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Showing results for "learned".

  1. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
    April 01, 2025 - Lessons learned should be shared.
  2. 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 …
  3. 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…
  4. 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…
  5. 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…
  6. 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…
  7. www.ahrq.gov/patient-safety/patients-families/consumer-exp/reporting/summary.html
    August 01, 2022 - Publish information on what was learned.
  8. www.ahrq.gov/news/events/nac/2022-11-nac/nacmtg111722-minutes.html
    July 01, 2023 - agreed that the experience has been an honor and privilege and expressed gratitude, noting that she has learned
  9. psnet.ahrq.gov/perspective/conversation-richard-platt-md-msc
    October 01, 2016 - With… Erik Hollnagel, PhD June 1, 2019 Changing smart pump vendors: lessons learned
  10. psnet.ahrq.gov/web-mm/difficult-encounters-cmo-and-cno-respond
    March 01, 2018 - I also learned that this work depended on having strong collaboration with physician leaders and so I
  11. 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…
  12. 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…
  13. www.ahrq.gov/teamstepps-program/resources/additional/sbar.html
    July 01, 2023 - TeamSTEPPS Additional Video: SBAR in Inpatient Medical Teams   YouTube embedded video: https://www.youtube-nocookie.com/embed/nbJPAumzJrc TeamSTEPPS: SBAR in Inpatient Medical Teams (1:36) SBAR stands for situation, background, assessment and recommendation. It’s a proven tool to quickly summarize and com…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38916/psn-pdf
    July 03, 2013 - Patient Safety Papers 4. July 3, 2013 Baker GR, ed. Healthc Q. 2009;12(Spec No Patient):1-198.   https://psnet.ahrq.gov/issue/patient-safety-papers-4 This special issue discusses Canadian patient safety efforts in identifying risks, designing safe systems, implementing solutions, developing learning systems, …
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42162/psn-pdf
    December 06, 2016 - The robot will see you now. December 6, 2016 Cohn J. The Atlantic. March 2013;311:59–67. https://psnet.ahrq.gov/issue/robot-will-see-you-now This magazine article reports how technology, such as IBM's Watson, can improve the efficiency and accuracy of health care decision making. https://psnet.ahrq.gov/issue/robo…
  16. digital.ahrq.gov/location/usa-me-augusta
    January 01, 2023 - USA, ME, Augusta Improving Health Information Technology Implementation in a Rural Health System Description Implemented an outpatient EMR in a rural health system using distinct phases to match the expected learning curve and to reduce the potential loss of practice productiv…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42549/psn-pdf
    August 28, 2013 - Patient safety: threats and solutions. August 28, 2013 McCaughan D, Kaufman G. Patient safety: threats and solutions. Nurs Stand. 2013;27(44):48-55; quiz 56, 58. https://psnet.ahrq.gov/issue/patient-safety-threats-and-solutions This commentary provides an overview of patient safety, including types of adverse even…
  18. integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/engaging-and-educating-families-and-caregivers
    January 01, 2019 - An official website of the Department of Health & Human Services Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates The Academy Integrating Behavioral Health & Primary Care Expand Navi…
  19. www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/measures/measure-6.html
    November 01, 2017 - Established Child Health Care Quality Measures--Child and Adolescent Health Measurement Initiative (CAHMI): Promoting Healthy Development Survey (PHDS) Child Health Care Quality Toolbox The Child Health Toolbox contains concepts, tips, and tools for evaluating the quality of health care for children. Conten…
  20. www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/implement-slides.html
    July 01, 2023 - Implement Teamwork and Communication for Perinatal Safety AHRQ Safety Program for Perinatal Care Slide 1: AHRQ Safety Program for Perinatal Care Implement Teamwork and Communication for Perinatal Safety Slide 2: Learning Objectives Image: Four ascending steps show the learning objectives: Recogn…