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Showing results for "lessons learned".

2781. Sensemaking and learning during the Covid-19 pandemic: a complex adaptive systems perspective on policy decision-making. | PSNet
      psnet.ahrq.gov/issue/sensemaking-and-learning-during-covid-19-pandemic-complex-adaptive-systems-perspective-policy
      September 30, 2020 - 16, 2020 View More Related Resources The Lancet Commission on lessons … April 14, 2021 Hospital-acquired SARS-CoV-2 infection: lessons for public health.

2782. AHRQ Safety Program for Perinatal Care: Establishing a Program of In Situ Simulations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.pdf
      May 01, 2017 - 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.

2783. National Web-Based Teleconference on Using Health IT for Chronic Disease Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
      June 21, 2011 - design the DIG- IT trial and provide decision support for diabetes – To summarize DIG-IT results and lessons … learned – To describe how EMRs are used in Better Health to publicly report and improve region-wide … CDS>Control for Care but not Outcomes; Effect Larger for New Patients Lessons Learned • In a CRT, … Performance Reports: Weekly CDS>Control for Care but not Outcomes;�Effect Larger for New Patients Lessons … Learned Building on Our DIG-IT Experience Part of a National Network Partner Practices in the Region

2784. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/42964/psn-pdf
      May 10, 2014 - learning-disasters-management-approach-third-ed https://psnet.ahrq.gov/issue/building-safer-foundation-lessons-learnt-patient-safety-training-programme

2785. Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve infection prevention and sepsis care. | PSNet
      psnet.ahrq.gov/issue/results-and-lessons-hospital-wide-initiative-incentivised-delivery-system-reform-improve
      March 02, 2022 - Study Results and lessons from a hospital-wide initiative incentivised by delivery … Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve … Results and lessons from a hospital-wide initiative incentivised by delivery system reform to improve

2786. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44783/psn-pdf
      January 13, 2016 - black-box-thinking-why-most-people-never-learn-their-mistakes-some-do https://psnet.ahrq.gov/issue/error-management-lessons-aviation

2787. Lessons from the war on cancer: the need for basic research on safety. | PSNet
      psnet.ahrq.gov/issue/lessons-war-cancer-need-basic-research-safety
      July 14, 2010 - Commentary Lessons from the war on cancer: the need for basic research on safety. … Citation Text: Lessons from the war on cancer: the need for basic research on safety. Cook RI. … Linkedin Copy URL Cite Citation Citation Text: Lessons

2788. Three Australian whistleblowing sagas: lessons for internal and external regulation. | PSNet
      psnet.ahrq.gov/issue/three-australian-whistleblowing-sagas-lessons-internal-and-external-regulation
      August 17, 2005 - Study Three Australian whistleblowing sagas: lessons for internal and external regulation … Three Australian whistleblowing sagas: lessons for internal and external regulation. … Three Australian whistleblowing sagas: lessons for internal and external regulation.

2789. Interprofessional learning for medication safety. | PSNet
      psnet.ahrq.gov/issue/interprofessional-learning-medication-safety
      September 23, 2020 - October 30, 2013 Improving patient safety: lessons from rock climbing.

2790. ABCDEF Bundle Data Literacy Training, Performance Measurement Tracking, and Performance Feedback | PSNet
      psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
      September 23, 2024 - Operations Business Intelligence, Value Improvement Office (referred to throughout as the Innovation Team) learned … Lessons learned from a systematic, hospital-wide implementation of the ABCDEF bundle: a survey evaluation … Lessons Learned From a Systematic, Hospital-Wide Implementation of the ABCDEF Bundle: A Survey Evaluation

2791. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015409-overhage-final-report-2009.pdf
      January 01, 2009 - Results: We learned a variety of lessons during the course of our study. … Results Principal Findings We have learned a variety of lessons during the course of our study that … A third important lesson that we have learned is how to think about the results of economic models for

2792. Oxford Professional Practice: Handbook of Patient Safety. | PSNet
      psnet.ahrq.gov/issue/oxford-professional-practice-handbook-patient-safety
      June 16, 2012 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … August 6, 2014 Improving patient safety: lessons from rock climbing.

2793. Sustaining quality improvement and patient safety training in graduate medical education: lessons from social theory. | PSNet
      psnet.ahrq.gov/issue/sustaining-quality-improvement-and-patient-safety-training-graduate-medical-education-lessons
      July 02, 2014 - Sustaining quality improvement and patient safety training in graduate medical education: lessons … Sustaining quality improvement and patient safety training in graduate medical education: lessons from … Sustaining quality improvement and patient safety training in graduate medical education: lessons from

2794. Interpreting the Patient Safety Literature | PSNet
      psnet.ahrq.gov/perspective/interpreting-patient-safety-literature
      June 01, 2005 - Are there lessons there for other institutions? PP: There were a number of important factors. … What lessons from your experience with Hopkins are generalizable? … PP: One of the lessons in overseeing quality and safety at Hopkins is that our center could never be … We have learned there were many ways of identifying defects: M&M conferences, incident-reporting systems … Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur.

2795. In Conversation with…Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd
      June 01, 2005 - Are there lessons there for other institutions? PP: There were a number of important factors. … What lessons from your experience with Hopkins are generalizable? … PP: One of the lessons in overseeing quality and safety at Hopkins is that our center could never be … We have learned there were many ways of identifying defects: M&M conferences, incident-reporting systems … Yet we also learned that despite all this, we often fail to learn from these defects; mistakes recur.

2796. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47842/psn-pdf
      April 10, 2019 - https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

2797. Module 1: Communication and Optimal Resolution (CANDOR) Toolkit Module 1: An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
      June 02, 2025 - The CANDOR process promotes the value of disseminating lessons learned and solutions to prevent harm … Disclosure Module 1 11 Begins within 60 minutes after an has been identified and continues as more is learned … Disclosure process begins 60 minutes after a CANDOR event has been identified and continues as more is learned

2798. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837791/psn-pdf
      August 05, 2022 - maintaining adequate access to ambulatory care and reliable diagnostic services, have been informed by lessons … Next Steps in Ambulatory Care Safety Over the last three decades, many lessons have been learned and … These demonstration and implementation projects could further accelerate the application of lessons … learned to help safety leaders better understand and, ultimately, decrease adverse events in ambulatory

2799. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/43870/psn-pdf
      January 28, 2015 - https://psnet.ahrq.gov/issue/improving-healthcare-quality-through-organisational-peer-peer-assessment-lessons-nuclear

2800. AcademyHealth Electronic Data Methods (EDM) Forum for Comparative Effectiveness Research - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u13hs19564-holve-final-report-2013.pdf
      January 01, 2013 - To maximize the lessons learned from this unprecedented investment in new infrastructure for health and … healthcare, AHRQ created the EDM Forum to foster dialogue on lessons learned by networks with diverse … Philip Payne, the Ohio State University); and generalizable lessons learned for future research and … Over the past three years, the EDM Forum team and collaborators have learned several important lessons … Building the Electronic Clinical Data Infrastructure: Lessons Learned from Research and QI Networks.