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Showing results for "lessons learned".

1081. 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.

1082. 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.

1083. 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.

1084. 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

1085. 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

1086. 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.

1087. Overview of Patient Safety Learning Laboratory (PSLL) Projects | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/index.html
      August 01, 2025 - Engineering safer care coordination from hospital to home: lessons from the USA .  … Identifying and classifying diagnostic errors in acute care across hospitals: Early lessons from the … The lessons learned will improve pediatric patient safety on medical transports and will be transferable

1088. 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

1089. 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.

1090. 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.

1091. 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

1092. 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

1093. 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

1094. 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.

1095. 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/resources/issue-briefs/dx-safety-patient-role.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

1096. 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

1097. 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

1098. 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

1099. 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.

1100. 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.