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Showing results for "lessons learned".

2861. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33787/psn-pdf
      January 01, 2018 - RW: One of the early things you did was team up with industry to look for lessons from outside of health … As you have observed this world over the last 20 years or so, what lessons do you think are really powerful … MB: I am increasingly out in the field and looking to these other industries for new lessons in safety … What have we learned from trying to do that? MB: I think we've put a human face on a problem. … So what have you learned as the leader that you didn't know as second in command?

2862. Innovations in Using Health IT for Chronic Disease Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/lesson/09-0029-ef-cdm.pdf
      January 01, 2009 - format enabled us to query the investigators about core project design elements, key challenges, lessons … learned, and future directions for using IT at their organizations. … Findings The interviews provided rich detail about grantees’ successes, failures, and lessons … learned. … These lessons, along with final outcomes published in the future from this laboratory, are replicable

2863. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46446/psn-pdf
      September 27, 2017 - journey-toward-high-reliability-comprehensive-safety-program-improve-quality-care-and-safety https://psnet.ahrq.gov/primer/high-reliability https://psnet.ahrq.gov/issue/error-management-lessons-aviation … https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations

2864. Final Progress Report: Helping Elders Include Quality in Health Plan Choice (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/uhrig-report.pdf
      January 01, 2024 - learned by HR staff in educating and communicating with employees/retirees about Medicare health plans … learned from Phase 1, adult learning principles, guidance on plain language, health education theories … learned from previous research in creating materials that are easier for 8 older consumers to use … Lessons are accumulating on ways to present this information that increase its utility for consumers … Many of the lessons learned from developing and testing reporting formats for health plan quality should

2865. Creating an Improvement Culture (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Creating_an_Improvement_Culture_2011_10_01_Transcript.pdf
      January 01, 2011 - Slide 6 So if we move to the next slide, we learned from several of the experts in patient satisfaction … So we learned a lot from folks outside of health care. … We also learned from a lot of folks inside of health care, the Healthcare Advisory Board suggested to … Slide 23 Just some lessons that we’ve learned in all of this, this takes leadership from the top, it … One of the things that we’ve learned is that at first you have to direct, this is not an option, it’

2866. Diagnostic error in a national incident reporting system in the UK. | PSNet
      psnet.ahrq.gov/issue/diagnostic-error-national-incident-reporting-system-uk
      February 15, 2013 - 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

2867. Small and Rural Critical Access Hospitals (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals/slides.html
      October 01, 2014 - Add science of safety education to orientation Learn from one defect per quarter; share or post lessons … Agenda Why we joined the CLABSI & CAUTI projects Barriers and successes Key lessons Return … Agenda Why we joined the CLABSI & CAUTI projects Barriers and successes Key lessons Return

2868. In Conversation with...Sir Liam Donaldson, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withsir-liam-donaldson-md-msc
      May 01, 2007 - That's where we can go back to the lessons of the airline industry. … What have you learned about the commonalities and differences as you try to share patient safety learnings … It described the NHS as having an old-fashioned approach to learning lessons when things go wrong and … Mechanisms for ensuring that, where lessons are identified, the necessary changes are put into practice … 2001, charged with establishing a national reporting and learning system for adverse events, taking lessons

2869. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/848827/psn-pdf
      May 10, 2023 - learning-safety-incidents-high-reliability-organizations-systematic-review-learning-tools https://psnet.ahrq.gov/issue/error-reduction-trauma-care-lessons-anonymized-national-multicenter-mortality-reporting

2870. The Patient-Centered Clinical Decision Support Learning Network: Improving the Dissemination of PCOR in Patient-Centered Clinical Decision Support - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u18hs024849-blumenfeld-final-report-2020.pdf
      January 01, 2020 - Building on the lessons learned from the initial roll-out, Learning Network stakeholders would develop … We also learned many lessons, some intrinsic to the project’s management, governance, budget, skills … learned relate to the approach taken. … Lessons Learned The Learning Network’s SC, AC, and working groups all depended on the commitment and … Other lessons learned that are specific to the way in which this particular project was conceived and

2871. Cost of Disparities Fact Sheet (pdf file)
      hcup-us.ahrq.gov/reports/race/CostsofDisparitiesIB.pdf
      June 24, 2011 - Quality (AHRQ) report authored by the National Academy for State Health Policy (NASHP) summarizes lessons … approaches, featured states have encountered a few challenges, devised strategies to cope with them, and learned … helpful lessons about measurement. 6 A. … General lessons from these two states include: • Determine up front what story you want the data … Lessons from these states and information from their disparities reports can serve as resources to other

2872. Appendix B: Patient age, health status, and IHS total treatment costs by diabetes stage. Fiscal year 2010 | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixb.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.

2873. Nursing Home Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/nursing-home/resources/search.html
      January 01, 2022 - Healthcare Workforce Well-Being During and After the COVID-19 Pandemic This guide provides ideas and lessons … learned to improve the well-being of the healthcare workforce during the COVID-19 pandemic and beyond

2874. Nursing Home Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/search.html?page=0
      January 01, 2022 - Healthcare Workforce Well-Being During and After the COVID-19 Pandemic This guide provides ideas and lessons … learned to improve the well-being of the healthcare workforce during the COVID-19 pandemic and beyond

2875. Nursing Home Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/nursing-home/resources/search.html?page=3
      January 01, 2022 - Facilities ​This toolkit is a compilation of considerations for long-term care facilities based on lessons … learned during the early months of the COVID-19 pandemic accompanied by resources to inform planning

2876. Introduction | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tint.html
      October 01, 2014 - In addition, the Guide strives to incorporate as many State examples, lessons learned, and checklists

2877. Acknowledgments | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/acknowledgements.html
      August 01, 2022 - Resolution (CANDOR) process was funded by AHRQ and is based on input from experts, key stakeholders, and lessons … learned from the agency's $25 million Patient Safety and Medical Liability (PSML) Grant Initiative launched

2878. Chipra205-Materials Vib (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_VIB.pdf
      January 01, 2013 - Implementing developmental screening and referrals: lessons learned from a national project.

2879. CDS Standards and Regulatory Frameworks Workgroup: An Initial Taxonomy of Override Reasons for Patient-Centered Clinical Decision Support (PC CDS) Recommendations | CDSiC
      cdsic.ahrq.gov/cdsic/override-taxonomy
      July 15, 2024 - particularly suited to facilitating comparison of overrides of PC CDS across different institutions to share lessons … learned.

2880. Nursing Home Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/nursing-home/resources/search.html?page=3
      January 01, 2022 - Facilities ​This toolkit is a compilation of considerations for long-term care facilities based on lessons … learned during the early months of the COVID-19 pandemic accompanied by resources to inform planning