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Showing results for "lessons learned".

3101. Ebola: Are We Ready? | PSNet
      psnet.ahrq.gov/web-mm/ebola-are-we-ready
      July 01, 2012 - Each simulation teaches myriad lessons regarding our state of preparedness. … Canadian astronaut Chris Hadfield summarized this best in a TED talk entitled, "What I learned from going … At Northwestern Memorial Hospital, we have learned that preparing detailed guidance is not enough—we … The Ebola Response: Lessons and Changes. October 29, 2014. [Available at] 4. Emory Healthcare. … What I learned from going blind in space. TED2014.

3102. Assessing the Impact of the Patient-Centered Medical Home (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/assessing-impact-of-pcmh-final-report.pdf
      November 16, 2010 - Drafts of this paper were then shared with the key informants to ensure faithfulness to what we learned … From a policy perspective, WellMed offers several potential lessons. … Lessons from the RAND Health Insurance Experiment. … Drafts of this paper were then shared with the key informants to ensure faithfulness to what we learned … Lessons from the RAND Health Insurance Experiment.

3103. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838030/psn-pdf
      September 07, 2022 - rethinking-use-air-safety-principles-reduce-fatal-hospital-errors https://psnet.ahrq.gov/issue/reducing-health-care-hazards-lessons-commercial-aviation-safety-team

3104. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47555/psn-pdf
      November 14, 2018 - how-one-hospital-improved-patient-safety-10-minutes-day https://psnet.ahrq.gov/issue/error-management-lessons-aviation

3105. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47341/psn-pdf
      August 29, 2018 - aorn-position-statement-criminalization-human-errors-perioperative-setting https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals

3106. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47970/psn-pdf
      May 01, 2019 - learning-high-risk-industries-may-not-be-straightforward-qualitative-study-hierarchy-risk https://psnet.ahrq.gov/issue/error-management-lessons-aviation

3107. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/46564/psn-pdf
      December 06, 2017 - psnet.ahrq.gov/issue/how-aviation-improves-medical-safety https://psnet.ahrq.gov/issue/error-management-lessons-aviation

3108. Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T4-Urinalysis_and_UTIs_Improving_Care-updated.docx
      October 01, 2016 - Nursing Home Antimicrobial Stewardship Guide Determine Whether To Treat Tool 4. Training Modules: Urinalysis and UTIs Improving Care Overview These training modules are designed to be flexible to meet your needs. Training coordinators can use them individually or combine them to suit the needs of their facility. Goal…

3109. Surprise Wire | PSNet
      psnet.ahrq.gov/web-mm/surprise-wire
      July 15, 2020 - Our experience was telling, and we share it in hopes that the lessons will be relevant to others who … Related Resources Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

3110. Learning from litigation. The role of claims analysis in patient safety. | PSNet
      psnet.ahrq.gov/issue/learning-litigation-role-claims-analysis-patient-safety
      November 21, 2018 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

3111. Simulated settings; powerful arenas for learning patient safety practices and facilitating transference to clinical practice. A mixed method study. | PSNet
      psnet.ahrq.gov/issue/simulated-settings-powerful-arenas-learning-patient-safety-practices-and-facilitating
      December 07, 2011 - 2021 Learning from morbidity and mortality conferences: focus and sustainability of lessons

3112. Facilitator Guide: Optimize Your Briefings and Debriefings (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
      December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … SAY: Others are in more mature stages and can offer strong lessons in how to achieve success with briefings … Slide 43 Lessons Learned SAY: Reshaping safety culture takes time, commitment, energy, and focus.

3113. Optimize Briefings and Debriefings: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
      December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … Say: Others are in more mature stages and can offer strong lessons in how to achieve success with briefings … Slide 44: Lessons Learned Say: Reshaping safety culture takes time, commitment, energy, and focus

3114. CDS Connect - Maintenance and Update Final Report (Year 6) (pdf file)
      cds.ahrq.gov/sites/default/files/AHRQ_Final_Report_2022.pdf
      January 01, 2022 - • Continued the “Lessons Learned” series for the CDS Connect Work Group (WG), a community of more … Lessons Learned and Recommendations ................................................................. … In Year 6, the team focused on applying these new technologies, lessons learned, and best practices … Lessons Learned and Recommendations The following observations from the team’s Year 6 activities may … Overall, lessons learned applicable to the broader CDS community include themes of use and standards

3115. CDS Connect - Maintenance and Update Final Report (Year 6) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year6-final-report-2022.pdf
      January 01, 2022 - • Continued the “Lessons Learned” series for the CDS Connect Work Group (WG), a community of more … Lessons Learned and Recommendations ................................................................. … In Year 6, the team focused on applying these new technologies, lessons learned, and best practices … Lessons Learned and Recommendations The following observations from the team’s Year 6 activities may … Overall, lessons learned applicable to the broader CDS community include themes of use and standards

3116. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-presenters-notes.pdf
      January 12, 2022 - transparency and disclosure of diagnostic errors, focus on learning from diagnostic events, and disseminate lessons … ongoing teamwork TeamSTEPPS is an evidence‐based teamwork system based on 20 years of experience and lessons … • Teamwork is not innate; it must be learned. … This skill improvement is important because teamwork is not innate; it must be learned. … Kane’s case will be used to discuss and reinforce TeamSTEPPS principles, lessons, and tools and how

3117. TeamSTEPPS® Diagnosis Improvement: Module 1 Introduction
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module1-introduction.pptx
      January 12, 2022 - transparency and disclosure of diagnostic errors, focus on learning from diagnostic events, and disseminate lessons … learned and use them to enhance policies and practices (National Academies of Sciences, Engineering, … ongoing teamwork TeamSTEPPS is an evidence‐based teamwork system based on 20 years of experience and lessons … Teamwork is not innate; it must be learned. … Kane’s case will be used to discuss and reinforce TeamSTEPPS principles, lessons, and tools and how their

3118. AHRQ's Guide to Evaluating Health Information Exchange Projects - Section 5 (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-section-5.pdf
      June 16, 2021 - evaluation has “real world” impact and that other HIE projects can benefit from your experiences and lessons

3119. Accessing the Cutting Edge: Implementing HIT to Improve Quality in Rural East Kern Count - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016146-nocella-final-report-2009.pdf
      January 01, 2009 - There were many valuable lessons learned through the process of adoption and utilization of Health IT … Some lessons include building the option to push selected data collected from the HIE into the existing … This was an important lesson learned in the project and may have implications for future HIE projects … A summary of the various lessons learned during the EKCITA HIE project is below: • Initial fears include … A summary of lessons learned from the rural tele-ophthalmology demonstration is provided below.

3120. Medical Team Training Programs in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Baker.pdf
      February 01, 2005 - training content. 4.5 0.60 4.5 0.59 4.6 0.65 I am confident that I can use the knowledge that I learned … Navy, produced a number of useful tools and lessons learned that are applicable to health care.35 Based … A successful transfer of lessons learned in aviation psychology and flight safety to health care: the … Developing and evaluating an interdisciplinary clinical team training program: lessons learned and … lessons taught.