Results

Total Results: 5,323 records

Showing results for "lessons learned".

2581. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33639/psn-pdf
      September 01, 2006 - JB: Well, it wasn't just what I learned at NASA. … Everybody learned from a particular person or an institution—which led to, you know, this is the Penn … https://psnet.ahrq.gov/perspective/conversation-withjames-p-bagian-md JB: I learned that most people … What lessons are generalizable for the rest of the system? … JB: I think our lessons are uniformly generalizable, I'll say that at the outset.

2582. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/41420/psn-pdf
      September 26, 2012 - Improving healthcare quality through organisational peer- to-peer assessment: lessons from the nuclear … Improving healthcare quality through organisational peer-to-peer assessment: lessons from the nuclear … https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment- lessons-nuclear … https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear … https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

2583. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36838/psn-pdf
      April 19, 2011 - A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … A very public failure: lessons for quality improvement in healthcare organisations from the Bristol … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal

2584. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49415/psn-pdf
      September 01, 2003 - learned are transferred to real patient care. … facilitate the critical structured debriefing sessions in which performance failures are reviewed and lessons … learned. … Teamwork and collaboration in critical care: lessons from the cockpit. … Anaesthetic simulation and lessons to be learned from aviation.

2585. Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. | PSNet
      psnet.ahrq.gov/issue/ebola-us-patient-zero-lessons-misdiagnosis-and-effective-use-electronic-health-records
      June 21, 2023 - Commentary Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic … Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. … Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

2586. Program Evaluation - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8_program-evaluation.pptx
      July 01, 2023 - three domains: LEARNING: assess knowledge, attitudes, and behaviors TRANSFER: assess application of learned … of successful program implementation Reports and publications will be generated to disseminate the lessons … learned 22 Hospital AIM Team Leads SPPC-II SCRIPT And finally, we want to share some key consideration … of successful program implementation Reports and publications will be generated to disseminate the lessons … learned 22 Thank you!

2587. Program Evaluation - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8_program-evaluation.pptx
      July 01, 2023 - three domains: LEARNING: assess knowledge, attitudes, and behaviors TRANSFER: assess application of learned … of successful program implementation Reports and publications will be generated to disseminate the lessons … learned 22 Hospital AIM Team Leads SPPC-II SCRIPT And finally, we want to share some key consideration … of successful program implementation Reports and publications will be generated to disseminate the lessons … learned 22 Thank you!

2588. Understanding the factors influencing implementation of a new national patient safety policy in England: lessons from 'Learning from Deaths'. | PSNet
      psnet.ahrq.gov/issue/understanding-factors-influencing-implementation-new-national-patient-safety-policy-england
      August 18, 2021 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

2589. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/861291/psn-pdf
      January 24, 2024 - COVID-19 and patient safety- lessons from 2 efforts to keep people safe. … COVID-19 and patient safety- lessons from 2 efforts to keep people safe. … https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe System failures … affecting individuals or populations provide lessons for learning and improvement. … https://psnet.ahrq.gov/issue/covid-19-and-patient-safety-lessons-2-efforts-keep-people-safe https://psnet.ahrq.gov

2590. 4. Selecting and Delivering Services To Support Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide4.html
      August 01, 2024 - to learn from one another; build peer support and community; and share strategies, challenges, and lessons … learned for QI implementation. … The AHRQ website includes valuable resources for practice facilitators along with lessons learned … Among these lessons, evaluators found that effective practice facilitators use a combination of the 

2591. Spreadnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/modules/spread/spreadnotes.docx
      June 02, 2025 - 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..

2592. 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.

2593. Clinical Decision Support Innovation Collaborative 2023-2024 (Year 3) Period of Performance Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cdsic-year-3-report-2024.pdf
      January 01, 2024 - Key lessons learned include: Product Development and Pilot Project Implementation Foster collaboration … Section 4, Discussion, describes the lessons learned from the third year of the CDSiC, including the … • Workgroup support teams met internally on a weekly basis to share resources and lessons learned … The CDSiC’s efforts in the base years yielded several lessons learned about implementing a large-scale … Lessons learned in the base years and implemented in the third year include ensuring coordination across

2594. 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.

2595. Using Telehealth to Improve Quality and Safety (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0012-ef-telehealth.pdf
      December 01, 2008 - learned from its portfolio of health IT projects. … learned, and future directions. … learned from the AHRQ­funded telehealth implementation projects. … The investigators learned that the practice staff enjoyed interacting with peers at other practices … The telehealth projects described in this report have brought to light a number of important lessons

2596. Layout 1 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/Telehealth_Issue_Paper_Final_1.pdf
      December 01, 2008 - learned from its portfolio of health IT projects. … learned, and future directions. … learned from the AHRQ-funded telehealth implementation projects. … The investigators learned that the practice staff enjoyed interacting with peers at other practices … The telehealth projects described in this report have brought to light a number of important lessons

2597. eHealth in Utah: Improving Patient Care Through Health Information Exchange (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006Sundwall_051111comp.pdf
      June 01, 2006 - Sundwall, MD -- Utah Commissioner for Health 27 Lesson Learned: Community-Based … Sundwall, MD -- Utah Commissioner for Health 28 Lesson Learned: … Sundwall, MD -- Utah Commissioner for Health 30 Lesson Learned: Create Value … :�Community-Based Lesson Learned: Incremental Change Lesson Learned:�KISS (Keep It Simple S…) Lesson … Learned:�Create Value What Hasn’t Worked (yet): Implications for State / National Collaboration

2598. 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

2599. 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.

2600. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36421/psn-pdf
      August 05, 2008 - //psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety This article discusses lessons … the airline industry has learned about communication, teamwork, and error reporting and how they might