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Showing results for "lessons learned".

2901. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-terminology-references.html
      April 01, 2025 - Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

2902. Using CAHPS Clinician & Group Survey Data | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/surveys-guidance/cg/using-data/index.html
      December 01, 2023 - Lessons From Healthcare Organizations on Improving Patient Experience . … Achieving Excellence Across All CG-CAHPS Core Measures: Lessons from Top-Performing Medical Practices … Providing Performance Feedback to Individual Physicians: Current Practice and Emerging Lessons .

2903. Resilient Health Care Series. | PSNet
      psnet.ahrq.gov/issue/resilient-health-care-series
      October 25, 2018 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … April 6, 2016 Culture Change in the NHS: Applying the Lessons of the Francis Inquiries

2904. In Conversation With… Andrew Gettinger, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-andrew-gettinger-md
      September 01, 2017 - We've learned that even really well-designed software can be made very challenging for clinicians when … One of the key lessons is to be more of a learning system all the way through. AG : Absolutely. … Assessing the Safety of Electronic Health Records: What Have We Learned? … Lessons learned from implementing service-oriented clinical decision support at four sites: a qualitative … Computer crash--lessons from a system failure. N Engl J Med. 2003;348:881-882.

2905. Sustaining Zero CLABSIs (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/zero-clabsi.html
      April 01, 2013 - Commonwealth of Virginia who were willing to take on a challenge and really did a great job with it and learned … I don’t know that your journey would be like ours, but we are hoping that some of the lessons learned … specific things that helped us reduce our rates the second time around was sharing what people had learned … And there were some important lessons learned regarding that. … As a coach from MHA, we learned a tremendous amount from Virginia’s experience.

2906. Lessons from health care leaders: rethinking and reinvesting in patient safety. | PSNet
      psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
      May 01, 2019 - Commentary Lessons from health care leaders: rethinking and reinvesting in patient

2907. Are you surgically current? Lessons from aviation for returning to non-urgent surgery following COVID-19. | PSNet
      psnet.ahrq.gov/issue/are-you-surgically-current-lessons-aviation-returning-non-urgent-surgery-following-covid-19
      September 29, 2021 - Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … Lessons from aviation for returning to non-urgent surgery following COVID-19. … March 9, 2022 Crisis management for surgical teams and their leaders, lessons from the … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

2908. Situation Monitoring: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_4-situation-monitoring-speaker-notes.pdf
      July 01, 2023 - • What were our major lessons learned from this case? … • Summarize your major takeaways by asking what the team’s lessons learned were from this case. … about recent events o Find ways to extend support to struggling team members • Discuss how to apply lessons … that debriefs are learning opportunities, your team will want to give some consideration to how the lessons … Make sure to spend some time talking about how to apply any lessons learned into practice for future

2909. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47398/psn-pdf
      December 22, 2018 - imitating-incidents-how-simulation-can-improve-safety-investigation-and-learning-adverse https://psnet.ahrq.gov/primer/simulation-training https://psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system

2910. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/61031/psn-pdf
      October 14, 2020 - tools such as failure mode and effect analysis and root cause analysis may be amended to optimize how lessons

2911. Guidance for health care leaders during the recovery stage of the COVID-19 pandemic: a consensus statement. | PSNet
      psnet.ahrq.gov/issue/guidance-health-care-leaders-during-recovery-stage-covid-19-pandemic-consensus-statement
      December 21, 2017 - January 22, 2025 View More Related Resources Lessons from the Covid … May 10, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2912. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-080814.pptx
      January 01, 2013 - Clear Lessons and Culture 10 Findings 11 Fostering change – overcoming barrier Communication- standardized … 2014M01 2014M02 2014M03 2014M04 2014M05 2014M06 92 91 92 64 91 91 59 40 32 48 39 46 74 55 53 78 81 69 Lessons … Learned We all own this: Infection Control, Nursing, Physicians …..

2913. Organizational learning in the morbidity and mortality conference. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-morbidity-and-mortality-conference
      June 09, 2015 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

2914. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841305/psn-pdf
      January 27, 2023 - Safety-I and Safety-II offer complementary perspectives about what work to examine and what lessons … may be learned. … Debriefing skills learned in simulation are very applicable to real patient care circumstances. … collaborate with leadership, healthcare workers, patients, and families, to apply skills and tactics learned

2915. National Evaluation of the CHIPRA Quality Demonstration Program: Evaluation Highlight No.1 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01.pdf
      September 30, 2015 - Demonstration Grant Program.1 In this Highlight, we discuss the early accomplishments, challenges, and lessons … learned from the following four States pursuing practice level quality measurement: Maine, Massachusetts

2916. Evaluation Highlight No. 2, May 2013. How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight02.pdf
      September 08, 2015 - The experiences of the demonstration States provide important lessons for other medical home initiatives

2917. Research on Person-Centered Care
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/ncepcr-webinar-person-centered-care.pptx
      June 27, 2024 - Disseminate findings through academic venues and to community partners (e.g., resources, toolkits, lessons … learned) 45 The RISE‐OK study had 4 overreaching aims. … And finally, we are currently working on data analyses and the dissemination of lessons learned and our … [Last slide please] 57 Lesson Learned Management of NCCP in older adults is challenging and complex … We also learned that substantially more work is needed to provide those integrated data and care systems

2918. Understanding Development Methods from Other Industries to Improve the Design of Consumer Health Information Technology | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/understanding-development-methods-other-industries-improve-design-consumer
      January 01, 2023 - grey literature review are described in the "Improving Consumer Health IT Application Development: Lessons … Interview findings are summarized in the "Improving Consumer Health IT Application Development: Lessons … Improving consumer health IT application development: lessons from other industries, findings from key … Technology: Consumer Health Informatics Improving consumer health IT application development: lessons … Improving consumer health IT application development: lessons from other industries - background report

2919. CLABSI Investigation Process: Walk the Process (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/clabsi-invest.html
      April 01, 2013 - And then, we want to talk to you about some of the lessons we’ve learned from others just like you who … Some of the other lessons that I’m going to talk about are things that we’ve learned to date are all … One of the other things that we’ve learned since doing this is the data has really showed that if the … It’s being applied just like we learned in nursing school, to start in the middle and work their way … So next side, on slide 12, so what are some other lessons that we’ve learned when we’ve done process

2920. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/39063/psn-pdf
      December 17, 2009 - primer/reporting-patient-safety-events https://psnet.ahrq.gov/issue/risk-mitigation-large-scale-systems-lessons-high-reliability-organizations