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Showing results for "lessons learned".

1281. Issue Brief 9: Improved Diagnostic Accuracy Through Probability-Based Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-probabilistic-thinking.pdf
      September 01, 2022 - superior for training intuitive skill (vs. improving knowledge).32 Most games have focused on discrete lessons

1282. Organizational Embrace of CUSP to Improve Patient Safety (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/embrace.html
      April 01, 2013 - We relate any case studies from recent sentinel events and talk about the lessons learned and how that

1283. High-Performance Work Practices in CLABSI Prevention Interventions (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsi-hpwpreport.pdf
      May 01, 2015 - Reducing health care-associated infections (HAIs): lessons learned from a national collaborative of

1284. Module 20: Creating Quality Improvement Teams and QI Plans (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf
      September 01, 2015 - What are your experiences developing QI plans for organizations and your lessons learned? 2.

1285. Primary Care Practice Facilitation Curriculum Module 27: Helping Practices Optimize EHRs for Patient-Centered Medical Home Transformation and Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-27-ehr-and-pcmh.pdf
      January 15, 2025 - Large group report out (15 minutes) • What two lessons did your group learn about EHRs supporting PCMH … • What two lessons did you learn about facilitating these types of exercises with teams?

1286. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - developed this Guide to share participating hospitals’ implementation strategies, experiences, and lessons … learned with hospitals like yours. … This approach helps reinforce what the new nurses have learned and ensures that there are enough staff

1287. TeamSTEPPS for Improving Diagnosis Facilitator's Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/dxsafety-facilitators-guide.pdf
      February 04, 2022 - Individually or in small groups, consider when, where, and how the use of the TeamSTEPPS tools and lessons … all of the tools in the TeamSTEPPS for Diagnosis Improvement course, reflect on how those tools and lessons … Opportunities To Change Course Considering when, where, and how the use of the TeamSTEPPS tools and lessons

1288. Strategy 3: Nurse Bedside Shift Report Implementation Handbook (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy3/Strat3_Implement_Hndbook_508.docx
      August 01, 2010 - Identify lessons learned from the single-unit pilot implementation, refine your approach, and then spread … the three nurse champions attended a course focusing on quality improvement methods and Six Sigma and learned

1289. Final Progress Report: The PeaceHealth Community-wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/stock-easton-report.pdf
      January 01, 2024 - 3) How can PeaceHealth build on what has already been learned? … Many participants were older adults who had learned computer technology later in life; although they … Throughout the implementation of this project, innovation and discovery work continued to reveal important lessons

1290. Final Progress Report: Effects of Extended Work Hours on ICU Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/czeisler-report.pdf
      January 01, 2024 - Similar safety lessons have been learned from other safety-conscious industries, most often after the

1291. 2. Developing and Running a State-Based Extension Program To Support QI in Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide2.html
      August 01, 2024 - extension program to support QI in primary care, drawing on the experiences of AHRQ initiatives and lessons … learned from them. 

1292. Transitional Care Medication Safety: Stakeholders' Perspectives | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/corbett.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

1293. Section 7: Measuring Value in a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm7.html
      October 01, 2014 - Data Early States have reported that unexpected data issues are common and that a frequent lesson learned

1294. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - Learning about the process and outcomes of these experiences will help identify lessons learned, potential … family advisors is not something that most clinicians and hospital staff have been trained to do or learned … Share improvements and lessons learned with others at local, regional, and national meetings. … are comfortable, ask advisors to share information about who is in their family, where and how they learned

1295. Primary Care Practice Facilitation Curriculum Module 4: An Introduction to Practice Organization and Management (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-4-practice-management.pdf
      September 01, 2015 - What were some important lessons you learned in the module and pre-work? 2. … The Building Blocks of High-performing Primary Care: Lessons from the Field.

1296. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - Lessons learned in preparing for and responding to the early stages of the COVID-19 pandemic: one simulation's

1297. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - On error management: Lessons from aviation. Br Med J 2000;320:781-85. 11. National Quality Forum. … Reporting and preventing medical mishaps: Lessons from non-medical near miss reporting systems. … On error management: Lessons from aviation. BMJ 2000;320(7237):781-85. 24.

1298. External-Stakeholder-Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf
      June 23, 2023 - dissemination and implementation with training efforts within the same structure, and that AHRQ refer to lessons … learned from prior healthcare quality improvement efforts led by other Federal agencies.

1299. From Public Testimony to Vehicle for Statewide Action: Experience of the Michigan State Commission on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Valade_46.pdf
      May 05, 2008 - Along the way, the Commission transformed a number of limitations and barriers into strengths and lessons … learned.

1300. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - This paper explores the challenges of implementing a new medical event reporting system, the lessons … learned, and other issues related to data submission, collection, reporting, and analysis.