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Showing results for "lessons learned".
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdfMarch 01, 2004 - system in today’s health care system, including references to the Institute of Medicine reports, lessons … learned from the aviation industry, and the similarity of underlying causes for close calls and errors … Currently, the project team is formalizing plans to share themes and lessons learned across institutions … Reporting and preventing medical mishaps: lessons from nonmedical near miss reporting systems.
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www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdfJanuary 01, 2024 - Protocol on VTE at UCSD in 2005-06 compared with 2007 Toolkit development, dissemination, and key lessons … learned are incorporated into the discussion below. … Lessons Learned The UCSD VTE prevention team used a proven performance improvement framework modeled … Working with other VTE and performance improvement experts from SHM, and using the lessons promoted
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www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdfJanuary 01, 2024 - To improve the quality of anesthesia care, the specialty borrowed heavily from techniques and lessons … learned in the aviation industry and created basic standards for monitoring during anesthesia. … interventions have been implemented in countries with a national healthcare system, there are still many lessons … The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department
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Measure: Developmental Screening Follow-up: Follow-up Referral After Positive Developmental Screen (pdf file)
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdfApril 01, 2016 - Implementing developmental screening and referrals: lessons learned from a national project. -
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptxMay 01, 2017 - Lay out the specifications of your test Do: Conduct the test Study: Review how the test went and what lessons … were learned Act: Integrate learning into your next test or into daily practice Module 2: Daily
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Implement-Facilitator-Guide (doc file)
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/implement/implement-facilitator-guide.docxMay 01, 2017 - key events, An analysis of why an event occurred, what worked, and what did not work, A discussion of lessons … learned and how staff will alter the plan next time, and The establishment of a method to formally … change the existing plan to incorporate lessons learned. … Frame problems in terms of personal experience and lessons learned. -
www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm5.htmlOctober 01, 2014 - Lessons Learned: Vendor Contracting State vendor contracts should require dedicated and accessible … States should review contracts from other States to incorporate additional lessons learned. … Lessons Learned: Performance Guarantees Ensure adequate resources to calculate cost savings.
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www.ahrq.gov/evidencenow/projects/urinary/optima-interview.htmlNovember 01, 2024 - To help primary care providers put into practice what they learned, we developed a pocket guide with … What has been your biggest lesson learned to-date?
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www.ahrq.gov/hai/cusp/modules/spread/notes.htmlDecember 01, 2012 - Essentially, knowledge management and knowledge transfer explore taking lessons learned in one unit and … transferring those lessons to other units to create better ideas that fit with the social system. … significantly—should wait to put the new process in place so they can benefit from the data collected and the lessons … learned by the units that adopted the process earlier
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdfJanuary 01, 2004 - Results: Qualitative analysis of the RCAs included findings related to lessons learned, emergent themes … The medication panel reviewed the 53 RCAs submitted for lessons that could be shared with the larger … Lessons learned A limitation of the NYPORTS data is that the system fixes proposed often are those … The lessons learned that had the strongest potential for contributing to safety were those extrapolated … learned from fatal or near-fatal errors for patient safety improvements and information sharing.
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-midwest.pdfNovember 01, 2017 - Presentations: • Collective Efforts to Overcome Quality Measurement Challenges: Lessons from a Primary … Cessation Strategies that Work Webinar [2017] • Using EHR Data and Other Methods to Improve Care: Lessons … Learned [2017] • An Overview of the CMS Quality Payment Program (QPP) Webinar (2017) • Progress
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdfJanuary 01, 2004 - As we near the end of this pilot project, we have learned many lessons from the adaptation process, … some of which were learned thanks to the strong resources available to us at WRAMC. … Using the lessons that we have learned we hope to adapt more nursing procedures, in a A New Model
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docxJune 02, 2015 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.htmlDecember 01, 2017 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
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www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.htmlDecember 01, 2017 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdfFebruary 01, 2014 - want to learn from you and your experiences in order to improve the current hotline and recommend lessons … Lessons and advice 1. … What lessons have you learned so far that could be useful for others? 3. … Lessons and advice I. Conclusion/followup
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www.ahrq.gov/chsp/events/coe-workshop1.htmlDecember 01, 2022 - Measure Harmonization The group shared lessons they have learned about measuring health system performance
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www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf1.htmlOctober 01, 2014 - Implementing USPSTF Recommendations into Health Professions Education Introduction This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) recommendations and resources in campus and communit…
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.htmlJanuary 01, 2013 - Report Executive Summary Report Organization Program Implementation Program Impact What We Learned … : Five Key Lessons Lessons on How To Improve Future National Collaboratives Conclusion Appendix
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How CUSP Enables Nurse Empowerment (Slide Presentation) | Agency for Healthcare Research and Quality
www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.htmlOctober 01, 2014 - Lessons for Your Hospital: Strategies That Promote Nurses & Leverage CUSP Slide 12. … Lessons for Your Hospital: Strategies That Promote Nurses with the Leverage of CUSP Slide 22. … Lessons for Your Hospital: Strategies That Promote Nurses & Leverage CUSP Frontline staff are an … Lessons for Your Hospital: Strategies That Promote Nurses with the Leverage of CUSP If nurses are
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