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Showing results for "lessons learned".

3161. 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

3162. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60721/psn-pdf
      July 21, 2020 - have expanded their telehealth capabilities, augmented patient safety considerations, and generated lessons … learned. … learned and changes made during the COVID-19 pandemic.  … How did you expedite that transition and what were some of the lessons learned?   Dr. … What are some of the lessons learned about providing care this way, particularly in a rural environment

3163. Final Progress Report: Implementation of a Medication Reconciliation Toolkit to Improve Patient Safety (MARQUIS2) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/schnipper2-report.pdf
      January 01, 2024 - MARQUIS2 was designed to take the lessons learned from MARQUIS1 and apply them to a larger group of … Based on these results, the team received funding to conduct a second study (MARQUIS2), taking the lessons … learned from MARQUIS1 and applying it to a much larger and more diverse group of hospitals and health … Several changes were made to the toolkit in response to lessons learned from MARQUIS1, including the … learned from MARQUIS1.[12] These included the addition of four regional in-person workshops for sites

3164. White Paper_Supplementing Systematic Review Findings With Healthcare System Data: Pilot Projects From the Agency for Healthcare Research and Quality Evidence-based Practice Center Program (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/pilot-projects-supplementing-white-paper.pdf
      December 01, 2024 - The workgroup met monthly from 2022 to 2023 to discuss challenges and lessons learned from the pilot … Learned ............................................................................................ … Methods The Scientific Resource Center (SRC) for the AHRQ EPC Program summarized findings and lessons … learned across the pilot project efforts, obtaining data from the following sources: 1. … Discussion 4.1 Lessons Learned To our knowledge, this is the first study to evaluate the use of U.S

3165. Check the Wristband | PSNet
      psnet.ahrq.gov/web-mm/check-wristband
      August 03, 2009 - As the nurse recalled, “I learned a serious lesson, which I certainly had been taught in nursing school … Lessons Concerning the Patient as a Source of Accurate Information Today there is much emphasis on the … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

3166. Senior-Leader-Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module2/senior-leader-checklist.docx
      March 01, 2017 - Responsible Party Notes Foster organizational learning by disseminating “learn from defect” lessons

3167. State at a Glance: Georgia | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/ga.html
      March 01, 2019 - What are the key lessons from Georgia's experience that would be useful for other States?

3168. State at a Glance: West Virginia | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/wv.html
      March 01, 2019 - What are the key lessons from West Virginia's experience that would be useful for other rural States?

3169. State at a Glance: South Carolina | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/sc.html
      March 01, 2019 - What are the key lessons from South Carolina's experience that would be useful for other States?

3170. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60261/psn-pdf
      April 22, 2020 - 2019-covid-19 https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

3171. In Conversation With… Shantanu Nundy, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-shantanu-nundy-md
      February 26, 2025 - You've given us the micro lessons. … What macro lessons from that failure have been important to you in your career? … One thing I learned is that everything takes pi plus 2x longer than you think it's going to take. … One is posting a teaching case: "I saw this really interesting case that I learned a lot from, and I'm

3172. Enhanced Medical Histories: A Guide to Implementation in a Health Information Exchange (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/EnhancedMedHistoriesImplementationGuide.pdf
      November 01, 2011 - .............................................................................................. 211 Lessons … Learned (From the Implementation of This System) ................................................... … assignments, then the printer configuration look-up table must be modified manually. 22 Lessons … Learned (From the Implementation of This System) As a result of this project, we have learned lessons … Learned (From the Implementation of This System) 1.

3173. Seeking systems-based facilitators of safety and healthcare resilience: a thematic review of incident reports. | PSNet
      psnet.ahrq.gov/issue/seeking-systems-based-facilitators-safety-and-healthcare-resilience-thematic-review-incident
      December 06, 2023 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

3174. One hospital's initiatives to encourage safe opioid use. | PSNet
      psnet.ahrq.gov/issue/one-hospitals-initiatives-encourage-safe-opioid-use
      October 19, 2022 - April 17, 2019 Teaching patient safety in global health: lessons from the Duke Global … October 31, 2018 Addressing the opioid epidemic in the United States: lessons from the

3175. The problem with checklists. | PSNet
      psnet.ahrq.gov/issue/problem-checklists
      March 29, 2023 - July 21, 2017 Flying lessons for clinicians: developing system 2 practice. … August 13, 2013 Ten challenges in improving quality in healthcare: lessons from the Health

3176. Patient safety and interprofessional education: a report of key issues from two interprofessional workshops. | PSNet
      psnet.ahrq.gov/issue/patient-safety-and-interprofessional-education-report-key-issues-two-interprofessional
      August 20, 2018 - Lessons from a series of research on teamwork, leadership and team training. … November 20, 2013 Improving patient safety: lessons from rock climbing.

3177. Continuous improvement as an ideal in health care. | PSNet
      psnet.ahrq.gov/issue/continuous-improvement-ideal-health-care
      August 04, 2021 - February 3, 2011 Reducing adverse drug events: lessons from a breakthrough series collaborative … June 7, 2018 Safety lessons from the NIH Clinical Center.

3178. Improving patient care by linking evidence-based medicine and evidence-based management. | PSNet
      psnet.ahrq.gov/issue/improving-patient-care-linking-evidence-based-medicine-and-evidence-based-management
      October 06, 2011 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons … October 21, 2009 Reducing health care hazards: lessons from the Commercial Aviation Safety

3179. Translation of a C. difficile Treatment Clinical Pathway Into Machine-Readable Clinical Decision Support Artifacts Prototyped for Electronic Health Record Implementation (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-translation-c-diff-treatment-clinical-pathway.pdf
      November 01, 2019 - Several lessons learned emerged from this project. … learned and implications for future work from this process. 2. … Below, we outline 4 lessons learned for other health systems seeking to develop or adapt CDS artifacts … Lessons Learned Lesson 1: Publicly Available Software for Translating Guideline Recommendations Into … Encode Recommendations Using CQL Summary of Final Work Products Discussion Lessons Learned Lesson

3180. Learning from patient safety incidents in incident review meetings: organisational factors and indicators of analytic process effectiveness. | PSNet
      psnet.ahrq.gov/issue/learning-patient-safety-incidents-incident-review-meetings-organisational-factors-and
      December 29, 2014 - 7, 2015 Prospects for comparing European hospitals in terms of quality and safety: lessons