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Showing results for "lessons learned".

3461. The checklist--a tool for error management and performance improvement. | PSNet
      psnet.ahrq.gov/issue/checklist-tool-error-management-and-performance-improvement
      June 29, 2011 - September 17, 2010 Reducing health care hazards: lessons from the Commercial Aviation

3462. Why a sociotechnical framework is necessary to address diagnostic error. | PSNet
      psnet.ahrq.gov/issue/why-sociotechnical-framework-necessary-address-diagnostic-error
      September 14, 2022 - November 12, 2014 How doctors think: common diagnostic errors in clinical judgment--lessons

3463. The ongoing quality improvement journey: next stop, high reliability. | PSNet
      psnet.ahrq.gov/issue/ongoing-quality-improvement-journey-next-stop-high-reliability
      January 23, 2012 - September 20, 2011 Reducing health care hazards: lessons from the Commercial Aviation

3464. Improving diagnosis: adding context to cognition. | PSNet
      psnet.ahrq.gov/issue/improving-diagnosis-adding-context-cognition
      July 12, 2023 - July 26, 2023 Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3.

3465. Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through Health IT Grant Initiative (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
      February 20, 2014 - Findings and Lessons From the Improving Management of Individuals With Complex Health Care Needs Through … and Quality | MCPi AHRQ Health Information Technology Ambulatory Safety and Quality Findings and Lessons … Suggested Citation: Findings and Lessons From the Improving Man- agement of Individuals With Complex … This is one of a series of five reports highlighting findings and lessons from the health IT-focused … During the project, the researchers learned that adoption of the system was limited by the lack of

3466. 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/?

3467. 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

3468. 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

3469. 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

3470. A National Web Conference on Evaluation of Personal Health Record (PHR) Systems and their Impact on Chronic Disease (pdf file)
      digital.ahrq.gov/sites/default/files/docs/phr-impact-chronic-disease-slides-012512.pdf
      January 25, 2012 - Implementing PHRs for Patients with Chronic Disease: Lessons Learned Peggy J. Wagner, Ph.D. … Disease Moderator and Presenters�Disclosures Implementing PHRs for Patients with Chronic Disease: Lessons … Learned Objectives Study Design Outcome Measures Before We Started We Got Reactions . . . . .

3471. Diagnostic Delay in the Emergency Department | PSNet
      psnet.ahrq.gov/web-mm/diagnostic-delay-emergency-department
      September 18, 2024 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records. … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned … August 30, 2023 The safety journal: lessons learned with an error reporting tool

3472. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846564/psn-pdf
      March 29, 2023 - The authors also presented evidence that it was cost-effective and detailed implementation lessons learned … //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

3473. The Long Term Effectiveness of Telephone Intervention Problem Solving (TIPS) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs022166-beebe-final-report-2016.pdf
      January 01, 2016 - of weekly TIPS calls • Lessons … learned regarding study retention • Further evidence of the safety of TIPS • Adds to the literature … The Student Role on the Research team: Experiences and Lessons Learned.

3474. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-facguide.docx
      January 01, 2017 - Previous State-Level Success… SAY: The Comprehensive Unit-based Safety Program, or CUSP, builds on the lessons … learned from previous successful statewide efforts, including the Michigan Keystone ICU program to improve … Slide 14 …and National-Level Highlights SAY: CUSP also builds on the lessons learned from the National

3475. Mobile Patient-Reported Outcomes for Value and Effectiveness (mPROVE) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/u18hs026883-jih-final-report-2024.pdf
      January 01, 2024 - However, the most significant implication of this project are the lessons learned in undertaking a project … To that end, we are in the final stages of a manuscript reported on the lessons learned from the mPROVE

3476. Health Information Technology and Improving Medication Use | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use
      January 01, 2023 - Medical Record , Electronic Prescribing , Health Information Exchange , Voice Recognition Lessons … learned from implementation of a computerized application for pending tests at hospital discharge. … Lessons learned from implementation of a computerized application for pending tests at hospital discharge

3477. Diagnostic Errors: A New Chapter in Patient Safety Science, Policy, and Practice | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-new-chapter-patient-safety-science-policy-and-practice
      January 01, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record. … MG : We didn't know either, but after a few calls to the Institute of Medicine we learned. … Also I'm a huge fan of the AHRQ WebM&M conferences, and there are many, many valuable lessons in there … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders … August 7, 2024 The safety journal: lessons learned with an error reporting tool to stimulate

3478. Beyond the Hospital: the New Frontier of Patient Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-hospital-new-frontier-patient-safety
      August 01, 2014 - RW : Are there any other differences that make it hazardous to extrapolate things we've learned from … RW : You mentioned that some lessons from other industries that seem to be at least somewhat useful in … Are there lessons from other industries that do translate very well to the ambulatory side? … Perspective African Partnerships for Patient Safety: Lessons … Learned December 1, 2014 Perspective Overuse

3479. Partnering to Improve Patient Safety in Rural WV - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014920-bellamy-final-report-2007.pdf
      January 01, 2007 - conference calls took place over the course of both collaboratives to share “best practices” and “lessons … learned.” … learning sessions also provided an opportunity for similar facilities to discuss best practices and lessons … learned, as well as any problems or concerns encountered with the RCA process. 12 … Using the AHRQ Hospital Survey on Patient Safety Culture – Lessons Learned.

3480. State at a Glance: Illinois | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/il.html
      March 01, 2019 - What are the key lessons from Illinois's experience that would be useful for other States?