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Showing results for "lessons learned".

3601. Developing and Sustaining State-Based Infrastructure To Support Primary Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/projects/state/how-to-guide/how-to-guide.pdf
      August 01, 2024 - The guide includes effective approaches, lessons learned, and example materials from the Agency for Healthcare … learned from them. … In the sections below, we draw on the practice recruitment experi- ences and lessons learned from across … learned for QI implementation. … Among these lessons, evaluators found that effective practice facilitators use a combination of the

3602. Improving the Quality of Asthma Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/asthmaqual/index.html
      October 01, 2014 - Guide , the interactive Workbook presents review exercises for State leaders on the key skills and lessons

3603. Special Issue on Health Literacy. | PSNet
      psnet.ahrq.gov/issue/special-issue-health-literacy
      December 23, 2011 - 28, 2015 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons

3604. Aviation's gift to health care. | PSNet
      psnet.ahrq.gov/issue/aviations-gift-health-care
      December 19, 2018 - This article reports on the lessons that medicine is learning from the aviation industry, particularly

3605. Patient Safety. | PSNet
      psnet.ahrq.gov/issue/patient-safety-11
      September 01, 2018 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

3606. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73873/psn-pdf
      September 29, 2021 - https://psnet.ahrq.gov/issue/learning-morbidity-and-mortality-conferences-focus-and-sustainability-lessons-patient-care

3607. VA Interprofessional Fellowship Program in Patient Safety. | PSNet
      psnet.ahrq.gov/issue/va-interprofessional-fellowship-program-patient-safety
      May 24, 2017 - A guide to evaluation of quality improvement and patient safety educational programs: lessons

3608. Diagnostic Excellence. | PSNet
      psnet.ahrq.gov/issue/diagnostic-excellence-0
      December 08, 2021 - December 8, 2021 Hospital-acquired SARS-CoV-2 infection: lessons for public health.

3609. Standards, audits, and saying I'm sorry: an engineer's family proposes solutions. | PSNet
      psnet.ahrq.gov/issue/standards-audits-and-saying-im-sorry-engineers-family-proposes-solutions
      February 22, 2010 - He proposes that the medical profession can learn valuable lessons from the engineering safety culture

3610. An Ambulatory Care Curriculum for Advancing Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Mottur.pdf
      June 01, 2005 - I’ve learned a lot and improved the safety of my practice.” … In addition, 19 interested parties learned of the program from colleagues and requested copies of the … Finally, the take-home points reinforce the lessons learned during the interactive case analysis with … The outcomes of outcomes and effectiveness research: impact and lessons from the first decade.

3611. Final Progress Report: Improving Patient Safety by Examining Pathology Errors (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/raab-report.pdf
      January 01, 2025 - Lessons learned from a national pathology patient safety database. Mod Pathol 2004;17;348A. … Lessons learned from a national cytology errors database. … Lessons learned from a national pathology patient safety database. … Patient safety in pathology: lessons learned. … Lessons learned from a national cytology errors database.

3612. In Conversation with…Albert Wu, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-withalbert-wu-md-mph-0
      March 24, 2025 - I think understanding what happened and what could have been done, or the lessons that might be learned

3613. 004-Cusp-Learning-From-Defects (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/004-cusp-learning-from-defects.docx
      October 01, 2024 - Reflect SAY: Around 3 months later, the CUSP team reflected on whether the interventions worked and what lessons … were learned with the Investigating a Defect Worksheet.

3614. Clarifying Objectives When Promoting a Health Care Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/distribute/promote/clarify.html
      November 01, 2018 - Also in " Promote Your Report " Why You Must Promote Your Report Understanding and Using the Lessons

3615. TeamSTEPPS Video-Based Simulation: Facilitator Guide Module 4 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-4-mutual-support-facilitator-guide.pdf
      June 02, 2025 - base by email soon to share the key takeaways we heard today and ask you to think about what today’s lessons … optional) After the session, you may want to follow up with the participants to reinforce what they learned … I trust that you have been able to use some of the strategies we learned in the training session.

3616. Communication-Focused Technologies: Technologies for Enhancing Access to Health Management (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/teahm_study_action_final061511comp.pdf
      June 01, 2011 - Learned ............................................................................................ … Learned Participants • Most participants had used an automatic blood pressure device of some kind … Summary of Lessons Learned Participants • Most participants had used an automatic blood pressure … Lessons Learned In your opinion, what was the most important lesson that was learned from pilot testing … for Improvement Summary of Lessons Learned Participants Senior Center Staff Primary Care Physicians

3617. In Conversation With… Amy J. Starmer, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-amy-j-starmer-md-mph
      May 31, 2023 - These experiences led me to pursue fellowship training, where I learned the importance of tying the assessment … Key lessons learned were that in order to ensure transformational change of something as culturally ingrained … With the multisite study, we learned that there are still constraints in terms of how these systems are

3618. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
      March 01, 2019 - What are the key lessons from Pennsylvania's experience that would be useful for other States?

3619. New Insights on Safety and Health IT | PSNet
      psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
      August 01, 2015 - implementations, we believe that health care systems and vendors would be well served by a library of lessons … learned and use cases that they can draw upon to design and install their systems. … RW : I learned something from each interview, and it made it an incredibly rich experience. … I do think there are huge lessons to be drawn from those examples. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned

3620. Development and Implementation of The University of Texas Close Call Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Martin.pdf
      March 01, 2004 - system in today’s health care system, including references to the Institute of Medicine reports, lessons … learned from the aviation industry, and the similarity of underlying causes for close calls and errors … Currently, the project team is formalizing plans to share themes and lessons learned across institutions … Reporting and preventing medical mishaps: lessons from nonmedical near miss reporting systems.