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Showing results for "lessons learned".

3161. 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

3162. 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

3163. 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

3164. Evaluation of the Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Clinical Decision Support Initiative: Findings and Recommendations for Future Initiatives (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
      March 23, 2022 - In addition to describing the evaluation, the report provides findings and lessons learned about the … In addition, strategies could describe lessons learned about engaging patients from AHRQ- funded CDS … Based on lessons learned from several AHRQ investments on development and implementation of standards-based … Insights and Lessons Learned From CDS Connect Pilots. … Insights and Lessons Learned From CDS Connect Pilots • CDS Connect Presentation to U.S.

3165. 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.

3166. Jan-2017-Cholesterol-Wg-Notes (doc file)
      cds.ahrq.gov/sites/default/files/workgroups/216/jan-2017-cholesterol-wg-notes.docx
      January 01, 2017 - · Lessons learned: · Effective risk communication requires analogies (e.g. patients like you) and in

3167. 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.

3168. MUI Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/urinary/resources/search.html?page=1
      January 01, 2019 - Strategies Recruiting Practice-Based Research Network (PBRN) Physicians To Be Research Participants: Lessons … Learned From the North Texas (NorTex) Needs Assessment Study The purpose of this study was to examine

3169. Methods (continued, 4) | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptfamilyscan/ptfamily3c.html
      July 01, 2017 - leaders who focus only on the bottom line will be the most difficult to convince: But one of the lessons … that I learned early on was that so much follows.

3170. Module 5: PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/visual/visual-mgmt.pptx
      May 01, 2017 - Lay out the specifications of your test Do: Conduct the test Study: Review how the test went and what lessons … were learned Act: Integrate your learning into your next test or into daily practice Aims: Introduce

3171. DHR Impact and Reach | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
      January 01, 2023 - Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision

3172. Better Nurse Staffing Levels Associated With Lower Rates of Cesarean Section | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/945.html
      February 01, 2025 - Implementation of a bundle to improve diagnosis in hospitalized patients: lessons learned.

3173. The EvidenceNOW Model: Providing External Support for Primary Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/model/index.html
      April 01, 2025 - Based on what was learned from the Advancing Heart Health initiative, AHRQ is now using the EvidenceNOW … found in: The Role of Health Extension in Practice Transformation and Community Health Improvement: Lessons

3174. AHRQ Views: Celebrating the 40th Anniversary of the U.S. Preventive Services Task Force | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/newsletters/e-newsletter/920.html
      July 01, 2024 - Lessons learned from a National Hospital Antibiotic Stewardship Implementation Project.

3175. Key Driver Diagram | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/tcd/key-driver.html
      September 01, 2021 - Lessons Learned in Using TCD Measure at Multiple Levels As part of the PQMP grant, QMETRIC sought to

3176. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33578/psn-pdf
      September 15, 2024 - primer/human-factors-engineering https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error

3177. 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

3178. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.html
      October 01, 2014 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations Technical Assistance Document This document was developed as part of an Agency for Healthcare Research and Quality (AHRQ) initiative to increase the use of the U.S. Preventive Services Task Force (USPSTF) recommendations and resources i…

3179. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838926/psn-pdf
      October 26, 2022 - criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety https://psnet.ahrq.gov/issue/lessons-denver-medication-errorcriminal-negligence-case-look-beyond-blaming-individuals

3180. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/36837/psn-pdf
      December 03, 2018 - -1984 https://psnet.ahrq.gov/primer/culture-safety https://psnet.ahrq.gov/issue/very-public-failure-lessons-quality-improvement-healthcare-organisations-bristol-royal