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Showing results for "lessons learned".

1461. 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.

1462. 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.

1463. 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

1464. 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.

1465. 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

1466. 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.

1467. White Paper: Redefining Primary Care for the 21st Century | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/white-paper.html
      July 01, 2019 -   The Agency for Healthcare Research and Quality is supporting an effort to make operational these lessons

1468. White Paper - Redefining Primary Care for the 21st Century (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/white_paper.pdf
      January 01, 2020 - The Agency for Healthcare Research and Quality is supporting an effort to make operational these lessons

1469. Utilization of the PHQ-9 to Monitor Depression Symptoms for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-245-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?

1470. Depression Remission or Response for Adolescents and Adults: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-244-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?

1471. Global Assessment of Pediatric Patient Safety (GAPPS) Trigger Tool (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-143-fullreport.pdf
      April 01, 2018 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? … Five years after to err is human: What have we learned? JAMA 2005; 293(19):2384-90.

1472. Applying Patient Safety Indicators (PSIs) Across Health Care Systems: Achieving Data Comparability (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Rivard.pdf
      May 01, 2004 - Our goal is to present what we have learned, thereby facilitating the work of other researchers and … Lessons from the Department of Veterans Affairs. J Ambul Care Manage 2003;26(3):229–42. 41.

1473. Final Progress Report: What About Mom? Using Administrative Data To Develop Measures for Monitoring Healthcare Quality in Pregnancy & Childbirth (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gregory-report.pdf
      January 01, 2024 - The results section provides a summary of what we have learned from this effort. … Lessons about best practices may be gleaned from the hospitals with low rates, and opportunity for

1474. Final Progress Report: California Intensive Care Outcomes (CALICO) Project Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/dudley-report.pdf
      January 01, 2025 - Predictors of Early Post Discharge Mortality in Critically Ill Patients: Lessons for Quality Performance … Five years after To Err Is Human: what have we learned? JAMA 2005;293:2384-90. 17.

1475. Technical Review 17: Nutritional Research Series, Vol. 1: Application of Systematic Review Methodology to the Field of Nutrition (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/evidence-based-reports/nutrtp1.pdf
      January 01, 2009 - effort to apply the evidence-based review process to the field of nutrition: challenges, benefits, and lessons … learned.

1476. Racial Disparities in Patient Safety Indicator (PSI) Rates in the Veterans Health Administration (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Shimada_65.pdf
      April 04, 2008 - Tracking rates of Patient Safety Indicators over time: Lessons from the Veterans Administration.

1477. Final Progress Report: Brief, Risky, High-Benefit Procedures: Best Practice Model (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/mackenzie-report.pdf
      January 01, 2024 - The detailed documentation available from review of the video recording can yield lessons difficult

1478. Eliminating CLABSI, A National Patient Safety Imperative: Final Report Companion Guide (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/clabsicompanion.pdf
      October 18, 2012 - This report discusses project background, implementation, impact, and lessons learned and provides

1479. Designing and Delivering Whole-Person Transitional Care: The Hospital Guide to Reducing Medicaid Readmissions - Toolbox (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/medread-tools.pdf
      July 28, 2016 - Root Cause Analysis and Lessons Learned (2-3 minutes each) The purpose of a root cause analysis is to

1480. Final Progress Report: UIC Center for Education and Research on Therapeutics Tools for Optimizing Prescribing, Monitoring and Education (TOP-MED) (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lambert2-report.pdf
      January 01, 2024 - in this health system, and the successes and failures of the program should produce generalizable lessons … Strategies for quantifying the relationship between medications and suicidal behavior: what has been learned