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Showing results for "lessons learned".

361. Emerging-Strategies-Slides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/emerging-strategies-slides.pdf
     August 12, 2020 - Adjusting programs to less frequency -Priority focus for in-person time -Adjustments to monitoring Lessons … Learned and Emerging Challenges … 12 Lessons Learned What lessons have you learned or challenges are you

362. Adverse Health Care Events Reporting System: What Have We Learned? | PSNet
     psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
     February 28, 2015 - Book/Report Adverse Health Care Events Reporting System: What Have We Learned? … Citation Text: Adverse Health Care Events Reporting System: What Have We Learned? St. … Citation Citation Text: Adverse Health Care Events Reporting System: What Have We Learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons … learned.

363. Human factors engineering: its place and potential in OR safety. | PSNet
     psnet.ahrq.gov/issue/human-factors-engineering-its-place-and-potential-or-safety
     May 24, 2017 - September 28, 2022 Lessons learned implementing a complex and innovative patient safety … January 18, 2023 Lessons learned in implementing a chronic opioid therapy management … Lessons from aviation to improve patient safety.

364. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/37910/psn-pdf
     February 28, 2011 - Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance … Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance … https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed- performance-measure … The authors conclude with a number of lessons learned from this case example, including the tension … https://psnet.ahrq.gov/issue/public-reporting-antibiotic-timing-patients-pneumonia-lessons-flawed-performance-measure

365. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/851869/psn-pdf
     July 31, 2023 - learning organizations use high-reliability principles, develop feedback loops, and share findings and lessons … learned with other learning systems. … Debriefing skills learned in simulation can also be applied to actual patient care. … learned. … learned is the concern for potential litigation and liability.

366. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33775/psn-pdf
     December 01, 2014 - African Partnerships for Patient Safety: Lessons Learned December 1, 2014 Syed SS. … African Partnerships for Patient Safety: Lessons Learned. PSNet [internet]. 2014. … https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned Perspective … health workers in Africa and https://psnet.ahrq.gov/perspective/african-partnerships-patient-safety-lessons-learned … APPS focused on influencing national patient safety initiatives by highlighting what had been learned

367. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/33657/psn-pdf
     September 01, 2007 - This redesign fosters a culture of safety by constantly reinforcing the lessons learned at the weekly … This is a talent and a skill that can be learned. … How can a department assure itself that these lessons are being learned? … Since so many lessons are covered each year, new members no longer have to rediscover gravity! … from real-life cases, and to make those lessons into a living curriculum.

368. Spotlight on Illinois -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-illinois-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … learned, and outcomes from Illinois’s experience from February 2010 to February 2016 with the quality … Partner States: Illinois and Florida implemented similar projects and met monthly to share lessons learned … • Build on lessons learned from the CHIPRA quality demonstration to design a Statewide multipayer … /chipra/demoeval/what-we-learned/highlight12.html https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned

369. Supplement to Evaluation Highlight No. 6 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight06.html
     January 01, 2014 - The States intentionally delayed the implementation of Idaho’s project so that it could leverage the lessons … learned from Utah’s early experiences. … not an area of collaboration for the partners, they do share information on progress, challenges, and lessons … learned.

370. Creating a Communication Coaching Structure and Support for your CRP Program. | PSNet
     psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
     January 25, 2023 - October 19, 2022 View More Related Resources Lessons Learned about … June 26, 2019 A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing

371. Smart pumps: implications for nurse leaders. | PSNet
     psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
     February 02, 2022 - February 29, 2012 Intravenous medication safety and smart infusion systems: lessons learned … March 22, 2011 Intravenous medication safety and smart infusion systems: lessons learned

372. Pohl, Joanne | Digital Healthcare Research
     digital.ahrq.gov/principal-investigator/pohl-joanne
     January 01, 2023 - Diabetes and hypertension quality measurement in four safety-net sites: lessons … learned after implementation of the same commercial electronic health record. … Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation

373. CDSiC Stakeholder Center Quarterly Report, July to September 2023 | CDSiC
     cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-July-Sept-2023
     October 01, 2023 - Planning Committee met in August 2023 to reflect on Center accomplishments in the base period, discuss lessons … learned and areas for improvement, and preview potential ideas for Workgroup activities during the project … Related Resources Lessons Learned from a National Initiative Promoting Publicly Available Standards-Based

374. What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness. | PSNet
     psnet.ahrq.gov/issue/what-do-we-really-know-about-crew-resource-management-healthcare-umbrella-review-crew
     September 29, 2021 - the need for future research to expand beyond acute care and to investigate the sustainability of lessons … learned from CRM trainings. … View More Related Resources Understanding ultrarare adverse events - lessons … learned from a twelve-year review of intraoperative deaths at an academic medical center.

375. Becoming a high-reliability organization through shared learning of safety events | PSNet
     psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
     February 12, 2020 - December 19, 2012 Lessons learned from a death outside a hospital's doorstep. … March 22, 2023 Lessons learned from a systems approach to engaging patients and families

376. Featured Sessions | Digital Healthcare Research
     digital.ahrq.gov/featured-sessions
     January 01, 2023 - learned" from a real world experience adapting existing infrastructure, identifying patients, and handling … LLP ( PDF , 604.54 KB) Tuesday, June 6th, 2006 11:45 am - 12:45 pm Room: 16 Wrap-up Session and Lessons … Learned with Carolyn Clancy As the final wrap-up for the 2006 AHRQ Patient Safety and Health IT Meeting … present information summarizing the content and key takeaways from their tracks highlighting insights, lessons … learned and practical recommendations offered by our presenters Facilitators: Carolyn Clancy, Marge

377. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-slides.html
     December 01, 2017 - Slide 9 Lessons Learned = Sustaining the Gain Ensure administration is aware of your efforts … Slide 10   Lessons Learned = Sustaining the Gain Keep CAUTI project on the “front burner” … Slide 11 Lessons Learned = Sustaining the Gain Continue to work on staff competency (insertion … Slide 13   Lessons Learned = Sustaining the Gain Treat a “CAUTI with respect – Learning from … Slide 15 Lessons Learned = Sustaining the Gain Data drives practice and improvement….

378. Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit. | PSNet
     psnet.ahrq.gov/issue/computerized-provider-order-entry-implementation-no-association-increased-mortality-rates
     November 16, 2022 - The authors noted that the lessons learned from the initial implementation problems were essential to … July 3, 2016 Project BOOST implementation: lessons learned.

379. Mortality and morbidity meetings: an untapped resource for improving the governance of patient safety? | PSNet
     psnet.ahrq.gov/issue/mortality-and-morbidity-meetings-untapped-resource-improving-governance-patient-safety
     June 25, 2014 - April 5, 2023 Governing patient safety: lessons learned from a mixed methods evaluation … 29, 2014 Prospects for comparing European hospitals in terms of quality and safety: lessons … January 29, 2014 Governing patient safety: lessons learned from a mixed methods evaluation

380. Oversedation of a patient with obstructive sleep apnea prior to imaging. | PSNet
     psnet.ahrq.gov/issue/oversedation-patient-obstructive-sleep-apnea-prior-imaging
     September 02, 2020 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … January 17, 2017 Shaping systems for better behavioral choices: lessons learned from