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Total Results: 5,362 records

Showing results for "lessons learned".

3661. Is the "Surgical Personality" a Threat to Patient Safety? | PSNet
      psnet.ahrq.gov/web-mm/surgical-personality-threat-patient-safety
      February 24, 2021 - and Remember ) honed their skills serving in MASH units in Korea; they were trained by physicians who learned … The IOM report not only decried dysfunctional approaches to managing errors; it also pointed to lessons … Finally, the lessons of experience are communicated through a dense oral culture—inexperienced workers

3662. Health Information Exchange | Digital Healthcare Research
      digital.ahrq.gov/health-information-exchange-2
      January 01, 2023 - interoperable RHIO solution among various EHR systems from more than 30 vendors will be analyzed, with key lessons … The lessons learned from these initiatives will help us better understand the issues and implement effective

3663. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33762/psn-pdf
      March 01, 2014 - What are a few lessons that people in the infection world have learned that might be relevant to patient … Why do you think that difference arose, and are lessons about how the infection world collects evidence

3664. 2. Overview of AHRQ's Recent Investments in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2024-annual-report/overview.html
      April 01, 2024 - and factors positively and negatively affect the results of state actions, and provide findings and lessons … support grantees’ success, creating a learning community to support peer-to peer sharing of resources and lessons … learned, and evaluating the program’s impact.

3665. Final Progress Report: Cook County & Rush Developmental Center for Research in Patient Safety: Diagnosis Error Evaluation and Research (DEER) Project (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/schiff-mcnutt-report.pdf
      January 01, 2025 - learned. … We learned that diagnosis errors, though common and under-emphasized, are also challenging to detect … From our preliminary analysis we learned: 1) Our reported diagnosis error cases illustrate a wide spectrum … Diagnosing Diagnostic Errors: Lessons from a Multi- Institutional Collaborative Project. … AHRQ diagnosis error project: Lessons learned. Chicago Patient Safety Forum.

3666. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/838221/psn-pdf
      September 28, 2022 - KH: What would you say are some your biggest lessons learned from that engagement? … The other thing that's really important, is that what we've learned during the epidemic is that even … FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … The other interesting thing that I've learned recently was from overseeing a student who has been helping

3667. 3. Building and Maintaining a Network of Primary Care Practices | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/state/how-to-guide/guide3.html
      August 01, 2024 - In the sections below, we draw on the practice recruitment experiences and lessons learned from across … Through these efforts, it learned that practices were looking to support health coaches, internal QI … In response to what they learned through this process, the cooperative budgeted to include an annual … The Tennessee Heart Health Network also learned that though practices saw the value of participation,

3668. Presentation: Science of Improving Patient Safety and Identifying Defects
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_scienceofsafety_training.pptx
      December 01, 2017 - safety team Locate resources on the program Web site to complete the above tasks Share what you’ve learned … developing handouts, posters, or newsletter articles to help introduce and reinforce the concepts you’ve learned … resources on the program Web site to help complete the above tasks We ask that you share what you’ve learned … with your teams. 30 Lessons Learned Every system is designed to achieve the results it gets Recognize

3669. Improving Communication and Teamwork in the Surgical Environment
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-slideset.pptx
      May 01, 2017 - numbers cannot Encourage your team leaders to discuss actual patient stories to drive home important lessons … Incorporate evaluation findings Initiate breakthrough conversations4 Share proven safe practices and lessons … learned Review data regularly by senior leadership and all facility stakeholders 45 Million Lives Campaign

3670. CDS Connect Work Group June 2021 Summary (pdf file)
      cds.ahrq.gov/sites/default/files/workgroups/13461/CDS_Connect_WG_June_2021_Summary_0.pdf
      January 01, 2021 - continues to evaluate the tools by running visit simulations with patients and providers; to date, few lessons … have been learned regarding patient needs.

3671. Session 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/mod1sess1.html
      October 01, 2014 - Key Lessons: Learn to notice a change early. … Your coworkers may have learned things you need to know from other care providers or from family members

3672. Mark My Limb | PSNet
      psnet.ahrq.gov/web-mm/mark-my-limb
      February 10, 2015 - Lessons learned: wrong site surgery.

3673. Teaching Implementation Planning | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/implement/teach.html
      January 01, 2024 - the TeamSTEPPS intervention is an iterative process that is likely to evolve based on discussions and lessons … learned at each phase.

3674. Part Three: Three Strategies for Continuous Improvement of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/three-strategies.html
      February 01, 2016 - Performance improvement messaging for physicians: lessons from market research* To some … In cognitive testing, physicians are asked to tell, in their own words, what they learned from different

3675. CHIPRA - Spotlight on New Mexico (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/nm-statesum.pdf
      July 01, 2015 - CHIPRA - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned

3676. Spotlight on New Mexico | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/statesummaries/nm-spotlight.html
      July 01, 2015 - Spotlight on New Mexico July 2015 This brief highlights the major strategies, lessons learned

3677. Equipment and Supplies | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit3.html
      July 01, 2018 - that a terrorist incident or disaster occurs, and the facility must be opened for surge use, valuable lessons … will be learned during operations as a surge facility.

3678. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
      digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
      January 01, 2020 - strategies across different healthcare systems and technologies (e.g., different EHRs) and disseminate lessons … learned about how to achieve scalability and interoperability.  

3679. Reports from the States | Agency for Healthcare Research and Quality
      www.ahrq.gov/policymakers/chipra/demoeval/state-reports/index.html
      March 01, 2019 - Models Florida Pediatric Medical Home Demonstration Project This Web site highlights the successes, lessons … learned and quality improvement outcomes of this demonstration project.

3680. Chapter 6. Project Findings for Goal 2 | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter6.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.