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Showing results for "lessons learned".

3301. Guide to Sustainability Planning: Long-Term Care Facilities (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
      June 01, 2021 - The goal of this guide is to help your facility continue to apply what health care providers have learned … ensure new personnel have access to the educational toolkit and learn how to incorporate the principles learned … understand the importance of periodically reviewing the educational toolkit to refresh the concepts learned … Quality collaboratives: lessons from research. Qual Saf Health Care. 2002 Dec;11(4):345-51.

3302. Appendix U. Improving the Measurement of Surgical Site Infection (SSI) Risk Stratification and Outcome Detection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
      September 01, 2018 - Slide 17 Lessons Learned Common electronic data markers of infection are not informative enough … Slide 32 Lessons Larger datasets (NHSN) more appropriate for this Mandatory field entry important

3303. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836939/psn-pdf
      April 27, 2022 - Lessons from other countries and early reports from the United States showed that staff at sites treating … Provider burnout and fatigue during the COVID-19 pandemic: lessons learned from a high-volume intensive

3304. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852699/psn-pdf
      August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic. … National-Steering-Committee-Patient-Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety

3305. Adding Clinical Data Elements to Administrative Data
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUP11182009CSullivanFinal.jsp
      April 01, 2011 - Children's 12,060 10,397 0.9 5.1 All Children's 5,947 316,479 53.2 6.3 Lessons … Learned and Lessons to Learn Never underestimate the complexity of your data Never overestimate

3306. Resilient Healthcare and the Safety-I and Safety-II Frameworks | PSNet
      psnet.ahrq.gov/perspective/resilient-healthcare-and-safety-i-and-safety-ii-frameworks
      December 14, 2022 - Safety-I and Safety-II offer complementary perspectives about what work to examine and what lessons may … be learned. … Debriefing skills learned in simulation are very applicable to real patient care circumstances. … collaborate with leadership, healthcare workers, patients, and families, to apply skills and tactics learned

3307. In Conversation with... Ellen Deutsch, MD, MS, FACS, FAAP, FSSH, CPPS | PSNet
      psnet.ahrq.gov/perspective/conversation-ellen-deutsch-md-ms-facs-faap-fssh-cpps
      December 14, 2022 - Safety-I and Safety-II offer complementary perspectives about what work to examine and what lessons may … be learned. … Debriefing skills learned in simulation are very applicable to real patient care circumstances. … collaborate with leadership, healthcare workers, patients, and families, to apply skills and tactics learned

3308. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49408/psn-pdf
      July 01, 2003 - 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.

3309. Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/mincer.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … Lessons learned and processes developed during this project were incorporated into an SDM “Train-the … Group Health’s participation in a shared decision-making demonstration yielded lessons, such as role … Group Health’s participation in a shared decision-making demonstration yielded lessons, such as role

3310. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/50614/psn-pdf
      October 30, 2019 - RW: What are some of the lessons you've learned about evidence to practice? … discussions at Michigan, but I'll say that most of the times, there is genuine surprise regarding what is learned … Much of what I've learned about PICCs, about vascular catheters, I have learned from that group. … the right place, about number of lumens, about catheter-to-vein ratios, things that you and I never learned

3311. The Final Check: Say it Out Loud. | PSNet
      psnet.ahrq.gov/issue/final-check-say-it-out-loud
      July 31, 2023 - January 14, 2011 Errors in laboratory medicine: practical lessons to improve patient

3312. Your Project Checklist | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/resources/checklist.html
      February 01, 2019 - section discusses ways to assess the effectiveness of your report card and suggests how to use the lessons

3313. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/37290/psn-pdf
      February 15, 2011 - graduate-medical-education-and-patient-safety-busy-and-occasionally-hazardous-intersection https://psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations

3314. Preparing for Ambulatory Computerized Prescriber Order Entry by Evaluating Preimplementation Medication Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
      July 01, 2003 - Stephanie Te, Carolyn Wong Abstract The objective of this report is to describe the methods used in and lessons … learned from a research study that evaluated prescriptions for medication errors prior to the implementation … Lessons learned are summarized. … Addressed are the developments of research methods; decisions made to streamline the methods; and lessons … learned in addressing the challenges inherent in measuring the baseline rate of medication errors in

3315. Quality Improvement Strategies | Agency for Healthcare Research and Quality
      www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
      July 01, 2021 - References to case study examples are provided when applicable and notable lessons learned specific to … References to case study examples are provided when applicable and notable lessons learned specific to … References to case study examples are provided when applicable and notable lessons learned specific to

3316. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60242/psn-pdf
      March 01, 2021 - Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed. … Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed. … +Learned+and+Effects+Observed https://pubmed.ncbi.nlm.nih.gov/26871704/?

3317. An Etiology for Medication Ordering Errors in CPOE Systems - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
      January 01, 2020 - In this final report, we summarize the background, methodology, results, and lessons … learned from our AHRQ R21 observational study on the void function. … methadone program) Wrong Encounter CPOE-CDS level • Label encounters to be more noticeable on display Lessons … Learned and Conclusions Clinicians used the CPOE-based void function to intercept and report different … Learned and Conclusions Additional Analysis related to the AHRQ R21 Study Implementation Products

3318. Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative. | PSNet
      psnet.ahrq.gov/issue/eight-years-decreased-methicillin-resistant-staphylococcus-aureus-health-care-associated
      March 23, 2012 - August 14, 2018 Addressing the opioid epidemic in the United States: lessons from the … 2017 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

3319. Organisational crisis resource management: leading an academic department of emergency medicine through the COVID-19 pandemic. | PSNet
      psnet.ahrq.gov/issue/organisational-crisis-resource-management-leading-academic-department-emergency-medicine
      September 29, 2021 - December 21, 2017 Crisis management for surgical teams and their leaders, lessons from … Lessons from aviation for returning to non-urgent surgery following COVID-19.

3320. Sustaining reliability on accountability measures at the Johns Hopkins Hospital. | PSNet
      psnet.ahrq.gov/issue/sustaining-reliability-accountability-measures-johns-hopkins-hospital
      January 19, 2014 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation … December 1, 2010 Tracking rates of patient safety indicators over time: lessons from