Results

Total Results: 1,419 records

Showing results for "lessons learned".

441. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
     March 01, 2004 - patient safety collaborative, delineates some obstacles to long-term success, and presents some of the lessons … we have learned from this endeavor. … we have learned from this endeavor. … Lessons learned Despite its limitations, the SDCPS has made substantial progress. … learned Conclusions Acknowledgments Author affiliations References Figure 1.

442. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
     May 01, 2016 - Challenges Identified and Lessons Learned VI. Summary and Conclusions References Appendix A. … We learned, however, that affording patients an opportunity to report their patient safety concerns in … We believe that one of the most important lessons learned from this experience is that it is possible

443. Sustaining Antibiotic Stewardship Efforts – Slides
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
     September 01, 2022 - A framework for implementing antibiotic stewardship in ambulatory care: lessons learned from the Agency

444. Event Investigation and Analysis Guide: Appendix D | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/settings/hospital/candor/modules/guide4/apd.html
     August 01, 2022 - Are there opportunities to improve trainings, competencies and orientation sessions by including lessons … learned from this event?        

445. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Learning Collaborative Report (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-learningcollab.pdf
     September 01, 2025 - ..................................................................................... 4 Session 2: Lessons … Learned from PCCP Models examined in the Literature Scan ............................ 5 Session 3: … Lessons Learned from PCCP Models examined in Case Studies ..................................... 7 Sessions … Session 3: Lessons Learned From PCCP Models Examined in Case Studies Objectives and Approach . … 3: Lessons Learned From PCCP Models Examined in Case Studies Objectives and Approach Findings Sessions

446. How are CHIPRA quality demonstration States supporting the use of care coordinators? Evaluation Highlight No. 9 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight09.pdf
     September 08, 2015 - participating in learning collaboratives on PCMH transformation and helping practices apply the lessons … learned, such as redesigning a practice and/ or adjusting workflows to better integrate care coordination … in primary care practices that serve children and adolescents may want to consider the following lessons … learned by the CHIPRA quality demonstration States featured in this Highlight: • Educate health … /highlight07.pdf http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf http

447. Two-Day Training Content | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/teach/two-day.html
     February 01, 2024 - the entire group in a discussion of whether leadership is innate or something that can be taught and learned … Facilitated lessons learned. Reinforced team behaviors and successes with the team. … brief checklist Included the patient in the “timeout” Held a debrief to recap the event and share lessons … learned Empowered team members to speak freely and share team workload Team leaders ensure … three important new tools to go along with the communication tools learned in Module 1.

448. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Lessons learned and limitations are discussed. Conclusion . … The planners learned important lessons worth consideration before health care leaders launch PARS or … People-Related Lessons. … Process-Related Lessons. … Systems-Related Lessons.

449. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - The PSO assesses the information from these sources and feeds back lessons learned to those health care … Using these reports and lessons learned, the PSO will populate its own database, as well as a national … also allows the PSO to focus on assisting and engaging health care providers with information and lessons … Moreover, lessons from efforts focused on the Problem Statement can then be fed to other health care … What we have learned from aviation and its applications to medicine.

450. Simulation Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
     May 01, 2017 - provides a structure for understanding the scenario and helps ensure that everyone will take away similar lessons … the process, describing what happened, conducting an analysis of team performance, and identifying lessons … learned. … Slide 20 SAY: The final step in the debriefing process is to identify lessons learned and look ahead … to how the team can generalize what they learned in the scenario to their daily practice.

451. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - Medical liability carriers Mello et al: Communication-and-resolution programs: the challenges and lessons … learned from six early adopters6 Boothman and Hoyler: The University of Michigan's early disclosure … engage medical liability carriers include: Communication-and-resolution programs: the challenges and lessons … learned from six early adopters. … Communication-and-resolution programs: the challenges and lessons learned from six early adopters. 

452. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.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 … Five years after To Err Is Human: what have we learned? JAMA 2005; 293:2384–90. 2. … Communication-and-resolution programs: The challenges and lessons learned from six early adopters. … Lessons from the AHRQ Hospital Survey on Patient Safety Culture.

453. Implementing a State-Level Quality Improvement Collaborative: A Resource Guide From the Medicaid Network for Evidence-based Treatment (MEDNET) (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/mednetresourceguide/mednetresourcedguide.pdf
     October 01, 2014 - Often, the most valuable contributions of these meetings are the lessons learned and ideas generated … Often, the most valuable takeaways from these meetings are the lessons learned and ideas generated … Participants in the MPIC built on the lessons learned from these other efforts and benefited from clinical … The first was held halfway through the project to allow more indepth sharing of lessons learned and … MEDNET participants benefited from lessons learned by all the States in the collaborative through regularly

454. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/programs/index.html?page=3
     This website features evidence, examples, and lessons learned from primary care practices that have transformed

455. Index of CUSP Tools and Resources | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-tools-resources.html
     October 01, 2024 - Prevention Beyond the Unit (DOCX, 397 KB) A guidance document on recognizing success and sharing the lessons … learned broadly.

456. Tool 2: Readmission Review Tool (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool2_readm_review.docx
     June 02, 2025 - Root Cause Analysis and Lessons Learned (2-3 minutes each) The purpose of a root cause analysis is to

457. Review of SSI Prevention Program Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/mrsa-prevention/surgery/ssi-prevention-tools.html
     April 01, 2025 - SSI and MRSA Prevention (DOCX, 395 KB) A guidance document on recognizing success and sharing the lessons … learned broadly.

458. Integrating Clinical Prediction Rules into EHRs to Improve Care, Reduce Waste | Agency for Healthcare Research and Quality
     www.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
     January 01, 2024 - rules, leading to the identification of factors in overtesting for pulmonary embolism and publishing lessons … learned for the field.

459. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/christopher_sellers.pdf
     January 01, 2014 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans AL CHIP’s Experience

460. 3. Observations About the Structure of the Demonstration Grant Program | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
     October 01, 2015 - Furthermore, the diversity and multitude of projects made it more difficult to summarize the demonstration’s lessons