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Showing results for "learned".

7761. The Submit a Case Process | PSNet
      psnet.ahrq.gov/submit-case
      November 03, 2025 - The Submit a Case Process PSNet’s Submit a Case feature allows health care professionals to submit de-identified cases that feature patient safety and health care quality issues to PSNet’s WebM&M educational journal. Watch the video below to learn more about the Submit a Case process. Submit Your Case   …

7762. Lessons in Safety Climate and Safety Practices from a California Hospital Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Singer.pdf
      April 01, 2003 - We nevertheless believe lessons learned from the diverse hospitals of the Patient Safety Consortium … This hospital learned the importance of swift follow-up, including acknowledgment and public recognition

7763. Optimizing Environmental Cleaning (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/022-optimizing-evc-webinar-notes_revised.docx
      October 01, 2024 - Upon investigation, the team learned that over a year ago, there was a transition from non-sporicidal

7764. Building Your SSI Prevention Bundle: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/build-ssi-bundle-fac-notes.html
      December 01, 2017 - Share what you have learned with your teams.

7765. Implementation of an Event Reporting and Learning System Leads to Improvements in Patient Safety Culture at UNC Medical Center Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/unc-webcast-transcript.pdf
      January 01, 2020 - We actually learned about this concept directly from Dr. … He reviews good catches, provides lessons learned, talks about improvement projects, recognize best

7766. Post-Vaccination Practices series | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/post-vaccination-practices.html
      August 01, 2022 - Post-Vaccination Practices series Resource: Post-Vaccination Practices series This series of two learning modules features strategies to help nursing home teams minimize infection risk in their facility. Source: AHRQ Topic(s):  Vaccination; Infection Control & Prevention Audience(s):  Managers, Clinic…

7767. Topics A-Z | Digital Healthcare Research
      digital.ahrq.gov/topics-az/m
      January 01, 2023 - Topics A-Z A B C D E G H I K L M N P Q R S T U V W Machine Learning Meaningful Use Medication Medication Adherence Medication Errors Medicat…

7768. Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/ai-healthcare-safety-program.pdf
      July 01, 2025 - Artificial Intelligence (AI) in Healthcare Safety Program: October 2024 Update 1 Artificial Intelligence (AI) in Healthcare Safety Program – October 2024 Update Overview In response to Executive Order 14110, Safe, Secure, and Trustworthy Development and Use of Artificial Intelligence (“EO 14110”), HHS establish…

7769. Meeting Minutes, July 2017 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2017-07-nac/nacmtg0717-minutes.html
      November 01, 2017 - Meeting Minutes, July 2017 National Advisory Council Minutes from the July 26, 2017, meeting of the Agency for Healthcare Research and Quality's National Advisory Council. Contents Summary Call to Order and Approval of November 2, 2016, Summary Report Director's Update Update on Learning Health Care…

7770. Final report: To Quantify the Impact of the Existing vs. Enhanced Work Configuration of Radiation Therapy Technicians on Workload, Situation Awareness, and Performance during Pretreatment QA Tasks (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mosaly-report.pdf
      January 01, 2024 - The 2-RTT workflow resulted in the most optimal performance, and we presume that the RTTs have learned … From the post-experiment interviews, we learned that this result was mostly attributed to a more optimal … From the post-experiment interviews, we learned that the enhanced configurations have improved overall

7771. Final Progress Report: Medication Management at Home: Patient-Identified Processes and Risk Assessment (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/minnitti-report.pdf
      January 01, 2024 - The team learned that FMEA analysis in a community setting proved challenging to the patient focus groups … He had learned why he needed each medication and made a habit to take his medications every day. … processes of getting, organizing, taking, and refilling medications for every patient interview – we learned

7772. Improving ADHD Behavioral Care Quality in Community-Based Pediatric Settings - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs024690-epstein-final-report-2021.pdf
      January 01, 2021 - As a result of these interviews, we have learned about some shortcomings of the software. … Briefly, we have learned that parents and teachers had difficulty understanding purpose of the baseline … In addition, we learned that parents found the online selection of dates and times for being notified

7773. Improving Asthma Care With Health Information Technology (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/asthmacarewithhit_081011comp.pdf
      July 01, 2011 - It quickly learned that the Federal Drug Administration (FDA) maintains a database called “The Orange … The Health IT Asthma Project learned that in this instance, the guidelines often failed to provide the … However, the team subsequently learned that it had not anticipated all the contexts in which clinicians

7774. Webinar: Journey To Becoming a High-Reliability Organization | Agency for Healthcare Research and Quality
      www.ahrq.gov/action-alliance/webinars/high-reliability.html
      November 01, 2023 - Webinar: Journey To Becoming a High-Reliability Organization The fifth webinar, held on September 26, highlighted the journey toward becoming a high-reliability organization. YouTube embedded video: https://www.youtube-nocookie.com/embed/bfk177p9-Mc VHA's Journey to High Reliability: Advancing Toward Zero Harm …

7775. Taking Medicines | Agency for Healthcare Research and Quality
      www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/index.html
      December 01, 2017 - Taking Medicines Learn about taking medicine Read Blood Thinner Pills: Your Guide to Using Them Safely How To Create a Pill Card Your Medicine: Be Smart. Be Safe. Watch Staying Active and Healthy With Blood Thinners (Video, 8 minutes, 29 seconds; Transcript ) Manténgase activo y saludable con lo…

7776. Making Effective Changes in Antibiotic Decision Making | Agency for Healthcare Research and Quality
      www.ahrq.gov/antibiotic-use/acute-care/safety/changes.html
      November 01, 2019 - Making Effective Changes in Antibiotic Decision Making After viewing or presenting this presentation viewers will be able to— Identify relevant factors that could improve antibiotic use  Identify interventions to reduce future harm associated with unnecessary antibiotic use Apply interventions to effe…

7777. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/40135/psn-pdf
      October 03, 2017 - A pinpoint beam strays invisibly, harming instead of healing. October 3, 2017 Bogdanich W; Rebelo K. https://psnet.ahrq.gov/issue/pinpoint-beam-strays-invisibly-harming-instead-healing This article explores inaccuracy of dosage, lack of protocol adherence, and absence of transparency as trends that hinder learnin…

7778. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36356/psn-pdf
      June 16, 2019 - ISMP medication error report analysis. June 16, 2019 Cohen MR. https://psnet.ahrq.gov/issue/ismp-medication-error-report-analysis-8 This monthly column discusses the value of learning from rare yet severe events, shares successes with read backs, and reports on errors involving non-formulary medications and vincri…

7779. Institutional Research Training and Career Development Programs | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/training-grants/institutional.html
      December 01, 2022 - Institutional Research Training and Career Development Programs AHRQ supports institutions to recruit individuals support predoctoral and postdoctoral research training programs in health services research along with institutions to provide mentored career development to newly trained clinician and research sci…

7780. Supporting Nursing Home Residents' Emotional Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/supporting-nursing-home.html
      August 01, 2022 - Supporting Nursing Home Residents' Emotional Health Resource: Supporting Nursing Home Residents' Emotional Health This learning module will help you recognize when a resident may need support to resume normal activities. Source: AHRQ Topic(s):  Staff and Resident Well-being Audience(s): Managers, Cli…