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Showing results for "lessons learned".

321. Curriculum development and implementation of a national interprofessional fellowship in patient safety. | PSNet
     psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
     November 18, 2016 - November 18, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … A guide to evaluation of quality improvement and patient safety educational programs: lessons … November 5, 2014 Case-based learning for patient safety: the Lessons Learnt program for

322. Spotlight Series | PSNet
     psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers
     August 24, 2022 - June 21, 2023 Lessons Learned about Human Fallibility, System Design, and Justice in … September 14, 2018 A Hospital Accident: Lessons Learned – A Death, A Conviction, and

323. PSNet Curated Library (pdf file)
     psnet.ahrq.gov/print/pdf/node/848754
     January 01, 2025 - Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york

324. CDS Connect Work Group Meeting Summary 4-15-2021 (pdf file)
     cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
     April 15, 2021 - learned around the Person-First Safe Living in a Pandemic initiative. … The discussion concluded with ways the CDS Work Group might apply some of the lessons learned from this … Sharing Lessons Learned with CDS: Person-First Safe Living in a Pandemic Dr. … Marcial and Mr. van Leeuwen presented on lessons learned around understanding how people find relevant … Learned with CDS: Person-First Safe Living in a Pandemic Discussion What’s New with CDS Connect

325. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants: A Synthesis Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/index.html
     July 01, 2015 - Methods Model State Enhancement Efforts Spreading the Model to Partner States External Context Lessons … Learned From IMPaCT About PCEPs Conclusions and Implications References Prepared … Planning     Alignment With Existing Entities      Geography     PCMH Recognition     Funding Lessons … Learned From IMPaCT About PCEPs Conclusions and Implications     Research Gaps     Key Questions

326. Strategies for Improving CAHPS Clinician & Group (CG-CAHPS) Survey Scores (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/rick-evans-slides.pdf
     March 15, 2016 - Management training and coaching  Senior leader buy-in and support  Physician partnership Lessons … learned and take-home points  Know your survey and your data  Pick the right evidence based best … Overcoming Barriers Results –Improvement in Scores Mass General results: Sustaining the Effort Lessons … learned and take-home points Anything else I can do for you?

327. Pediatric Developmental Screening Flowchart (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_VA.pdf
     January 01, 2014 - Implementing developmental screening and referrals: lessons learned from a national project. … Implementing developmental screening and referrals: lessons learned from a national project.

328. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45037/psn-pdf
     February 15, 2017 - Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses … Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses … https://psnet.ahrq.gov/issue/disclosing-large-scale-adverse-events-us-veterans-health-administration- lessons-media … health system, media reports did not convey specific aspects of error disclosure, such as apologies and lessons … learned.

329. Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Goeschel_24.pdf
     January 01, 2008 - In this article we present some of the lessons we learned while leading the Keystone ICU project. … The limitations of qualitative reports of “lessons learned” from quality improvement collaboratives … Lessons Learned from the Keystone ICU Collaborative A virtual learning community evolved during our … We learned lessons from the KICU teams that have infused all of our subsequent patient safety efforts … J Crit Care 2003; 18: 71-75. 12 Abstract Introduction Lessons Learned from the Keystone ICU Collaborative

330. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43521/psn-pdf
     November 05, 2014 - From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons. … https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons This … https://psnet.ahrq.gov/issue/science-implementation-ahrqs-program-prevent-hais-results-and-lessons https … ://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program

331. What a new doctor learned about medical mistakes from her Mom's death. | PSNet
     psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
     March 03, 2021 - Newspaper/Magazine Article What a new doctor learned about medical mistakes from … Citation Text: What a new doctor learned about medical mistakes from her Mom's death. Allen M. … This article reveals lessons a medical student learned about patient safety while dealing with errors … Copy URL Cite Citation Citation Text: What a new doctor learned

332. Ambulatory Safety and Quality Program (2007-2013) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/ambulatory-safety-and-quality-program
     January 01, 2023 - Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program ( PDF , 1.41 MB) Detailed … learned from the experiences of 12 projects that were awarded under AHRQ's Improving Management of Individuals … learned from the experiences of 24 projects that were awarded under AHRQ's Improving Quality Through … learned from the experiences of 16 projects that were awarded under AHRQ's Enabling Patient-Centered … learned from the experiences of 17 organizations that received grant funding from AHRQ's Enabling Quality

333. Root cause analysis reports help identify common factors in delayed diagnosis and treatment of outpatients. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
     October 24, 2018 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … April 25, 2016 Wrong-side thoracentesis: lessons learned from root cause analysis.

334. Root cause analysis of serious adverse events among older patients in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
     August 02, 2015 - Citation Related Resources From the Same Author(s) Wrong-side thoracentesis: lessons … learned from root cause analysis. … July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.

335. Injury to research volunteers—the clinical-research nightmare. | PSNet
     psnet.ahrq.gov/issue/injury-research-volunteers-clinical-research-nightmare
     December 19, 2017 - The authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons … learned can minimize future occurrences. … July 17, 2019 Lessons learned from implementing a principled approach to resolution following

336. Final Contract Report -- State and Regional Demonstration in Health Information Technology: Utah (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ut-final-report.pdf
     November 01, 2015 - Current UHIN governance structure (major components adopted in 2010) Lessons Learned About Governance … Lessons Learned About Business and Technical Operations It is important to involve community stakeholders … Lessons Learned About Legal/Policy Development It is vital that an HIE have a legal community stakeholder … Learned The salient lessons learned from semistructured interviews with a small sample of clinics … of Legal Counsel Developing Data Sharing Agreements Developing Liability Policy Lessons Learned About

337. 1. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen1.html
     April 01, 2018 - The dissemination materials were to include our findings, lessons learned, and a toolkit that could all … We could, however, use lessons learned during the pilot to revise and refine the main intervention, and … learned from the early steps in the pilot. … Later, we incorporate further lessons learned from later steps in the pilot. … In particular, based on our assessment and lessons learned, we identify the conditions and attributes

338. Lessons From Healthcare Organizations on Improving Patient Experience webcast-Ginsberg (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-ahrq-program.pdf
     November 01, 2006 - Lessons From Healthcare Organizations on Improving Patient Experience webcast-Ginsberg AHRQ’S CAHPS … by AHRQ; all surveys must adhere to CAHPS design principles to earn the trademark. 10 What We Learned … Evaluating the use of a modified CAHPS® survey to support improvements in patient-centred care: lessons … Evaluating the Use of a Modified CAHPS Survey to Support Improvements in Patient-Centered Care: Lessons

339. Transforming Primary Care Practice in North Carolina (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-donahue.pdf
     April 01, 2015 - about QI principles and key drivers of improvement in diabetes and asthma care and share successes and lessons … learned in practice transformation activities. … Lessons Learned and Implications for Others • Staff engagement: It was essential to engage staff at … Location Transformational Elements Key Impacts of Transformation Challenges to Transformation Lessons … Learned and Implications for Others

340. Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/stacia_cohen.pdf
     March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans Confidential and proprietary … WHAT WE’VE LEARNED •Not serving Commercial & Medicaid products the same – rigorous attention to understanding … scores “Environmental” Impacts on CAHPS scores Overcoming barriers Sustaining the gains What we’ve learned