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Showing results for "lessons learned".

2961. Sociotechnical work system approach to occupational fatigue. | PSNet
      psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
      January 15, 2025 - September 13, 2023 Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. … 2022 Integrating principles of safety culture and just culture into nursing homes: lessons

2962. The Digital Doctor: Hope, Hype, and Harm at the Dawn of Medicine's Computer Age. | PSNet
      psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
      January 09, 2018 - May 13, 2015 Findings and Lessons From the Improving Management of Individuals With Complex … October 2, 2013 Findings and Lessons From the Improving Quality Through Clinician Use

2963. 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

2964. 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

2965. 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Simmons_66.pdf
      April 03, 2008 - 26,000 Close Call Reports: Lessons from the University of Texas Close Call Reporting System 26,000 … Close Call Reports: Lessons from the University of Texas Close Call Reporting System Debora Simmons … By learning free lessons from near misses. Br Med J 2000; 320: 1683-1684. 22.

2966. Update on Safety Culture | PSNet
      psnet.ahrq.gov/perspective/update-safety-culture
      January 22, 2020 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … December 30, 2014 Perspective What We've Learned About

2967. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35518/psn-pdf
      November 30, 2005 - https://psnet.ahrq.gov/issue/aviations-gift-health-care This article reports on the lessons that medicine

2968. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/863222/psn-pdf
      February 28, 2024 - https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

2969. CEO and Senior Leader Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/ceo-snr-leader-chcklst.html
      December 01, 2012 - Disseminate learning from defect lessons with expectations for local adaptation.     6.

2970. Ceosnrleaderchcklst (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/ceosnrleaderchcklst.docx
      June 02, 2025 - Disseminate learning from defect lessons with expectations for local adaptation. 6.

2971. 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

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. 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.

2974. 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.

2975. 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

2976. Fillmore (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
      August 01, 2014 - Healthcare Research and Quality (AHRQ) Practice Facilitation Handbook.1 The program offers several lessons … Students submit weekly journal entries to the instructor in which they reflect on what they learned … during the seminar and fieldwork and discuss how they will apply what they learned. … Lessons learned A number of lessons emerge from the experiences of the Millard Fillmore College, the … The experience of the program provides an illustrative model and practical lessons for those interested

2977. Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths. | PSNet
      psnet.ahrq.gov/issue/changes-error-patterns-unanticipated-trauma-deaths-during-20-years-pursuit-zero-preventable
      March 23, 2022 - Related Resources From the Same Author(s) Error reduction in trauma care: lessons … Diagnostic Safety and Quality April 26, 2023 Error reduction in trauma care: lessons

2978. Using social and behavioural science to support COVID-19 pandemic response. | PSNet
      psnet.ahrq.gov/issue/using-social-and-behavioural-science-support-covid-19-pandemic-response
      March 02, 2022 - Strategies to Improve Safety for People Who Use Substances October 30, 2024 Lessons … February 15, 2023 The Lancet Commission on lessons for the future from the COVID-19 pandemic

2979. 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

2980. 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.