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Showing results for "lessons learned".

1181. Chapter 5. Project Findings for Goal 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter5.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.

1182. Appendix B. In-Person Meetings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
      April 01, 2018 - Lessons Learned Burden of unsupported practitioner SSI surveillance Documented need for enhanced

1183. Reinforcing the Value and Roles of Nurses in Diagnostic Safety - Issue Brief (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/nurse-role-dxsafety.pdf
      September 02, 2022 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

1184. Quality Improvement in Action Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
      April 01, 2022 - Thus, beginning the planning phase again, with what has been learned from the first cycle, to continually … The “act” phase is a chance to consider all lessons learned and to think about how to make the desired

1185. 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.

1186. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - point of care.4 Background The development of teamwork skills has become recognized as a set of learned … examples of teamwork competencies using their clinical experience • Apply teamwork competencies learned … The complexity of team training: What we have learned from aviation and its application to medicine

1187. 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

1188. 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

1189. 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

1190. 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

1191. 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.

1192. 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

1193. 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.

1194. 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.

1195. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - learned. … were the most troublesome for nursing staff.5 In a study by Whalen et al., a telemetry task force learned … Findings Risk of Bias (High, Moderate, Low) Comments Allen et al., 201314 Adopting the lessons … Lessons learned include: (1) unit staff should analyze alarm parameters to determine if they are … Not provided Lessons learned include: (1) unit staff should analyze alarm parameters to determine

1196. Final Progress Report: The Institute for the Design of Environments Aligned for Patient Safety (IDEA4PS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/mcalearney-report.pdf
      January 01, 2024 - “Lessons about Adoption of Healthcare Innovations.” … Building Human Factors Capabilities Within a Hospital System: Lessons Learned.

1197. 157-What-Are-4-Es (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/157-what-are-4-es.docx
      October 01, 2024 - Lessons learned from the high performing units should be shared with units whose performance was less

1198. Optimizing Health and Function as We Age: Roundtable Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/healthy-aging-roundtable.pdf
      September 08, 2022 - These results are communicated to the entire team and lessons learned can be discussed and applied to … Often, these lessons have less to do with the solution itself 16 and more to do with the dynamics

1199. Methods (continued, 2) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3a.html
      July 01, 2018 - Generally, the evidence in this section represents lessons learned from literature on organizational

1200. Final Progress Report: Detecting, Assessing, and Learning from Patient-Perceived Breakdowns in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/mazor-report.pdf
      January 01, 2024 - program was ultimately disseminated across all 10 MSH hospitals, incorporating enhancements based on lessons … learned during Aim 1, and adaptations to take into account the specific culture, context and constraints … Based on what we learned during piloting, we went on to implement two alternative versions of the