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Showing results for "lessons learned".

1941. 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

1942. 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.

1943. 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

1944. 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.

1945. 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.

1946. 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.

1947. 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

1948. 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

1949. 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

1950. 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

1951. Behavior Therapy as First-Line Treatment for Preschool-Aged Children With ADHD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-089-fullreport.pdf
      January 30, 2017 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure?

1952. Rate of Emergency Department Visit Use for Children Managed for Identifiable Asthma (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-113-fullreport.pdf
      May 01, 2018 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure?

1953. Follow-up Visits for Children Who Are Obese or Overweight with a Weight-Related Comorbidity: Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-0242-fullreport.pdf
      February 01, 2020 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

1954. Final Progress Report: The National Quality Forum National Annual Policy Conference 2007 (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/feeney-report.pdf
      January 01, 2025 - a culture shift: creating a direct link between patients’ experiences and patient safety and using lessons

1955. Final Progress Report: MOVES: Patient-Based Strategy To Reduce Errors in Diabetes Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/oconnor-report.pdf
      January 01, 2024 - One of the take home lessons of our project might be that sophisticated clinical decision support (what

1956. The TeamSTEPPS for Improving Diagnosis Team Assessment Tool: Scale Development and Psychometric Evaluation (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-team-assessment-scale-jtcommjqualpatsaf.pdf
      June 30, 2024 - CLABSI conversations: lessons from peer– to-peer assessments to reduce central line–associated bloodstream

1957. Integrating Mental Health and Substance Use Services in the Patient-Centered Medical Home (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/integrating-mental-health-substance-use-treatment.pdf
      June 01, 2010 - Initial lessons from the first national demonstration project on practice transformation to a patient-centered

1958. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/casalino/paper/casalino_idkeydsr.pdf
      February 01, 2014 - To evaluate the findings of a project and to draw practical lessons from it, it will be critical for

1959. Identifying Key Areas for Delivery System Research (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/casalino_idkeydsr.pdf
      February 01, 2014 - To evaluate the findings of a project and to draw practical lessons from it, it will be critical for

1960. Prospectscare (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/prospectscare.pdf
      June 01, 2012 - In this report, we present themes and lessons learned through these discussions, and offer an evaluation … We synthesized information learned from all these sources and present results and conclusions in this … As we progressed through initial calls and learned of additional potential avenues to explore, we grew