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Showing results for "lessons learned".

1361. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/downloads/pub/advances2/vol1/advances-hook_25.pdf
      February 26, 2008 - An evidence- based approach to fall risk assessment, prevention, and management: Lessons learned.

1362. Final Progress Report: Unexpected Clinical Events: Impact on Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/weinger2-report.pdf
      January 01, 2024 - These “lessons learned” now allow us to be an invaluable resource to others.

1363. Final Progress Report: Technology To Improve Medication Safety in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/scott-cawiezell-report.pdf
      January 01, 2024 - team’s good performance and the medication team’s additional information from other nursing home’s lessons … learned, clinical leadership lagged behind in supporting and advocating for the intervention well into

1364. Final Progress Report: Triage and Allocation Model for Primary PCI After STEMI (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/concannon-report.pdf
      January 01, 2025 - the potential impact on patients, hospitals, and EMS systems, one approach is to conduct a scan of lessons … learned in pilot demonstrations conducted elsewhere.

1365. Using a Computerized Fall Risk Assessment Process to Tailor Interventions in Acute Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Hook_25.pdf
      February 26, 2008 - An evidence- based approach to fall risk assessment, prevention, and management: Lessons learned.

1366. SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast-transcript.pdf
      July 25, 2018 - SOPS™ Health Information Technology (Health IT) Supplemental Items for Hospitals Webcast Transcript July 2018 https://www.ahrq.gov/sops/index.html 1 New AHRQ SOPS Health IT Patient Safety Supplemental Items for Hospitals July 25, 2018 – Webcast Transcript Speakers: Joann Sorr…

1367. Diagnostic Safety Issue Brief 21 Diagnostic Stewardship as a Model To Improve the Quality and Safety of Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-safety-21-diagnostic-stewardship.pdf
      August 01, 2024 - Lessons and pitfalls of whole genome sequencing. … Population health for CKD and diabetes: lessons from the Indian Health Service.

1368. AHRQ Multiple Chronic Conditions Research Summit: Speaker Biosketches | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/multichronic/summit-bios.html
      November 01, 2021 - Lessons learned from the effort will be used to stand up additional innovative enterprise data management

1369. Depression Screening and Follow-up for Adolescents and Adults (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-246-fullreport.pdf
      December 01, 2019 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure?

1370. Appendix 3: Data Abstraction (xls file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/ta/topicrefinement/ced-appendix3-data-abstraction.xlsx
      June 24, 2022 - Drug development processes could be improved by applying lessons learned and best practices from those

1371. A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Akins.pdf
      January 01, 2003 - A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement 109 A Process-centered Tool for Evaluating Patient Safety Performance and Guiding Strategic Improvement R. B. Akins Abstract This paper presents a patient safety applicator tool for implementing and assessin…

1372. Final Progress Report: Stakeholder Summit: Setting a Quality Improvement Research Agenda To Leverage HIT/HIM in Rural America (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/madison-report.pdf
      January 01, 2024 - Initial Lessons from the First National Demonstration Project on Practice Transformation to a Patient-Centered

1373. Is There an Association Between Patient Safety Indicators and Hospital Teaching Status? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Rivard_97.pdf
      April 28, 2008 - Tracking rates of patient safety indicators over time: Lessons from the Veterans Administration.

1374. Final Progress Report: AUA 2022 Quality Improvement Summit: Opportunities to Improve Care in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gore-report.pdf
      January 01, 2024 - For example, a urologist could ask if the patient has ever lost anyone they love and if they have learned … These include considering what education may be beneficial to nonphysician caregivers, what lessons can

1375. Recommendations to Improve Children’s Health Care Quality Measures: Background Report on the 2012 Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/pubs/background-2012/backgrnd2012.pdf
      January 01, 2012 - with and evaluate new children’s health care quality measures7,8 ; they joined the PQMP to share lessons … learned with AHRQ, CMS, CCTAC, and the COEs.

1376. Final Progress Report: Improving Patient Safety by Reducing Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/2024-03/strom2-report.pdf
      January 01, 2024 - August 2005) Presentations Patient Safety Initiatives: Lessons Learned from the Penn Program for

1377. CHIPRA 81: Pediatric Global Health-7 Measure Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-081-fullreport.pdf
      April 01, 2019 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

1378. Reporting of Adverse Drug Events: Examination of a Hospital Incident Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Desikan.pdf
      March 01, 2002 - Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

1379. Final Progress Report: Investigating Failures of Notification and Monitoring in Outpatient Care: the Safety Promotion Action Research and Knowledge Network (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/sarkar2-report.pdf
      January 01, 2024 - These data from the PRIME Program in California hold lessons for future measurement efforts and should

1380. Patient Safety Research in Medical Group Practices: Measurement and Data Challenges (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Wilson.pdf
      December 01, 2004 - Reporting and preventing medical mishaps: lessons from nonmedical near miss reporting systems.