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Showing results for "lessons learned".

3001. In Conversation With… Rebecca Lawton, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-rebecca-lawton-phd
      March 24, 2025 - RW : In terms of what you eventually ended up applying in patient safety, what were the general lessons … RL : The general lessons were very much around needing to understand safety in a complex system and understand … We learned that patients found it difficult to understand what you meant by safety incidents when we … What have you learned about that and whether it's acceptable to patients and whether it works? … RL : Some of this is in the published literature, and some of it is what we've learned from doing work

3002. Organizational Learning from Experience in High-Hazard Industries: Problem Investigations as Off-line Reflective Practice. | PSNet
      psnet.ahrq.gov/issue/organizational-learning-experience-high-hazard-industries-problem-investigations-line
      May 24, 2016 - Lessons discussed here can be applied to health care as it seeks to learn from accident investigation

3003. Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system. | PSNet
      psnet.ahrq.gov/issue/reducing-nosocomial-transmission-covid-19-implementation-covid-19-triage-system
      July 29, 2020 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

3004. Nature of blame in patient safety incident reports: mixed methods analysis of a national database. | PSNet
      psnet.ahrq.gov/issue/nature-blame-patient-safety-incident-reports-mixed-methods-analysis-national-database
      October 12, 2016 - November 11, 2020 Quality improvement priorities for safer out-of-hours palliative care: lessons … February 28, 2018 Applying lessons from social psychology to transform the culture of

3005. State and Regional Demonstration in Health Information Technology: Tennessee | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn
      January 01, 2023 - Medication Management System Understanding the impact of health information exchange technology: lessons … Understanding the impact of health information exchange technology: lessons from the MidSouth Ehealth … At some future point, the lessons learned from this effort may lead the MidSouth eHealth Alliance to

3006. TeamSTEPPS Building Block Exercise Instructions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
      June 02, 2025 - Teamwork Exercise: Discussing Rounds 1 and 2,” have trainees discuss their strategies for success and lessons … they learned about effective teamwork. … Exercise: Discuss Rebuilding Your Tower,” have participants discuss their strategies for success and lessons … learned about effective teamwork.

3007. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
      January 01, 2017 - monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons … learned for implementing the ICU Pain, Agitation, and Delirium Guidelines. … monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons … learned for implementing the ICU Pain, Agitation, and Delirium Guidelines.

3008. AHRQ Safety Program for Perinatal Care: Facilitation Instructions for Conducting In Situ Simulations
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
      May 01, 2017 - care.3,11 Provides a structure for understanding the scenario Helps ensure everyone takes away similar lessons … 20 AHRQ Safety Program for Perinatal Care In Situ Simulations Debriefing: Identify Lessons Learned … The final step is to look ahead to how the team members can generalize what they learned in the scenario

3009. Section 3: Selecting and Targeting Populations for a Care Management Program (continued) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
      October 01, 2014 - Lessons Learned: Health Assessments Develop rapport with members. … Lessons Learned: Enrolling Members Ensure enrollment strategy coincides with program design.

3010. In Conversation with...Diane Rydrych, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
      February 26, 2025 - We asked her to speak with us about the Minnesota initiative and some of the broader lessons for state … So we feel like we're really able to focus on what's causing these events, what's being learned from … One thing that we've learned is that there are a lot of reasons why these events happen and why they … November 14, 2011 Public reporting of antibiotic timing in patients with pneumonia: lessons

3011. Rapid Response Teams: Lessons from the Early Experience | PSNet
      psnet.ahrq.gov/perspective/rapid-response-teams-lessons-early-experience
      November 01, 2005 - Rapid Response Teams: Lessons from the Early Experience William S. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet]. … Rapid Response Teams: Lessons from the Early Experience. PSNet [internet].

3012. Appendix 2. Performance improvement messaging for physicians: lessons from market research* | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/app2.html
      March 01, 2016 - Performance improvement messaging for physicians: lessons from market research* Previous Page … Performance improvement messaging for physicians: lessons from market research* The Robert

3013. Highlight03 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight03.pdf
      September 08, 2015 - Implications Based on lessons learned in the four States highlighted here, other States interested

3014. Conceptualising learning from resilient performance: a scoping literature review. | PSNet
      psnet.ahrq.gov/issue/conceptualising-learning-resilient-performance-scoping-literature-review
      October 09, 2024 - what has happened; learning from the factual; learning from experience; knowing how to learn the right lessons

3015. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/35092/psn-pdf
      November 30, 2007 - He proposes that the medical profession can learn valuable lessons from the engineering safety culture

3016. Disposition of Comments: Technical Brief 34, Impact of Community Health Worker Certification on Workforce and Service Delivery for Asthma and Other Selected Chronic Diseases (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-34-health-worker-certification-comments.pdf
      March 27, 2020 - Developing countries have had a longer and more robust experience with CHW programs, and thus have lessons … While lessons may be learned from CHW programs g, there are also important differences such as in … While lessons may be learned from CHW programs globally, there are also important differences such

3017. 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.

3018. 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

3019. Final Progress Report: The P4P Decision Tool: A Stakeholder Guide to Exploring and Selecting an Appropriate Pay-for-Performance Program (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/leapfrog-report.pdf
      January 01, 2024 - • “How Four Purchasers Designed and Implemented Quality-Based Purchasing Activities: Lessons from the … Agency for Healthcare Research and Quality (AHRQ) conducted four studies of purchasers’ efforts and lessons … learned in improving healthcare quality through quality-based purchasing initiatives in local communities … he Center for Healthcare Strategies, 2007. www.chcs.org This guide for states offers lessons from Medicaid

3020. Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. A prospective cohort study. | PSNet
      psnet.ahrq.gov/issue/lessons-learnt-incidents-reported-postgraduate-trainees-dutch-general-practice-prospective
      February 23, 2011 - Study Lessons learnt from incidents reported by postgraduate trainees in Dutch general … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice. … Lessons learnt from incidents reported by postgraduate trainees in Dutch general practice.