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Showing results for "lessons learned".

1041. Section 2. Forming a Patient Flow Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
      July 01, 2018 - Key lessons include: The value of engaging inpatient staff at the outset to make them part of the

1042. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
      March 01, 2021 - Pancholi responded that the program is collecting lessons learned and distilling them into a form that … AHRQ has learned and demonstrated that dissemination must be followed by active, multilevel implementation

1043. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - Lessons in Patient Safety. Chicago, IL: National Patient Safety Foundation; 2001:1-6.

1044. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - Five years after To Err Is Human: what have we learned? JAMA 2005;293:2384- 90. … Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project. … A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough

1045. Final Progress Report: Diagnostic Imaging in the Emergency Department: A Research Agenda to Optimize Utilization (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/marin-report.pdf
      January 01, 2025 - Generation of evidence and translation into practice: lessons learned and future directions. … Generation of evidence and translation into practice: lessons learned and future directions.

1046. Venous Thromboembolism Safety Toolkit: A Systems Approach to Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Zierler_81.pdf
      September 01, 2008 - Phase II products will consist of implementation strategies (based on lessons learned) and the two interventions … Phase II will add a package of implementation strategies based on our lessons learned and the evaluation

1047. Workplace Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
      October 01, 2021 - demonstrate how to create prevention plans, train and deploy staff, evaluate progress, and incorporate lessons … learned from exercises and incidents. 8.

1048. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … Nursing lessons from the MHA Keystone ICU Project: developing and implementing an innovative approach

1049. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - The review of preventable deaths is usually done long after the event, and the lessons to be learned … On error management: Lessons from aviation. Br Med J 2000; 320: 83-102. 6.

1050. Chipra204-Materials Ii (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
      June 02, 2025 - Implementing developmental screening and referrals: lessons learned from a national project.

1051. Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/report.html
      October 01, 2015 - turnover. 10 Conclusions The conclusions drawn from synthesizing the approaches, methods, and lessons … learned from the 15 AHRQ Estimating Costs grantees were used to develop the Practical Guide at the beginning

1052. Module-10-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
      February 24, 2022 - CR What created the need The implementation process How the hybrid program currently works Lessons … learned 15 Changing the CR Paradigm to Benefit Patients 16 Why hybrid CR can benefit patients

1053. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
      February 01, 2015 - 1.3333333333333333 0 Month/Year Rate per 1000 Foley days Foley days of units combined Learning & Sustaining Lessons … Learned Basics do need to be assessed and addressed Ongoing competency & audits necessary Industry

1054. Primary Care Practice Facilitation Curriculum Module 32: Improving Self-Management Support and Engaging Patients in Care and Practice Improvement Topics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-32-self-management-support.pdf
      September 01, 2015 - What were some lessons learned from the Bodenheimer article on implementing self- management support

1055. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
      August 01, 2022 - AHRQ could seek to determine lessons learned from the COVID era with respect to policy changes that occurred

1056. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/brock.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional

1057. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Based on the experience of COVID, what important lessons learned have emerged regarding effective strategies

1058. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
      June 03, 2008 - Here, we describe our first 2 years’ experience with the MM&I conference and discuss the lessons learned

1059. Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
      February 01, 2017 - turnover. 10 Conclusions The conclusions drawn from synthesizing the approaches, methods, and lessons … learned from the 15 AHRQ Estimating Costs grantees were used to develop the Practical Guide at the beginning

1060. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
      November 01, 2014 - Identify challenges to implementing Lean, potential solutions to the challenges, and lessons learned.