
  14. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed.pptx
    June 02, 2025 - PowerPoint Presentation Aseptic catheter insertion practices in the ED: A Focus on Engagement Milisa Manojlovich PhD, RN, CCRN Associate Professor University of Michigan, School of Nursing 1 1 Learning Objectives Discuss barriers to ED staff engagement Describe strategies to engage ED staff in aseptic ins…
  15. www.ahrq.gov/funding/grantee-profiles/grtprofile-mchugh.html
    May 01, 2025 - Grantee Profile Improving Heart Health in Manufacturing Communities Megan McHugh, Ph.D. Professor of Emergency Medicine Feinberg School of Medicine Northwestern University “Manufacturing workers have historically earned higher wages than similar workers in other industries and are more likely to be offered …
  16. www.ahrq.gov/funding/grantee-profiles/grtprofile-vogelmeier.html
    December 01, 2023 - Grantee Profile Improving Guidelines for Nursing Home-Associated Viral Respiratory Infections Amy Vogelsmeier, Ph.D., R.N., FAAN. Associate Professor Sinclair School of Nursing University of Missouri–Colombia Amy Vogelsmeier, Ph.D., R.N., FAAN “AHRQ as a funding agency has provided an imp…
  17. psnet.ahrq.gov/issue/investigating-improvement-five-strategies-ensure-national-patient-safety-investigations
    February 28, 2024 - Commentary Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. Citation Text: Macrae C. Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety. J R Soc Med.…
  18. psnet.ahrq.gov/issue/evaluation-interprofessional-team-training-program-improve-use-patient-safety-strategies
    May 18, 2022 - Study Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare professions students. Citation Text: Evaluation of an interprofessional team training program to improve the use of patient safety strategies among healthcare p…
  19. psnet.ahrq.gov/issue/nursing-accreditation-system-and-patient-safety
    September 23, 2009 - Study Nursing accreditation system and patient safety. Citation Text: Teng C-I, Shyu Y-IL, Dai Y-T, et al. Nursing accreditation system and patient safety. J Nurs Manag. 2012;20(3):311-8. doi:10.1111/j.1365-2834.2011.01287.x. Copy Citation Format: DOI Google Scholar PubMe…
  20. psnet.ahrq.gov/issue/systems-analysis-critical-incidents-london-protocol
    April 06, 2016 - Book/Report Systems Analysis of Critical Incidents: the London Protocol. Citation Text: Systems Analysis of Critical Incidents: the London Protocol. Taylor-Adams S, Vincent C. London, UK: NIHR North West London Patient Safety Research Collaboration, Imperial College London; 2024. Copy …