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Showing results for "lessons learned".

2601. Executive Summary | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/summary.html
      August 01, 2022 - Summary Detailed Findings Evaluation Issues Contributions to Patient Safety and Medical Liability Lessons … Learned From Implementation Challenges Followup to the PSML Demonstration Projects Recommendations … This final evaluation report highlights the most substantive findings and lessons learned by the seven … findings) and an expanded description of the findings, our independent assessment of the findings, and lessons … learned follow in the full report and the individual grantee profiles in Appendix A .

2602. 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.

2603. Florida Advisory Council Meeting
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AdvisoryCouncilmeeting12032009_rev.jsp
      April 01, 2011 - Joining Clinical Laboratory Data to Administrative Inpatient Data Data Analysis Evaluation Survey Lessons … Learned and Conclusions Circular diagram of project stages with project description in center: … LOINC mapping, Data transmission, Communication tools, Barriers encountered, resolutions, and the lessons … learned. … Additional programming time was required to accommodate the change in data Lessons Learned

2604. IT Systems for Rural Indian Clinic Health Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/it-systems-rural-indian-clinic-health-care
      January 01, 2023 - Project Provides Lessons Learned For IT Implementations Along the way, the project has been a learning … Aranaydo has learned that each phase of IT implementation requires intense investment of staff time.

2605. Errors in laboratory medicine: practical lessons to improve patient safety. | PSNet
      psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
      February 14, 2024 - Commentary Classic Errors in laboratory medicine: practical lessons … Errors in laboratory medicine: practical lessons to improve patient safety. … Errors in laboratory medicine: practical lessons to improve patient safety.

2606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34649/psn-pdf
      June 11, 2014 - On error management: lessons from aviation. June 11, 2014 Helmreich RL. … On error management: lessons from aviation. BMJ . 2000;320(7237):781-785. … https://psnet.ahrq.gov/issue/error-management-lessons-aviation In this perspective, the author draws … Incorporating lessons from aviation, such as focusing on teamwork and communication skills, Helmreich … https://psnet.ahrq.gov/issue/error-management-lessons-aviation https://psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain

2607. 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

2608. A Picture Speaks 1000 Words | PSNet
      psnet.ahrq.gov/web-mm/picture-speaks-1000-words
      July 16, 2015 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

2609. Using Health Information Technology to Improve Ambulatory Chronic Disease Care | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care
      January 01, 2023 - blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons … learned. … blood glucose and blood pressure telemonitoring in primary care practices for patients with diabetes: lessons … learned.

2610. Telehealth | Digital Healthcare Research
      digital.ahrq.gov/telehealth
      January 01, 2023 - Nonetheless, grantees have begun sharing "lessons learned" from their implementation efforts. … More lessons from the AHRQ telehealth portfolio ( PDF , 112 KB,  HTML ) . … One project (which used telehealth to give rural patients access to remote specialists) learned that

2611. A National Web Conference on the Use of Natural Language Processing (NLP) to Improve Quality Improvement (pdf file)
      digital.ahrq.gov/sites/default/files/docs/nlp-slides-041112.pdf
      April 11, 2012 - Quality (AHRQ) mailto:Brian.Hazlehurst@kpchr.org NLP to Measure Quality of Care in Diabetes: Lessons … Learned Alexander Turchin, MD, MS Brigham and Women’s Hospital Harvard Medical School Project … Ongoing Work CER HUB Asthma Care Quality (ACQ) Study NLP to Measure Quality of Care in Diabetes: Lessons … Learned Project Project Natural Language Processing Start with a Business Case Involve Domain

2612. Junior doctors' reflections on patient safety. | PSNet
      psnet.ahrq.gov/issue/junior-doctors-reflections-patient-safety
      July 15, 2015 - February 4, 2015 Building a safer foundation: the Lessons Learnt patient safety training … July 6, 2012 Case-based learning for patient safety: the Lessons Learnt program for UK … November 26, 2014 Building a safer foundation: the Lessons Learnt patient safety training

2613. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45440/psn-pdf
      November 09, 2016 - Safety lessons from the NIH Clinical Center. November 9, 2016 Gandhi TK. … Safety Lessons from the NIH Clinical Center. N Engl J Med. 2016;375(18):1705-1707. … https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center System failures can remain undetected … https://psnet.ahrq.gov/issue/safety-lessons-nih-clinical-center https://psnet.ahrq.gov/issue/when-systems-fail

2614. Appendix D. Hotline Site Visit Interview Protocol (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/hotline/healthcare-safety-hotline-appendixd.pdf
      February 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

2615. Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-clinical-decision-support-demonstration-projects.pdf
      June 01, 2014 - Findings and Lessons From AHRQ’s Clinical Decision Support Demonstration Projects Findings and Lessons … • Demonstrating that CDS can operate across multiple computer systems; • Establishing lessons learned … learned, and synthesize the information into common themes and implications. … Best practices, examples, templates, and lessons learned were documented for each of these activities … on initiative-wide findings and lessons.

2616. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/48169/psn-pdf
      July 24, 2019 - psnet.ahrq.gov/issue/50-years-inquiries-national-health-service https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal … investigating-improvement-five-strategies-ensure-national-patient-safety-investigations https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries

2617. Overview | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/guide/intro.html
      October 01, 2017 - developed this Guide to share participating hospitals’ implementation strategies, experiences, and lessons … learned with hospitals like yours.

2618. | 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

2619. Appendix K. CAUTI Case Review Form | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.html
      March 01, 2017 - ☐ ☐   Lessons Learned 1.

2620. 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