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Showing results for "lessons learned".

3541. A qualitative survey of factors shaping the role of a safety professional. | PSNet
      psnet.ahrq.gov/issue/qualitative-survey-factors-shaping-role-safety-professional
      August 12, 2020 - Sustaining quality improvement and patient safety training in graduate medical education: lessons

3542. Planning and implementing a systems-based patient safety curriculum in medical education. | PSNet
      psnet.ahrq.gov/issue/planning-and-implementing-systems-based-patient-safety-curriculum-medical-education
      June 29, 2009 - April 6, 2012 Improving patient safety: lessons from rock climbing.

3543. What happened to my patient? An educational intervention to facilitate postdischarge patient follow-up. | PSNet
      psnet.ahrq.gov/issue/what-happened-my-patient-educational-intervention-facilitate-postdischarge-patient-follow
      June 22, 2022 - Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

3544. Medication errors and trainees: advice for learners and organizations. | PSNet
      psnet.ahrq.gov/issue/medication-errors-and-trainees-advice-learners-and-organizations
      April 10, 2019 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons

3545. Connecting Healthcare in Central Appalachia - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
      January 01, 2008 - Many lessons were learned and these opportunities were carried forward as preparations were made for … This implementation also went very well even though many things continued to be learned as this … these systems will integrate together through the clinicals infrastructure (HCI), as noted above, and lessons … learned from this grant funded HPF implementation will be utilized for future implementations. … Information Systems Steering Committee also helped determine the success of this implementation and generate lessons

3546. Spotlight Case [MONTH] 2003 (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.188_slideshow.ppt
      November 01, 2008 - decision-making (e.g., transfer patient now versus incur more shift changes & sign-outs) Assumptions & Lessons … Available at: http://www.ncbi.nlm.nih.gov/pubmed/18245211 Assumptions & Lessons (from Cognitive … contingency plans, and allow for flexibility to deviate in exceptional circumstances Assumptions & Lessons … page=637&calcTitle=1&title_id=9545&edition_id=10284 Assumptions & Lessons (3) (from Cognitive Engineering

3547. Final Progress Report: Factors Associated with Effective Implementation of a Surgical Safety Checklist (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/singer-report.pdf
      January 01, 2024 - Practically, lessons learned from effective implementers will inform the implementation process for … Factors associated with successful implementation of health delivery innovations: Lessons from Safe … Framing for learning: Lessons in successful technology implementation. … Team Research in the 80s: Lessons Learned. Orlando, FL: Naval Training Systems Center. … Managing the change to an automated office: Lessons from five case studies.

3548. State at a Glance: Massachusetts | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
      March 01, 2019 - What are the key lessons from Massachusetts's experience that would be useful for other States?

3549. PCOR Trust Fund Investments At-A-Glance | Agency for Healthcare Research and Quality
      www.ahrq.gov/pcor/at-a-glance/index.html
      October 01, 2024 - AHRQ uses learning collaboratives among grantees to share valuable lessons, resources, curriculum, and

3550. Guide for Safe Transitions to New Appointments (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/safetransitions/safetrans_guide.pdf
      December 01, 2017 - Promoting Effective Self-Management Approaches to Improve Chronic Disease Care: Lessons Learned. … publications/2008/04/promoting-effective- selfmanagement-approaches-to-improve-chronic-disease-care-lessons-learned … Reducing hospital readmissions: lessons from top-performing hospitals.

3551. In Conversation With… Vineet Chopra, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-vineet-chopra-md-msc
      February 28, 2024 - 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

3552. Home | PSNet
      psnet.ahrq.gov/
      March 25, 2025 - ) Organizational learning is an environmental state that ensures lessons

3553. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49664/psn-pdf
      January 01, 2013 - Despite very clear contextual differences, every complex system aims for improvement, and translating lessons … Handoff strategies in settings with high consequences for failure: lessons for health care operations

3554. In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-mcgaffigan-about-beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify … Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic.

3555. Can patient safety incident reports be used to compare hospital safety? Results from a quantitative analysis of the English National Reporting and Learning System data. | PSNet
      psnet.ahrq.gov/issue/can-patient-safety-incident-reports-be-used-compare-hospital-safety-results-quantitative
      October 31, 2014 - January 13, 2010 Crisis management for surgical teams and their leaders, lessons from

3556. Pennsylvania State at a Glance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/pastateataglance.pdf
      March 01, 2012 -  What are the key lessons from Pennsylvania’s experience that would be useful for other States?

3557. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850675/psn-pdf
      June 14, 2023 - www.ahrq.gov/patient-safety/patients-families/engagingfamilies/guide.html https://psnet.ahrq.gov/issue/lessons-learned-systems-approach-engaging-patients-and-families-patient-safety-transformation … emergency as a conduit of information between hospitals, patients, families, and communities is one lesson learned

3558. Assessing the Impact of a Dynamic Chronic Care Registry on the Quality of Care (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareregistry_120111comp.pdf
      November 09, 2011 - Learned/Unintended Consequences .................................................................... … Learned/Unintended Consequences .................................................................... … The lessons learned may be pertinent to other chronic diseases that can be tracked through registries … Lessons Learned/Unintended Consequences Several themes and lessons have emerged from the program implementation … Learned/Unintended Consequences Several themes and lessons have emerged from the program implementation

3559. Beyond the Pandemic: Creating Total Systems Safety | PSNet
      psnet.ahrq.gov/perspective/beyond-pandemic-creating-total-systems-safety
      August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose through lessons … learned during the pandemic. … We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify

3560. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/852700/psn-pdf
      August 30, 2023 - We had weekly calls and huddles with colleagues who shared their experiences and lessons learned. … examples of early adopters, and have actively and transparently shared their experience, progress, and lessons … learned in webinars and at conferences and are paving the way for all organizations to reset and fortify