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Showing results for "lessons learned".

261. 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

262. TeamSTEPPS Video Debrief Guide: Debrief in Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/debrief-emergency-dept-guide.pdf
     June 02, 2025 - Lessons Learned A debrief helps teams improve future performance. … Department Video Objective TeamSTEPPS Tool or Concept Brief Video Description Discussion Questions Lessons … Learned

263. 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

264. Improving service systems for youth with serious emotional disorders and their families | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary4.html
     September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program Improving … emotional disorders and their families Previous Page Next Page Table of Contents Key Lessons … Lessons learned Designing or improving CMEs is a complex and lengthy undertaking.

265. Lessons from walking the medical distancing tightrope. | PSNet
     psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope
     October 21, 2020 - Commentary Lessons from walking the medical distancing tightrope. … Lessons from walking the medical distancing tightrope. … Lessons from walking the medical distancing tightrope. … October 21, 2020 Lessons learned from a systems approach to engaging patients and families

266. 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

267. 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

268. In conclusion | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary8.html
     September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program In conclusion … Previous Page   Table of Contents Key Lessons from the National Evaluation of the … policymakers chart new directions to stimulate innovation in service delivery systems, they can look to the lessons … learned from this demonstration to find promising paths to improving quality of care for children.  

269. 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.

270. 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

271. 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

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. 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

275. 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

276. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43797/psn-pdf
     January 07, 2015 - A recent AHRQ WebM&M perspective covered lessons learned throughout implementation of the program. … african-partnerships-patient-safety https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned

277. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/38009/psn-pdf
     August 27, 2008 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden. … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons … learned from Sweden.

278. 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.

279. Practice Facilitation | Agency for Healthcare Research and Quality
     www.ahrq.gov/evidencenow/practice-facilitation/index.html
     February 01, 2023 - Lessons Learned about Practice Facilitation EvidenceNOW: Advancing Heart Health grantees published … their findings on the role of practice facilitation working with primary care practices and the lessons … learned .

280. 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.