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Showing results for "lessons learned".

2941. AHRQ Safety Program for Ambulatory Surgery Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/ambulatory-surgery-report.pdf
      May 01, 2017 - Lessons Learned Key success factors in project implementation included: • leveraging existing QI structure … Initially designed on a State-based CL model, lessons learned from the recruitment process during cohorts … AHRQ Safety Program for Ambulatory Surgery Final Report 55 Lessons Learned The national project … team (NPT) learned several lessons in doing this work, both through direct experience working over … Success Factors and Lessons Learned Several factors led to successful implementation of various program

2942. Patient safety: threats and solutions. | PSNet
      psnet.ahrq.gov/issue/patient-safety-threats-and-solutions
      January 19, 2011 - 11, 2016 Culture and behaviour in the English National Health Service: overview of lessons … February 5, 2014 Building a safer foundation: the Lessons Learnt patient safety training

2943. Beyond "see one, do one, teach one": toward a different training paradigm. | PSNet
      psnet.ahrq.gov/issue/beyond-see-one-do-one-teach-one-toward-different-training-paradigm
      March 01, 2011 - July 19, 2023 Reducing health care hazards: lessons from the Commercial Aviation Safety … February 24, 2021 Teaching patient safety in global health: lessons from the Duke Global

2944. Implementing root cause analysis in an area health service: views of the participants. | PSNet
      psnet.ahrq.gov/issue/implementing-root-cause-analysis-area-health-service-views-participants
      December 03, 2014 - February 15, 2017 Addressing the opioid epidemic in the United States: lessons from the … , 2016 A method for prioritizing interventions following root cause analysis (RCA): lessons

2945. Disclosing medical errors to patients: a challenge for health care professionals and institutions. | PSNet
      psnet.ahrq.gov/issue/disclosing-medical-errors-patients-challenge-health-care-professionals-and-institutions
      April 19, 2017 - Sustaining quality improvement and patient safety training in graduate medical education: lessons … Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons

2946. 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

2947. Patient Safety in the Ambulatory Care Setting | PSNet
      psnet.ahrq.gov/perspective/patient-safety-ambulatory-care-setting
      April 27, 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

2948. 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 …..

2949. Applying lessons from social psychology to transform the culture of error disclosure. | PSNet
      psnet.ahrq.gov/issue/applying-lessons-social-psychology-transform-culture-error-disclosure
      March 20, 2024 - Commentary Applying lessons from social psychology to transform the culture of error … Applying lessons from social psychology to transform the culture of error disclosure. … Applying lessons from social psychology to transform the culture of error disclosure.

2950. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/45298/psn-pdf
      April 22, 2017 - effectiveness-and-efficiency-root-cause-analysis-medicine https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident

2951. The science of safety improvement: learning while doing. | PSNet
      psnet.ahrq.gov/issue/science-safety-improvement-learning-while-doing
      August 04, 2021 - August 4, 2021 Reducing health care hazards: lessons from the Commercial Aviation Safety

2952. 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

2953. 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

2954. Counting matters: lessons from the root cause analysis of a retained surgical item. | PSNet
      psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
      January 02, 2017 - Commentary Counting matters: lessons from the root cause analysis of a retained surgical … Counting matters: lessons from the root cause analysis of a retained surgical item. … Counting matters: lessons from the root cause analysis of a retained surgical item.

2955. Reducing adverse drug events: lessons from a breakthrough series collaborative. | PSNet
      psnet.ahrq.gov/issue/reducing-adverse-drug-events-lessons-breakthrough-series-collaborative
      August 04, 2021 - Study Classic Reducing adverse drug events: lessons from … Reducing adverse drug events: lessons from a breakthrough series collaborative. … Reducing adverse drug events: lessons from a breakthrough series collaborative.

2956. Case 2. Central Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case2.html
      November 01, 2014 - This project is being implemented in another clinic within the system, accounting for lessons learned … All interviewees were also asked to share their insights, that is, their lessons learned based on their … As expected, these lessons learned were closely aligned with the facilitators and barriers. … We also link lessons learned to these facilitators and barriers. … Scope, Pace, and Coordination of Lean Projects Many lessons were learned at the hospital surrounding

2957. Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons from New York City. | PSNet
      psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic
      September 02, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … October 28, 2020 "At home, with care": lessons from New York City home-based primary

2958. CEO/Senior Leader Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/senior-checklist.html
      July 01, 2023 - Disseminate learning from defect lessons with expectations for local adaptation.     6.

2959. 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.

2960. Practising safely in the foundation years. | PSNet
      psnet.ahrq.gov/issue/practising-safely-foundation-years
      February 04, 2015 - May 24, 2015 Building a safer foundation: the Lessons Learnt patient safety training … January 15, 2014 Improving patient safety: lessons from rock climbing.