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Showing results for "lessons learned".

3641. 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

3642. 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.

3643. Final Progress Report: Optimal Prevention of Hospital-Acquired Venous Thromboembolism (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/maynard-report.pdf
      January 01, 2024 - Protocol on VTE at UCSD in 2005-06 compared with 2007 Toolkit development, dissemination, and key lessons … learned are incorporated into the discussion below. … Lessons Learned The UCSD VTE prevention team used a proven performance improvement framework modeled … Working with other VTE and performance improvement experts from SHM, and using the lessons promoted

3644. Final Progress Report: Conference Proceedings: Interventions to Improve Quality in the Crowded Emergency Department (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/pines-mccarthy-report.pdf
      January 01, 2024 - To improve the quality of anesthesia care, the specialty borrowed heavily from techniques and lessons … learned in the aviation industry and created basic standards for monitoring during anesthesia. … interventions have been implemented in countries with a national healthcare system, there are still many lessons … The Past, Present, and Future of Urgent Matters: Lessons Learned from a Decade of Emergency Department

3645. The Impact of a Patient Safety Program on Medical Error Reporting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
      January 01, 2001 - First, as an Air Force hospital closely associated with aviation, this program draws heavily from the lessons … learned about human error and flight mishaps.10 The aviation industry developed a safety program known … Medical Team Management has incorporated many of the lessons learned from Crew Resource Management.

3646. Section 1: Planning a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
      October 01, 2014 - √ Build on lessons learned from other States by attending national meetings and networking with … Build on Lessons Learned from Other States State staff can learn from successes and "productive failures

3647. Section 2: Engaging Stakeholders in a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
      October 01, 2014 - The two programs can potentially share lessons learned. … Lessons Learned: Communicating with the State Legislature Coordinate and communicate with legislators

3648. Patient Safety Action Alliance: Request for Information (RFI) Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-rfi-report-040323_LOCKED.pdf
      March 01, 2023 - o The Alliance should provide a central repository of lessons learned, best practices, and harm events … o The Alliance should provide a central repository of lessons learned, best practices, and harm events

3649. Reforming the Medical Liability System in Massachusetts: Communication, Apology, and Resolution (CARe) | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/sands.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 … standardized root cause analysis processes; transparent compensation formulas; and mechanisms for sharing “lessons … learned” to improve patient safety.

3650. The New York Model: Root Cause Analysis Driving Patient Safety Initiative to Ensure Correct Surgical and Invasive Procedures (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
      March 27, 2008 - Lessons learned: Wrong site surgery; Oakbrook Terrace, IL: The Joint Commission; 1998 Aug 28. … Flink, E, Chevalier, EC, Ruperto, A, et al., Lessons learned from the evolution of mandatory adverse

3651. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33804/psn-pdf
      March 03, 2016 - I had learned from that experience that just because there had been a randomized controlled trial involving … But we certainly learned a lot as the project unfolded. … I mean it takes a tremendous amount of humility and openness to what the lessons are from the field, … Dixon-Woods and Peter Pronovost about how Michigan worked, it strikes me that you've scaled up those lessons

3652. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/74226/psn-pdf
      February 01, 2019 - program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned. … program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned.

3653. Veterans Health Administration Stratification Tool for Opioid Risk Mitigation (STORM) Shows Promise for Targeting Prevention Interventions to Reduce Mortality in Patients Who Are Prescribed Opioids | PSNet
      psnet.ahrq.gov/innovation/veterans-health-administration-stratification-tool-opioid-risk-mitigation-storm-shows
      October 30, 2024 - program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned. … program evaluation: interdisciplinary reviews associated with decrease in all-cause mortality and other lessons … learned.

3654. In Conversation With… Paul McGann, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-paul-mcgann-md
      July 10, 2024 - I had learned from that experience that just because there had been a randomized controlled trial involving … But we certainly learned a lot as the project unfolded. RW : What does bidirectionality mean? … I mean it takes a tremendous amount of humility and openness to what the lessons are from the field, … Dixon-Woods and Peter Pronovost about how Michigan worked, it strikes me that you've scaled up those lessons

3655. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33686/psn-pdf
      August 01, 2009 - many academic and consumer articles, which focus on optimizing organizational effectiveness through lessons … While rivals were in the mindset of planning, command, and control, Toyota had learned that no amount … several months, they started tackling this problem, these constant breakdowns in care, in the ways we learned … These people often find that there are so many disanalogies that the lessons aren't transferable.

3656. Precision Emergency Medicine: Setting a Research Agenda - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r13hs029275-final-report-gisondi-2023.pdf
      January 01, 2023 - Closing: “The Lessons Learned and Next Steps” Speakers: Holly Caretta-Weyer, Michael Gisondi, Matthew … Closing: “The Lessons Learned and Next Steps” 6. RESULTS 7.

3657. Using eHealth to Expand Access to Cognitive Behavioral Therapy for Insomnia in Hispanic Primary Care Patients - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs024274-alcantara-final-report-2024.pdf
      January 01, 2024 - However, important lessons can be learned and insights can be gleaned from these preliminary results … Recruitment Challenges, Opportunities, and Lessons Learned from a Digital Therapeutics Behavioral

3658. A National Web Conference on the Role of Telehealth to Increase Access to Care and Improve Healthcare Quality - Slides (pdf file)
      digital.ahrq.gov/sites/default/files/docs/telehealth-slides-06092020.pdf
      June 09, 2020 - the short term • Ability to see patients more often may improve long term disease outcomes 44 Lessons … Learned: Patient and Provider Perspectives Avoid travel Save money More frequent visits Improve communication … Telemedicine Quality of Care for RA with Telemedicine Limitations of the Study Study Conclusions Lessons … Learned: Patient and Provider Perspectives The Future of Telehealth in Clinical Practice The Future

3659. Electronic Records to Improve Care for Children (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
      January 01, 2007 - Lessons learned can be generalized because Centricity and MDLink are vendor-supplied products that can … disseminated information about our successes in creating an HIE, improving quality thru decision support, and lessons … learned about successful implementation.

3660. National Web-Based Teleconference on Health IT and Safety - Using Health IT to Prevent Adverse Events (pdf file)
      digital.ahrq.gov/sites/default/files/docs/Health_IT_and_Safety_070910_comp.pdf
      July 13, 2010 - improvements – Electronic – Face-to-face Continued Feedback eMAR Lessons … Learned • Training is most successful when clinicians teach clinicians … Solutions Physician Workflow Solutions Over Reliance Technology is a Tool Continued Feedback eMAR Lessons … Learned In Summary Thank You!