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Showing results for "lessons learned".

3101. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33570/psn-pdf
      June 15, 2024 - As applied to health care, we have learned that clinicians frequently use heuristics (shortcuts or " … analysis-surgical-errors-closed-malpractice-claims-4-liability-insurers https://psnet.ahrq.gov/issue/patient-safety-and-telephone-medicine-some-lessons-closed-claim-case-review

3102. Comprehensive Information Technology (IT) Solution for Quality and Patient Safety - 2009 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/comprehensive-information-technology-it-solution-quality-and-patient-safety/annual-summary/2009
      January 01, 2009 - managers surveyed rated the success of their hospital’s implementation as "very good" or "good," and the lessons … learned can help future adopters of similar technology.

3103. CDS Connect Patient and Caregiver Partnering Panel - Overview (pdf file)
      cds.ahrq.gov/sites/default/files/Overview%20Summary%20Sheet%20CDS%20Connect%20Patient%20Partnering%20Panel%202021.pdf
      July 18, 2023 - Family Advisory panels • Society of Participatory Medicine • CMS Person & Family Engagement Toolkit Lessons … Lessons shared about partnering

3104. Special Section—Association of Directors of Anatomic and Surgical Pathology Symposium. | PSNet
      psnet.ahrq.gov/issue/special-section-association-directors-anatomic-and-surgical-pathology-symposium
      February 15, 2010 - American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons … American Pathologists Special Topic Symposium on Error in Pathology and Laboratory Medicine—Practical Lessons

3105. 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…

3106. Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key Informant Interviews (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
      July 10, 2012 - Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key … Informant Interviews Improving Consumer Health IT Application Development: Lessons From Other … Improving Consumer Health IT Application Development: Lessons From Other Industries, Findings from Key … available at The purpose of this report, also a key deliverable for the task order, is to describe lessons … learned from interviews with key informants (such as application developers, design managers, and

3107. Learning from influenza vaccine errors to prepare for COVID-19 vaccination campaigns. | PSNet
      psnet.ahrq.gov/issue/learning-influenza-vaccine-errors-prepare-covid-19-vaccination-campaigns
      June 10, 2018 - February 12, 2020 View More Related Resources Lessons from the

3108. TAKEheart Learning Community Webinars | Agency for Healthcare Research and Quality
      www.ahrq.gov/takeheart/training/learning-community-webinars/index.html
      December 01, 2022 - This Learning Community webinar shares care coordination improvement successes, challenges, and lessons … learned and offers practical advice for other programs seeking to improve their own care coordination

3109. Changing how we think about healthcare improvement. | PSNet
      psnet.ahrq.gov/issue/changing-how-we-think-about-healthcare-improvement
      October 09, 2024 - Author(s) From theory to policy in resilient health care: policy recommendations and lessons

3110. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49507/psn-pdf
      April 01, 2006 - and Remember) honed their skills serving in MASH units in Korea; they were trained by physicians who learned … The IOM report not only decried dysfunctional approaches to managing errors; it also pointed to lessons … Finally, the lessons of experience are communicated through a dense oral culture—inexperienced workers

3111. Is the Admission Drug Dose Too Low? | PSNet
      psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
      September 01, 2011 - This patient's experience helps to illustrate several key lessons about improving medication safety for … The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study.

3112. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 2 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-2-team-leadership-facilitator-guide.pdf
      June 02, 2025 - base by email soon to share the key takeaways we heard today and ask you to think about what today’s lessons … optional) After the session, you may want to follow up with the participants to reinforce what they learned … Teams analyze performance against the plan, identify lessons learned, and collaborate and agree on methods … I trust that you have been able to use some of the strategies we learned in the training session.

3113. Senior Leader Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module2/checklist.html
      March 01, 2017 - Foster organizational learning by disseminating “learn from defect” lessons.      

3114. 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

3115. 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

3116. Improving Value and Efficiency in Hospitals and Medical Offices: A Resource List for Users of the AHRQ SOPS Value and Efficiency Supplemental Item Sets (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/medical-office/hospital-efficiency-resources.pdf
      May 01, 2023 - Achieving Efficiency: Lessons From Four Top-Performing Hospitals https://www.commonwealthfund.org/publications … /case-study/2011/jul/achieving-efficiency- lessons-four-top-performing-hospitals This report from the … https://www.commonwealthfund.org/publications/case-study/2011/jul/achieving-efficiency-lessons-four-top-performing-hospitals … Alphabetical Index of Resources Achieving Efficiency: Lessons From Four Top-Performing Hospitals Achieving … Achieving Efficiency: Lessons From Four Top-Performing Hospitals 2.

3117. Prologue -- Blueprints for Action (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield1.pdf
      January 01, 1999 - Across the five categories, one finds lessons extracted from local to international experience, and … of effectiveness is established in some of the papers but not in others, where more remains to be learned

3118. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37300/psn-pdf
      January 04, 2012 - The authors deliver key lessons from their learnings and explain how a similar system in the United

3119. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/44074/psn-pdf
      November 16, 2015 - learning-failure-need-independent-safety-investigation-healthcare https://psnet.ahrq.gov/issue/error-management-lessons-aviation

3120. Final Progress Report: Systems Approach for Improving Region-Wide Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-10/sirio2-report.pdf
      January 01, 2024 - Results: The results were inconsistent, as we learned of the difficulties in linking feedback and reporting … Of the persons surveyed, 95% reported that they learned something related to patient safety in the meetings … These became major stumbling blocks to sustainability and serve as major lessons for others who may … Shared learning and the drive to improve patient safety: Lessons learned from the Pittsburgh Regional