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Showing results for "lessons learned".

  1. www.ahrq.gov/research/shuttered/acfselection/appendixc.html
    July 01, 2018 - What lessons did you learn with regards to integrating non-health care provider volunteers into the operation … Were there any lessons learned with regards to doing so?       ___  Yes   ___  No      12a.
  2. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
    July 01, 2023 - to the established care plan Use SBAR to: Frame event reports Structure case scenarios for sharing lessonslearned (either positive or negative) to other staff Summarize a particularly effective or ineffective … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessonslearned, or summarizing a particularly effective or ineffective event for posterity and continuous learning … 51 Hospital AIM Team Leads SPPC-II SCRIPT Now that you’ve learned about the communication tools and
  3. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
    July 01, 2023 - clarify, or suggest changes to response plans • Ensure all staff understand the new information learned … established care plan Use SBAR to: • Frame event reports • Structure case scenarios for sharing lessons … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessonslearned, or summarizing a particularly effective or ineffective event for posterity and continuous … 51 SCRIPT Now that you’ve learned about the communication tools and strategies we have for improving
  4. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-1.pdf
    January 31, 2024 - To support rural primary care practices and build on lessons learned from AHRQ’s prior EvidenceNOW initiatives … learned. … learned so far … learned. … learned so far
  5. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Harris.pdf
    June 30, 2004 - selected reports for analysis, the results of both our quantitative and qualitative analyses, and what we learned … that collect information about medical errors so that practitioners can learn from them and apply lessonslearned to promote patient safety. … Conclusions Our mixed methods approach allowed us to efficiently and effectively extract patient safety lessons
  6. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/a4a_combo_psi_casestudy.pdf
    June 02, 2025 - Robinson has several key lessons to share with new users to facilitate their quality improvement journey
  7. www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/public-action-alliance-slides-040323_LOCKED.pdf
    May 25, 2023 - OSHA,PSOs) • Alliance providing a central repository of lessons learned, best practices, harm events
  8. www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-transcript.html
    December 01, 2017 - For those of you in the audience who are nurses, if you think about your early nursing days, when you learned … Maybe that's just one of those things that I learned in school but gee, in practice, nobody seems to … Some of the lessons learned is that the basics do need to be assessed and addressed. … As was mentioned before, most of the nurses have learned and performed this skill in a very controlled … Also, a lesson learned for us is that in both instances, the industry was very helpful in improving the
  9. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-transcript.docx
    May 12, 2015 - For those of you in the audience who are nurses, if you think about your early nursing days, when you learned … Maybe that's just one of those things that I learned in school but gee, in practice, nobody seems to … Some of the lessons learned is that the basics do need to be assessed and addressed. … As was mentioned before, most of the nurses have learned and performed this skill in a very controlled … Also, a lesson learned for us is that in both instances, the industry was very helpful in improving the
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/technical/4es-early-mobility-facguide.docx
    January 01, 2017 - Slide 27 Summary ASK: What have we learned today about the Four Es of early mobility?
  11. 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
  12. 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
  13. 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
  14. 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.
  15. 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.
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
    January 01, 2004 - An important lesson learned from this near miss was that a lack of a reliable research-participant tracking … Based on lessons learned from this debriefing, a clinical research sign-out system is being developed … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.
  17. 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 lessonslearned, 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
  18. www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
    April 01, 2013 - I know we’ve had several hospitals do that, and they’ve learned it hasn’t been an implementation issue … And then once you’ve indentified a defect, then you share and post lessons that you’ve learned. … So even within your hospital, if you’ve piloted something on one unit, you want to share the lessonslearned throughout the hospital. … I think from Denise and Lorna we learned about the fundamentals of CUSP.
  19. www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
    August 01, 2022 - project culminated in an SDM train-the-trainer toolkit that integrates the processes developed and lessonslearned. … The researchers also learned through the project that the taxonomy used to classify errors could be streamlined … Implementing near-miss reporting and improvement tracking in primary care practices: Lessons learned. … There will be efforts to use what was learned to improve the claims reporting system, further the development
  20. 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.

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