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Showing results for "lessons learned".

2961. 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.

2962. Meeting Minutes, March 2023 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2023-03-nac/nacmtg030623-minutes.html
      July 01, 2023 - Kannan Ramar, M.D., expressed support for creating the subcommittee and wondered what might be learned … Robinson stressed the need to benefit from lessons learned. Mr. Goldfarb asked Ms. … Smith responded that she switched providers several times during the experience and learned what it is … Hughes reported that some NAC members discussed the opportunity to leverage what is learned from long … Sieverts has taken part in National Institutes of Health studies and learned that standard blood tests

2963. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74252/psn-pdf
      January 12, 2022 - also hosted Safe Table discussions, where members of the PSO share COVID-19-related safety issues and lessons … learned in a protected, safe environment. … an event analysis, we held Safe Table discussions and invited providers to come with what they had learned … KH: What have you learned about the impact of COVID-19 on patient safety? … We learned that PPE hinders communication.

2964. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60362/psn-pdf
      April 13, 2018 - Innovation Over its 17 years in operation, the High-Risk Pregnancy Program has gained a number of valuable lessons … learned that are particularly advantageous when reviewing this innovation for replication in other … The following lessons learned offer guidance in launching and sustaining this innovation: Identify … Adoption Considerations Lessons Learned Because of the program's value and potential for replication

2965. Advancing Patient Safety | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/advancing/index.html
      July 01, 2022 - carefully designed, developed, and evaluated. 2003 Launching AHRQ WebM&M To take advantage of the lessons … All of the lessons learned from these projects are helping health care providers move closer to a fully … We have learned that safety is a changing, emergent property of systems, and as our health care system … The promising beginnings and lessons learned in the first decade will serve us well as we undertake the

2966. Final Progress Report: Pursuing Perfection in Pediatric Therapeutics (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lannon1-report.pdf
      January 01, 2024 - initial results in the eight hospitals, the Ohio SPS received a CMMI grant to spread the methods and lessons … learned to an additional 25 children’s hospitals in 2012 with additional scale-up and spread over … The lessons learned will be applicable not only to the care of children with chronic disease but also … Development of process and outcome measures for improvement: lessons learned in a quality improvement

2967. Implement Teamwork and Communication: | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/implement/teamwork-notes.html
      December 01, 2012 - A discussion of lessons learned and how staff will alter the plan next time. … The establishment of a method to formally change the existing plan to incorporate lessons learned. … Frame problems in terms of personal experience and lessons learned.

2968. Disseminating Findings From EPC Reports: Pilot Project of Three Products (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-disseminating-findings_0.pdf
      October 01, 2018 - • Lessons Learned for EPC Program: The nature of the evidence report and decision used in this pilot … Lessons Learned and Applicability for Other EPC Reports The strength of this project – targeting specific … Product Description Evaluation Results Discussion Utility and Applicability for Other Health Systems Lessons … Learned and Applicability for Other EPC Reports Conclusion References Appendix A.

2969. Perioperative safety: learning, not taking, from aviation. | PSNet
      psnet.ahrq.gov/issue/perioperative-safety-learning-not-taking-aviation
      June 26, 2019 - Lessons from aviation to improve patient safety.

2970. Building capacity and capability for patient safety education: a train-the-trainers programme for senior doctors. | PSNet
      psnet.ahrq.gov/issue/building-capacity-and-capability-patient-safety-education-train-trainers-programme-senior
      January 15, 2014 - Related Resources From the Same Author(s) Building a safer foundation: the Lessons … July 15, 2015 Case-based learning for patient safety: the Lessons Learnt program for … September 3, 2014 Building a safer foundation: the Lessons Learnt patient safety training

2971. Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. | PSNet
      psnet.ahrq.gov/issue/involving-users-design-system-sharing-lessons-adverse-incidents-anaesthesia
      April 24, 2018 - Study Involving users in the design of a system for sharing lessons from adverse … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia. … Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

2972. A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. | PSNet
      psnet.ahrq.gov/issue/method-prioritizing-interventions-following-root-cause-analysis-rca-lessons-philosophy
      March 11, 2015 - Commentary A method for prioritizing interventions following root cause analysis (RCA): lessons … A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy. … A method for prioritizing interventions following root cause analysis (RCA): lessons from philosophy.

2973. Building cultures of high reliability: lessons from the high reliability organization paradigm. | PSNet
      psnet.ahrq.gov/issue/building-cultures-high-reliability-lessons-high-reliability-organization-paradigm
      September 05, 2018 - Review Building cultures of high reliability: lessons from the high reliability organization … Building cultures of high reliability: lessons from the high reliability organization paradigm. … Building cultures of high reliability: lessons from the high reliability organization paradigm.

2974. How doctors think: common diagnostic errors in clinical judgment--lessons from an undiagnosed and rare disease program. | PSNet
      psnet.ahrq.gov/issue/how-doctors-think-common-diagnostic-errors-clinical-judgment-lessons-undiagnosed-and-rare
      September 14, 2022 - Review How doctors think: common diagnostic errors in clinical judgment--lessons … How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare … How Doctors Think: Common Diagnostic Errors in Clinical Judgment-Lessons from an Undiagnosed and Rare

2975. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60174/psn-pdf
      March 30, 2020 - adverse drug events, and others.[5] This edition of the report also includes contextual factors and lessons … learned that support successful implementation for each PSP.

2976. AHRQ Stats: Relationship Between Electronic Nicotine Use and General Health | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/903.html
      March 01, 2024 - Articles featured this week include: Exploring clinical lessons learned by experienced hospitalists

2977. AHRQ Views: A Unique Effort To Advance Care for People Living With Long COVID | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/905.html
      March 01, 2024 - The network will share lessons learned with primary care physicians, health system leaders and others

2978. AHRQ Accelerates Efforts To Advance Health Equity | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/907.html
      April 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned

2979. Appendix D. List of Other Research Gaps Identified by Study Participants | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/appendix-d.html
      June 01, 2020 - experiments are taking place inside health care organizations, but they are not being evaluated, and lessons … learned are not being disseminated beyond the organization.

2980. Chapter 2. Project Implementation | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter2.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.