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Total Results: 5,319 records

Showing results for "lessons learned".

261. TeamSTEPPS Video Debrief Guide: CUS-Maternal Health (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-facilitator-guide-maternal-equity.pdf
     June 02, 2025 - Lessons Learned • How to use CUS words to express safety concerns in a professional way. • The importance … Objective TeamSTEPPS Tool or Concept Brief Video Description Discussion Questions Discussion Answers Lessons … Learned

262. TeamSTEPPS Video Debrief Guide: CUS and Teach-Back on Inpatient Medical Unit (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/cus-teach-back-inpatient-medical-guide.pdf
     June 02, 2025 - Lessons Learned • Use the CUS technique to raise issues around patient safety with clinical team members … Objective TeamSTEPPS Tool or Concept Brief Video Description Discussion Questions Discussion Answers Lessons … Learned

263. Evaluating a CAHPS Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/consumer-reporting/guidelines/evaluation/index.html
     March 01, 2016 - In reality, the lessons learned from an evaluation can be critical to designing a meaningful report and … planning and a dedicated budget are not possible, report card designers should at least document the lessons … that they learned in the process of designing and disseminating their report cards (e.g., by keeping … learned are not lost and can be drawn upon in the next reporting cycle. … Epilogue: Early lessons from CAHPS Demonstrations and Evaluations-Consumer Assessment of Health Plans

264. Transforming Primary Care Practice: Lessons From the New Orleans Safety Net (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-rittenhouse.pdf
     April 01, 2015 - Transforming Primary Care Practice: Lessons From the New Orleans Safety Net Transforming Primary … Care Practice: Lessons From the New Orleans Safety Net Principal Investigator: Diane Rittenhouse, … Lessons Learned and Implications for Others • Four factors appeared to be of key importance for successful … No. 15-0038-5-EF April 2015 Transforming Primary Care Practice: Lessons From the New Orleans … Learned and Implications for Others Number and Type of Practices Location Transformational Elements

265. The effects of crew resource management on teamwork and safety climate at Veterans Health Administration facilities. | PSNet
     psnet.ahrq.gov/issue/effects-crew-resource-management-teamwork-and-safety-climate-veterans-health-administration
     December 11, 2024 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis.

266. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
     June 02, 2025 - this volume describe the use of standard cultural assessment instruments and discuss the results and lessons … learned from such assessments. … It is in the commonality of implementation issues that major lessons can be learned about the nature … There are lessons to be learned from the rich experiences expressed in each of these case studies.

267. Applying health information technologies (IT) for QI | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary5.html
     September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Applying … information technologies (IT) for QI Previous Page Next Page Table of Contents Key Lessons … Lessons learned Implementing health IT applications to support QI for children typically takes far

268. IHA Bundled Payment Demonstration Appendix (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
     June 02, 2025 - implementation, required changes in internal processes, expected and unexpected barriers to implementation, and lessons … learned (n=18) Hospitals/Ambulatory Surgery Centers Semi-­‐structured interviews  with senior   … and unexpected barriers to implementation, anticipated and actual benefits of implementation, and  lessons … learned (n=10) Physicians Semi-­‐structured interviews  with orthopedic  surgeons  include discussion

269. IHA Bundled Payment Demonstration Appendix (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
     June 02, 2025 - implementation, required changes in internal processes, expected and unexpected barriers to implementation, and lessons … learned (n=18) Hospitals/Ambulatory Surgery Centers Semi-­‐structured interviews  with senior   … and unexpected barriers to implementation, anticipated and actual benefits of implementation, and  lessons … learned (n=10) Physicians Semi-­‐structured interviews  with orthopedic  surgeons  include discussion

270. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
     September 25, 2019 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … December 19, 2014 Quality improvement lessons learned from National Implementation of … April 12, 2023 Lessons learned from the RaDonda Vaught ruling.

271. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
     May 11, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … November 11, 2020 Lessons learned from a systems approach to engaging patients and families … Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.

272. Anesthesia Patient Safety Foundation Newsletter. | PSNet
     psnet.ahrq.gov/issue/anesthesia-patient-safety-foundation-newsletter
     August 14, 2019 - August 14, 2019 Lessons in Patient Safety. … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned. … August 1, 2017 The evolution of the Anesthesia Patient Safety Movement in America: lessons … learned and considerations to promote further improvement in patient safety.

273. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/866910/psn-pdf
     October 09, 2024 - From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … From theory to policy in resilient health care: policy recommendations and lessons learnt from the Resilience … https://psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt … In this paper, the authors share lessons learned and highlight several recommendations for policymakers … https://psnet.ahrq.gov/issue/theory-policy-resilient-health-care-policy-recommendations-and-lessons-learnt-resilience

274. Role of IT in Improving Patient Safety (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
     June 16, 2021 - to quantify problem, intervene, and observe change in rate of problem CCEB Other Observations/Lessons … Learned-1 • h/o yrs of delay in easy safety IT recs • Major problems in data quality--answers differed … review and research • IRB concerns re: evaluations of IT interventions CCEB Other Observations/Lessons … Learned-2 • Inadequate programming staff to implement many patient safety initiatives • All interventions … Learned-1 Other Observations/Lessons Learned-2 Evaluate Interventions Slide No. 21 (No title)

275. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45386/psn-pdf
     November 23, 2016 - collaborative-accountability-and-improvement https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

276. National Action Alliance Webinar: Leadership Strategies That Improve Workforce Safety and Well-Being | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/webinars/workforce-safety-well-being.html
     October 01, 2024 - Real-world examples from hospitals illustrated the effectiveness of this method, providing valuable lessons … learned and measurable results that other organizations can replicate. … of how this practice has been successfully integrated into primary care settings, including detailed lessons … learned from the field and the positive outcomes associated with reduced burnout and enhanced staff

277. TAKEHeart | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/index.html
     Community Webinars Assessing TAKEheart Through our assessment of TAKEheart, we learned … many lessons that will help guide future work in this area. … These documents describe lessons learned, key findings, and recommendations for future similar efforts

278. Reporting and using the Child Core Set of quality measures | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
     September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Reporting … Child Core Set of quality measures Previous Page Next Page Table of Contents Key Lessons … Lessons learned States can substantially improve their capacity to report quality measures for children

279. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/73182/psn-pdf
     April 28, 2021 - Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … Learning from morbidity and mortality conferences: focus and sustainability of lessons for patient care … https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons … learned. … Clinicians ascribed most lessons to technical or individual-level issues, and observed the challenges

280. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
     psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
     March 13, 2013 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009 Sharing lessons learned to prevent incorrect surgery. … 2017 Disclosing large scale adverse events in the US Veterans Health Administration: lessons