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Showing results for "lessons learned".

1401. Final Progress Report: Improving Medication Safety Across Clinical Settings (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/bates-report.pdf
      January 01, 2024 - Intravenous medication safety and smart infusion systems: lessons learned and future opportunities

1402. Final Progress Report: Prescribing Errors in Ambulatory Pediatric Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/basco-report.pdf
      January 01, 2024 - Making the Most of Data Collection: Lessons from a Practice-Based Research Network.

1403. Diagnostic Safety Across Transitions of Care Throughout the Healthcare System: Current State and a Call to Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/diagnostic-safety-transitions-care.pdf
      June 01, 2023 - Handoff strategies in settings with high consequences for failure: lessons for health care operations … Usability of a human factors-based clinical decision support in the emergency department: lessons learned

1404. Timely Antibiotics for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0230-fullreport.pdf
      April 02, 2018 - Lessons learned were applied to work at the other sites. 14 IRR was determined by calculating … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

1405. Timely Fluid Bolus for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-fullreport.pdf
      May 01, 2018 - Lessons learned were applied to work at other sites. … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

1406. Documentation of Heart Rate During Fluid Resuscitation for Children With Severe Sepsis or Septic Shock (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-fullreport.pdf
      June 01, 2018 - Lessons learned were applied to work at other sites. … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

1407. Final Progress Report: Risk Models To Improve Long-Term Care Medication Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
      January 01, 2024 - Lessons Learned First, ST-PRA modeling of medication risks at state level is possible and practical, … Selected Drug Error Literature UStep 2: Survey Results: Variation between Models and Statewide Sample Lessons … Learned UThe Modeling and Validation Interview Processes UBuilding and Implementing Risk Reduction

1408. Follow-Up With Patient Family After Developmental Screening (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-202-fullreport.pdf
      January 01, 2014 - Implementing developmental screening and referrals: lessons learned from a national project. … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? … Lessons from Use of the Measure Section 9. Levels of Aggregation Section 10.

1409. Making Healthcare Safer Practices: 12. Infusion Pumps (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/infusion-pumps-1.pdf
      March 01, 2020 - The implementation was communicated to clinical staff through lessons and instructions, and the authors

1410. Final Progress Report: Factors That Enhance Diagnostic Imaging Safety in the Ambulatory Setting (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/lacson-report.pdf
      January 01, 2025 - Lessons from the Radiology Events Register.

1411. Final Progress Report: Risk-Informed Intervention to Improve Ambulatory Drug Monitoring and Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/field-report.pdf
      January 01, 2024 - Through these means, we learned of the reactions to the alerts forwarded to clinic staff about patients … Quality measurement issues in the era of meaningful use: lessons from the laboratory monitoring of high-risk

1412. Recommendations to Improve Children's Health Care Quality Measures | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/pubs/background-2012/index.html
      December 01, 2012 - with and evaluate new children's health care quality measures 7 , 8 ; they joined the PQMP to share lessons … learned with AHRQ, CMS, CCTAC, and the COEs.

1413. Final Progress Report: Evaluating e-Prescribing in a Community-Based, Integrated Health System (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/devine-report.pdf
      January 01, 2024 - Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize

1414. 3. Assessment Plan and Methodology | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen3.html
      April 01, 2018 - We reported our experience, lessons learned, and findings in our Preliminary Report of Findings, submitted

1415. Evaluation and Research on Antimicrobial Stewardship's Effect on Clostridium difficile (ERASE C. difficile) Project: toolkit (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/cdifftoolkit.pdf
      September 01, 2012 - The toolkit incorporates lessons learned from the experiences of the intervention hospitals, including … Lessons learned from other antimicrobial stewardship initiatives provide evidence that support is needed

1416. Final Progress Report: Opioid Stewardship in Urology (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/smith-report.pdf
      January 01, 2024 - Dupree concluded by sharing lessons learned in development and implementation of this program.

1417. Final Progress Report: Reducing Adverse Drug Events From Anticoagulants, Diabetes Agents and Opioids in Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/wessell2-report.pdf
      January 01, 2024 - Early lessons from across the intervention group were also shared during the second and third site visits

1418. Personal Health Records to Improve Health Information Exchange and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Fricton_21.pdf
      April 17, 2008 - Learning from abroad: Lessons and questions on personal health records for national policy.

1419. Post-fielding Surveillance of a Guideline-based Decision Support System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Chan.pdf
      January 01, 2004 - Automating complex guidelines for chronic disease: lesson learned.

1420. Education in Proper Use of New Asthma Medication Delivery Device for Children With Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-201-fullreport.pdf
      March 01, 2019 - Using an inhaler is a skill that must be learned and maintained in order for medication to be delivered … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure?