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Total Results: 1,491 records

Showing results for "lessons learned".

1041. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
      January 01, 2024 - Based on expert input and lessons learned from the Agency’s $23 million Patient Safety and Medical

1042. Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
      June 01, 2022 - of 115 articles that describe patient safety findings, investigative approaches, process analyses, lessons … learned, and practical tools to prevent patients from being harmed.

1043. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - How can PeaceHealth build on what has already been learned from existing electronic tools? … The purpose of the focus group interviews was to qualitatively capture key lessons from the project. … Much was learned about the key components to successful quality improvement, such as building infrastructure … Each partner experienced a unique set of “key lessons.” … Throughout the implementation of this project, innovation and discovery continued to reveal important lessons

1044. Final Progress Report: Chronic Care Technology Planning Project (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
      January 01, 2024 - The Team met four times in the final quarter of the project year to discuss lessons learned, identify … The learning sessions’ content will consist of information learned from the Leadership, Clinical, and … What should we do next to advance what we’ve learned?

1045. Training-Tools-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
      May 01, 2017 - Several critical success factors are required to sustain the interventions learned and continued gains … Encourage team leaders to discuss actual patient stories to drive home important lessons. … The following examples will provide “lessons learned” to assist in sustainability in your facility.

1046. Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
      September 01, 2015 - What lessons did you learn in completing the PDSA template that you will want to apply when you go … predictions Act Describe what modifications to the plan will be made for the next cycle from what you learned

1047. Half-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/half-day.html
      August 01, 2023 - released. 1  Today, TeamSTEPPS is part of the ongoing patient safety movement and the training builds on lessons

1048. Improving the Safety of Diagnosis and Therapy in the Inpatient Setting | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/improving-safety-diagnosis-long-desc.html
      February 01, 2024 - Identifying and classifying diagnostic errors in acute care across hospitals: Early lessons from the

1049. The Four Es of Early Mobility: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/technical/4es-early-mobility-facguide.html
      February 01, 2017 - Slide 28: Summary Ask: What have we learned today about the Four Es of early mobility?

1050. Results | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/primary-care-research/results.html
      January 01, 2024 - In addition, McNellis et al. 74 outlined key lessons learned about PCMH transformation: A strong … These lessons have informed AHRQ's subsequent work related to the PCMH, including methodology to evaluate … Similar to the Transforming Primary Care initiative, lessons learned from IMPaCT projects were compiled … However, as Robert McNellis, former Senior Advisor for Primary Care at AHRQ stated, "maybe what we have learned … David Meyers, AHRQ’s Deputy Director and Chief Physician at the time, shared that "what we learned about

1051. Final Progress Report: Evaluating the Impact of Simulated Team Training on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
      January 01, 2024 - better understand risks and injuries and to focus efforts to further reduce them, such that these lessons … From a logistical standpoint, we clearly learned that, in comparison to our bench simulations, team … CONCLUSIONS, SIGNIFICANCE, IMPLICATIONS Over the course of this 2-year study, our team of investigators learned

1052. Research Methods for Studying the Primary Care Workforce: Slide Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
      August 01, 2024 - left) and after-hours visits (right), relative to the month before practices hired an NP. 21 Lesson Learned … causal direction) and in no teamlet/team category. 35 35 Lessons Learned Teamlets were common in

1053. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
      January 01, 2019 - . • Scientifically rooted in more than 20 years of research and lessons from the application of teamwork … The key lessons for hospitals implementing the CANDOR process in their institutions include how to: … This website provides links to the lessons from the phases and results from the program.

1054. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - The State has learned early lessons from its experience with this population: Stakeholder involvement

1055. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
      October 01, 2014 - Learn from one defect per quarter; share or post lessons.

1056. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - Commentators asserted that the more error-related information was shared, the better lessons could be … These and other developments produced a readiness for looking at what might be learned and adapted from … espouses continuous cycles of learning, reporting of adverse events or near misses, dissemination of lessons … learned, and the establishment of cultures that are trusted to not cast unfair blame. … What have we learned? JAMA 2005; 293: 2384-2390. 6. Leape LL, Bates DW, Cullen DJ, et al.

1057. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - In aviation, the crew debriefs after every flight so as to incorporate lessons learned in real time. … Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project. … Handoff strategies in settings with high consequences for failure: Lessons for health care operations

1058. Module 6: Mutual Support
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
      January 10, 2022 - Frame problems in terms of personal experience and lessons learned. Choose the location. … In this module, participants learned that: Mutual support fosters team adaptability, mutual trust, and

1059. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
      January 10, 2022 - Frame problems in terms of personal experience and lessons learned. • Choose the location. … In this module, participants learned that: • Mutual support fosters team adaptability, mutual trust,

1060. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Handoff strategies in settings with high consequences for failure: lessons for health care operations … Usability of a human factors-based clinical decision support in the emergency department: lessons learned