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Total Results: 1,419 records

Showing results for "lessons learned".

1021. Final Progress Report: The National Quality Forum Annual Meeting 2004 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/kizer2-report.pdf
      January 01, 2025 - This presentation focused on the lessons learned about the need for consensus and alignment in data … Numerous lessons have been learned in the startup efforts under this new law. … These lessons include the need to protect reported data from disclosure; provide a clear understanding

1022. Appendix A: AHRQ/IHS Improving Health Care Delivery Data Project. Methods | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.

1023. Chipra205-Materials Ii (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
      June 02, 2025 - Implementing developmental screening and referrals: lessons learned from a national project.

1024. TeamSTEPPS Pocket Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
      May 01, 2023 - quick information exchange session designed to improve team performance and effectiveness through lessons … learned and reinforcement of positive behaviors.

1025. The Rural Physician Peer Review Model©: A Virtual Solution (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Williams_115.pdf
      June 19, 2008 - network in any month, new hospitals may need to learn what more experienced hospitals have already learned … Learning helpers: How they facilitated improvement and improved facilitation – lessons from a hospital-wide

1026. In Situ Simulation: Challenges and Results (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Patterson_48.pdf
      May 05, 2008 - The experiences and lessons learned during implementation of three pilot in situ programs are reviewed … Lessons learned provide guidance that is intended to increase the future success and implementation … It is one of the core skills to be learned by pediatric residents during their pediatric intensive care

1027. Issue Brief 7. Improving Education: A Key to Better Diagnostic Outcomes (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dxsafety-issuebrief-education.pdf
      March 11, 2022 - over the past two decades have shown how diagnostic errors can be prevented or mitigated, and these lessons … diagnostic process and causes of diagnostic errors provides important insight into what should be taught, learned … The tacit lessons they learn in the chaos of the modern clinical environment likely teach students … Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

1028. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
      January 01, 2022 - Version 0.1 of the CFER-DS, which incorporated what was learned from usability testing, was reviewed … Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project.

1029. The Patient Safety Education Project: An international Collaboration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
      February 20, 2008 - teamwork and communication, variations in health literacy among patients, a culture of blame that buries lessons … learned, and others. … structured so that course attendees can return to their home institutions to teach others what they have learned … essential knowledge about patient safety, and it brings them up to speed with regard to what has been learned

1030. Systems-Based Practice: Improving the Safety and Quality of Patient Care by Recognizing and Improving the Systems in Which We Work (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
      June 10, 2008 - On error management: Lessons learned from aviation. Br Med J 2000; 320: 781-785. 2.

1031. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
      June 01, 2023 - be evaluated for impact to ensure that changes are bringing about intended results, and to identify lessons … learned that can be applied to bring about further improvements. … AHRQ will evaluate the efforts at both the state and national levels to share lessons learned and best

1032. Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
      January 01, 2024 - He also reported on the lessons learned from the implementation of a nationwide system, including intended

1033. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - Based on what you learned from this exercise and the module, what would you do differently with the … What are three lessons you learned from this exercise that you would use with your practices? 3. … • What useful lessons can we take from this story? … Partners can then present each other’s stories and lessons learned back to the whole group.

1034. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
      September 01, 2024 - In the authors’ mutual observations, we have learned that experienced patients agree that the heart of … https://www.thinklocalactpersonal.org.uk/ 5 e The modes of change model highlights lessons learned … Lessons learned from a systems approach to engaging patients and families in patient safety transformation

1035. Uses of Quality Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
      June 01, 2020 - Creating more effective health plan quality reports for consumers: lessons from a synthesis of qualitative

1036. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - However, our review of the literature did identify three important lessons. … First, we learned it is important to take a comprehensive view of nurse staffing and quality indicators … , and not to look at a single indicator in isolation.27 Secondly, we learned from our AHRQ-funded research

1037. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
      July 01, 2023 - Observations from 450 shoulder dystocia simulations: lessons for skills training.

1038. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
      January 01, 2025 - meetings, at which PIs and research staff met to discuss accomplishments to date, challenges, lesson learned … meetings, at which PIs and research staff meet to discuss accomplishments to date, challenges, lesson learned

1039. An Introduction to Assessing Practices: Issues to Consider (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
      September 01, 2015 - What lessons did you learn from completing these surveys and reviewing the UDS data reports? 2. … What have been your experiences and lessons learned assessing systems in practices (or other organizations

1040. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: The safety program for surgery builds on the lessons … learned from previous successful statewide efforts to improve culture and reduce healthcare-associated … doubled Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: It also builds on the lessons … learned from National On the CUSP: Stop BSI program.