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Showing results for "lessons learned".

1141. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Designing and Implementing Effective VTE Prevention Protocols: Lessons from Collaboratives. … What barriers, successes, and lessons learned did you gain from these efforts?

1142. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Designing and Implementing Effective VTE Prevention Protocols: Lessons from Collaboratives. … What barriers, successes, and lessons learned did you gain from these efforts?

1143. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.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 … Lessons from the cockpit: How team training can reduce errors on L&D.

1144. III. Intervention Steps and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit3.html
      April 01, 2018 - implementing it, and offers tips about it and how to avoid potential pitfalls (based on implementation lessons … learned).

1145. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
      January 01, 2024 - online social network to generate hypotheses and better understand privacy and security concerns.63 We learned … Pharmacist involvement at discharge with the joint commission heart failure core measure: challenges and lessons … learned. … ClereMed: Lessons Learned From a Pilot Study of a Mobile Screening Tool to Identify and Support Adults

1146. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - successful, and we have submitted results of an analysis of its accuracy as well as a description of lessons … learned in the process of creating it. … The results of the analysis of its accuracy, as well as a description of lessons learned in the process

1147. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - Throughout the study project, a number of “lessons learned” provided insight that could be useful for … On error management: Lessons from aviation. Br Med J 2000; 320: 781-785. 22. Harnish V.

1148. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Bringing patients into the patient-centered medical home: lessons learned in a large primary care practice … Diagnostic errors in primary care: lessons learned Yes Yes Strong Review of evidence

1149. V-C3.01 Information Technology Security Policy Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
      November 07, 2023 - test the Contingency Plan and prepare a Contingency Plan Test Report that includes the test results, lessons … learned, and any action items for address. … information; • Impact classifications/threat vector; • Type of information compromised; • A summary of lessons … learned; and • Explanation of the mitigation steps of exploited vulnerabilities to prevent similar

1150. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Web-based portals: 3a) peer-reviewed publication of alarm fatigue simulation method with pilot data and lessons … learned, 3b) program-developed MeTeOR open code with use instructions and peer-reviewed methods manuscript … Peer-reviewed publication of alarm fatigue simulation method with pilot data and lessons learned Investigators

1151. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - Presenting the data before, it kind of might help focus that attention to help absorb the lessons in … And I think that's another thing that we want to do is not only take the lessons we learned to help ourselves

1152. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - The Robert Wood Johnson Foundation, offers a toolkit that details additional promising practices and lessons … learned in implementation; go to www.speakingtogether.org.

1153. Module-5-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
      June 02, 2025 - o What lessons can be learned from failed tests or unintended outcomes?

1154. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - The MedTeamsTM approach transferred lessons learned in aviation Crew Resource Management (CRM) to emergency … Good diagnosticians are those who have learned, often to their chagrin, how to avoid these cognitive

1155. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
      September 01, 2015 - other and help create communities of practice that bring together peers to share best practices and lessons … learned.

1156. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
      March 01, 2022 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims .

1157. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - healthcare delivery that depend on teamwork; and (2) provide regular communications on progress and lessons … learned with AHRQ in accomplishing the primary objective. … Researchers learned that even the largest healthcare organizations typically have only one person in … The most common and important lesson learned was that the revised LTC curriculum was a highly effective

1158. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
      June 01, 2018 - Theory and Reality of Value-based Purchasing: Lessons from Pioneers . … Lessons from employed populations? Presentation before the Henry J.

1159. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety 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-Jones_29.pdf
      February 23, 2008 - Hospital Association and the national Quality Improvement Organization Support Center to disseminate lessons … learned.

1160. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
      April 01, 2023 - login) Ariadne Labs has developed a framework for WHO Safe Surgery Checklist implementation based on lessons … learned in more than 4,000 facilities worldwide.