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Showing results for "lessons learned".

1101. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
      March 01, 2016 - Performance improvement messaging for physicians: lessons from market research* ................... … In cognitive testing, physicians are asked to tell, in their own words, what they learned from different … As much can be learned from implementation failures as from successes yet null findings on any topic … Data feedback efforts in quality improvement: lessons learned from US hospitals. … Performance improvement messaging for physicians: lessons from market research*

1102. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - The second category of covariates related to hospitals’ baseline/learned performance, with respect to … A framework for collaborative improvement: Lessons from the Institute for Healthcare Improvement's Breakthough … Lessons in cooperation: an update on improving the quality of hospital care.

1103. 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

1104. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - implemented, the effectiveness of support materials, barriers to and facilitators of implementation, and lessons … learned from implementation. … In addition, several lessons were learned, and recommendations were documented for future conferences … the process for identifying key data elements and making modifications to the EHR, as well as the lessons … learned from the IT components of this program, are generalizable to other healthcare settings and

1105. VHA’s National Falls Collaborative and Prevention Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Stalhandske2_70.pdf
      March 01, 2006 - The Falls Toolkit consolidates lessons learned from the Falls Collaborative and from current research

1106. Static Teach-back Interactive Module (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teachback-module-accessible.pdf
      January 01, 2013 - Static Teach-back Interactive Module Teach-back 1. Title Teach-Back Improving Patient Safety by Engaging Patients and Families in Effective Clinician- Patient Communication 1 Teach-back Interactive Module 2. AHRQ Sponsored by the Agency for Healthcare Research and Quality (AHRQ), this tea…

1107. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Shoulder Dystocia (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_shoulder-dystocia.docx
      May 01, 2017 - Observations from 450 shoulder dystocia simulations: lessons for skills training.

1108. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - Didactic methods can include a variety of formats, such as lectures, interactive presentations, online lessons

1109. 4. How Do We Implement Best Practices in Our Organization? (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureulcer/tool/pu4a.html
      October 01, 2014 - Didactic methods can include a variety of formats, such as lectures, interactive presentations, online lessons

1110. 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.

1111. 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

1112. Using Rapid-Cycle Research to Reach Goals: Awareness, Assessment, Adaptation, Acceleration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/resources/final-rapid-cycle-research-guidance.pdf
      June 01, 2015 - What was learned that might be a problem that is worth solving or what is a question that is worth … Lessons learned using PRECIS and RE-AIM for determining pragmatic characteristics of research at http … ://pbrn.ahrq.gov/events/how- pragmatic-it-lessons-learned-using-precis-and-re-aim-determining-pragmatic … Data quality problems can occur from lack of http://pbrn.ahrq.gov/events/how-pragmatic-it-lessons-learned-using-precis-and-re-aim-determining-pragmatic … http://pbrn.ahrq.gov/events/how-pragmatic-it-lessons-learned-using-precis-and-re-aim-determining-pragmatic

1113. 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

1114. 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.

1115. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
      November 01, 2014 - We also link lessons learned to these facilitators and barriers. … Lessons learned addressed staff engagement most often. … Contents Organizing the Lean Initiative In this section, we discuss barriers, facilitators, and lessons … learned related to organizing the Lean initiative.

1116. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership-cx.pdf
      June 03, 2021 - These lessons tell us that healthcare leaders need to play an essential role in preventing diagnostic

1117. Leadership To Improve Diagnosis: A Call to Action - Issue Brief 5 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dx-leadership.pdf
      June 03, 2021 - These lessons tell us that healthcare leaders need to play an essential role in preventing diagnostic

1118. 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.

1119. 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

1120. 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