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Showing results for "lessons learned".

1101. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
      September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…

1102. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - In addition, the lessons from inpatient care appear to hold in the ambulatory setting. … Lessons from a patient partnership intervention to prevent adverse drug events.

1103. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
      January 01, 2008 - Considering when, where, and how use of the TeamSTEPPS tools and lessons from this course may have resulted … In this module, participants learned that: • Diagnostic error is a patient safety issue and applications

1104. Module 7: Putting It All Together
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
      January 01, 2008 - Considering when, where, and how use of the TeamSTEPPS tools and lessons from this course may have resulted … In this module, participants learned that: Diagnostic error is a patient safety issue and applications

1105. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

1106. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
      June 01, 2014 - Webcast in four parts today, and we're going to start with part one with an overview of what we've learned … Our focus was on physician performance, but the lessons learned are likely to apply equally to hospitals … results we're reporting to you this afternoon are from the first round of the elicitation, from which we learned … We took a variety of lessons from those, from the comparative performance, from where things worked

1107. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - Apply lessons learned from trends and improvements in morbidity and mortality due to various comorbidities

1108. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - This guide integrates what hospitals that participated in Transforming Care at the Bedside learned as … Identify lessons learned from the single-unit pilot implementation, refine your approach, and then spread … Reducing hospital readmissions: lessons from top-performing hospitals.

1109. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
      January 07, 2005 - adopting institutions can serve as agents for further dissemination by sharing their experiences and lessons … learned. … Lessons from experienced guideline implementers: attend to many factors and use multiple strategies

1110. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - Lessons learned should be shared.

1111. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
      January 01, 2013 - Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change * Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center Learning Objectives Describe the methods to engage clinicians in CAUTI prevention Describe methods to engage l…

1112. Final Progress Report: Improve Safety, Quality, and Efficiency in Radiotherapy with Automated HIT System (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
      January 01, 2024 - both safety and quality control have been improving due to workflow improvements according to the lessons … learned from previous incidents and following published recommendations and guidelines.

1113. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
      November 01, 2014 - Process improvement staff also share what they learned from similar projects or activities when a process … We also link lessons learned to these facilitators and barriers.     … Organizing the Lean Initiative In this section, we discuss barriers, facilitators, and lessons learned … Training None of the interviewees mentioned education and training as a barrier, facilitator, or lesson learned

1114. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
      May 01, 2017 - Observations from 450 shoulder dystocia simulations: lessons for skills training.

1115. Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Dingley_14.pdf
      February 06, 2008 - Throughout the study, a number of “lessons learned” provided insight that could be useful for other … On error management: Lessons from aviation. Br Med J 2000; 320: 781-785. 22. Harnish V.

1116. Mindfulness: Engaging Frontline Providers in Antimicrobial Stewardship | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
      December 01, 2017 - Slide 21 Changing the Way We Think About Antibiotic Stewardship A lesson learned from experience

1117. Final Progress Report: Workshop on Consumer Engagement in Selected Patient Safety Topics (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/hatlie-report.pdf
      January 01, 2024 - Royal (Eds.), Lessons from the field: Applying appreciative inquiry (pp. 216-229). … out of our work and prepare to manage conflict; and • It’s important that we evaluate what we have learned … fear out of our work, and prepare to manage conflict; It’s important that we evaluate what we have learned

1118. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/caremgmt-brief.pdf
      April 01, 2015 - contexts.4 Participants provided a brief summary of the study context, available data sources, and lessons … learned.

1119. Care Management: Implications for Medical Practice, Health Policy, and Health Services Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/care/coordination/mgmt.html
      August 01, 2018 - contexts. 4 Participants provided a brief summary of the study context, available data sources, and lessons … learned.

1120. Implementing a Systems Engineering Intervention for Improving Safety in Outpatient Surgeries (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Carayon.pdf
      November 01, 2004 - The center has identified leaders to coordinate efforts among member organizations, share “lessons learned … representatives from the 5 outpatient surgery centers • Presentation of final data analysis • Discussion of lessons … learned and institutionalization • Presentation of followup project on pre-operative information