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Showing results for "lessons learned".

3141. 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

3142. 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

3143. 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

3144. 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

3145. State Documentation of Racial and Health Disparities to Inform Strategic Action: Summary
      hcup-us.ahrq.gov/reports/race/stand_alone_r_e_rpt.jsp
      May 01, 2016 - This document summarizes themes and lessons from eight states identified as leaders in analysis and/or … This summary synthesizes themes and lessons from data-driven disparities documents created by Colorado … Lessons Learned After reviewing featured states’ documents and talking with officials from each of … these states, several themes and lessons emerged. … Their lessons can provide guidance for states that are exploring ways to improve their health equity

3146. Final Progress Report: Regional Approach for THQIT in Rural Settings – Implementation (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
      January 01, 2024 - This report focuses on the lessons learned that are most likely to be useful to others carrying out … We learned that there were significant information gaps. … These sections relate to key lessons learned from the interventions we applied through our project. … A major component of the HIE and lesson learned is the cost of managing patient identities. … We received 285 labs in the past 12 months of our study through our interface.13 Lessons Learned: •

3147. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016162-richards-final-report-2009.pdf
      January 01, 2009 - This report focuses on the lessons learned that are most likely to be useful to others carrying out … We learned that there were significant information gaps. … These sections relate to key lessons learned from the interventions we applied through our project. … A major component of the HIE and lesson learned is the cost of managing patient identities. … Lessons Learned.

3148. Transition Coaches® Reduce Readmissions for Medicare Patients With Complex Postdischarge Needs | PSNet
      psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
      March 27, 2024 - Lessons learned from the Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention: Sustainability and lessons learned. … a2d4c12d120088066df4638da356cf65/51_Implementation-of-the-Care-Transitions-Intervention-Sustainability-and-Lessons-Learned.pdf

3149. State at a Glance: Maryland | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/md.html
      March 01, 2019 - What are the key lessons from Maryland's experience that would be useful for other States?

3150. State at a Glance: Oregon | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/or.html
      March 01, 2019 - What are the key lessons from Oregon's experience that would be useful for other States?

3151. A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. | PSNet
      psnet.ahrq.gov/issue/descriptive-study-morbidity-and-mortality-conferences-and-their-conformity-medical-incident
      September 28, 2010 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons

3152. Safety skills for clinicians: an essential component of patient safety. | PSNet
      psnet.ahrq.gov/issue/safety-skills-clinicians-essential-component-patient-safety
      June 01, 2012 - October 31, 2011 Patient safety and acute care medicine: lessons for the future, insights

3153. Algorithmic Bias Playbook. | PSNet
      psnet.ahrq.gov/issue/algorithmic-bias-playbook
      May 13, 2020 - December 9, 2020 View More Related Resources Lessons from the Covid

3154. Educational opportunities with postevent debriefing. | PSNet
      psnet.ahrq.gov/issue/educational-opportunities-postevent-debriefing
      May 28, 2015 - February 6, 2014 Building a safer foundation: the Lessons Learnt patient safety training

3155. Findings | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
      August 01, 2022 - in the development of an SDM train-the-trainer toolkit that integrates the processes developed and lessons … learned. … Observations As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … Observations These grantees learned that engaging diverse stakeholders to assess the strengths and

3156. Forming a Comprehensive Unit-based Safety Program Team: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html
      February 01, 2017 - Slide 5: Successful CUSP Teams Say: We have learned a great deal about forming and leading successful … Unfortunately, we also have learned a great deal about ineffective teams. … CUSP facilitators serve as subject matter experts on CUSP and share lessons learned.

3157. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-facguide.docx
      January 01, 2017 - Slide 4 (continued) Successful CUSP Teams SAY: We have learned a great deal about forming and leading … Unfortunately, we also have learned a great deal about ineffective teams. … CUSP facilitators serve as subject matter experts on CUSP and share lessons learned.

3158. Incident learning in pursuit of high reliability: implementing a comprehensive, low-threshold reporting program in a large, multisite radiation oncology department. | PSNet
      psnet.ahrq.gov/issue/incident-learning-pursuit-high-reliability-implementing-comprehensive-low-threshold-reporting
      September 27, 2017 - November 6, 2015 Improving patient safety in clinical oncology: applying lessons from

3159. An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety? | PSNet
      psnet.ahrq.gov/issue/exploratory-study-knowledge-brokering-hospital-settings-facilitating-knowledge-sharing-and
      July 02, 2008 - 19, 2016 Culture and behaviour in the English National Health Service: overview of lessons

3160. AHRQ Webinar: Optimizing Data Visualization to Improve Care - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-10192022.pdf
      October 19, 2022 - adherence, making it difficult to measure change for these outcomes Challenges 57 Topic Area Lessons … from frequent users • Ongoing collaboration (daily/weekly) between technical and clinical teams Lessons … Learned 58 Thank You! … Cluster Randomized Trial Outcomes First Patient Impressions Clinician Engagement Challenges Lessons … Learned Thank You!