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Total Results: 5,362 records

Showing results for "lessons learned".

3681. Understanding SOPS® Surveys: A Primer for New Users - Hare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-hare.pdf
      January 01, 2022 - their respective healthcare organizations, they have tackled these complex issues and present t he lessons … they have learned along the way. 44 mailto:SafetyCultureSurveys@westat.com https://www.aafp.org/fpm

3682. New AHRQ SOPS® Diagnostic Safety Supplemental Items for Medical Offices - Yount (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-new_sops_diagnostic_safety-yount.pdf
      October 20, 2021 - their respective healthcare organizations, they have tackled these complex issues and present the lessons … they have learned along the way. 62 Action Planning Tool Action Plan for the AHRQ Surveys on Patient

3683. Using an Anonymous Web-Based Incident Reporting Tool to Embed the Principles of a High-Reliability Organization (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Conlon_50.pdf
      May 06, 2008 - A systemwide council of PEERs Coordinators meets regularly to share lessons learned and best practices … Using lessons learned from the pilot site, a deployment plan was developed that allowed for the rapid … One major lesson learned from the PEERs implementations is that culture does not remain static. … Reporting and preventing medical mishaps: Lessons from non-medical near miss reporting systems.

3684. 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

3685. 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.

3686. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857060/psn-pdf
      November 27, 2023 - Safety concepts can be integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations One of the most difficult parts of a nurse’s education is translating the theory learned

3687. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2025-04/AHRQ_Integration_Academy_Overview-508.pdf
      January 01, 2025 - Academy work, including stakeholder partnerships • Evaluating impact • Identifying success, lessons … learned, and next steps for the Integration Academy 13 Connect with the Integration Academy

3688. The Academy for Integrating Behavioral Health and Primary Care (pdf file)
      integrationacademy.ahrq.gov/sites/default/files/2025-05/AHRQ-Integration-Academy-Overview.pdf
      January 01, 2025 - Academy work, including stakeholder partnerships • Evaluating impact • Identifying success, lessons … learned, and next steps for the Integration Academy 13 Connect with the Integration Academy

3689. Charting a Path for Patient-Centered Clinical Decision Support: Key Themes from the 2024 Clinical Decision Support Innovation Collaborative Annual Meeting | CDSiC
      cdsic.ahrq.gov/cdsic/2024-annual-meeting-viewpoint
      September 18, 2024 - through the CDSiC’s Four Workgroups February 3, 2023 View More Related Resources Lessons … Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support

3690. NAA National Webinar May 2024 - Understanding and Operationalizing the National Action Alliance Aim #1: Advance Organizational Safety Strategies Using National Action Plan Foundations (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/advance-organizational-safety-strategies-slides.pdf
      June 18, 2024 - All rights reserved. 48 NAP Self-Assessment Lessons Learned Phase Strengths Improvements for the future … National Healthcare Quality Week Education and Competencies Quality Academy NAP Self-Assessment Lessons … Learned Summary Audience Engagement #2 Upcoming Event of Interest Thank You!

3691. 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

3692. Assess-Resident-Uti-Facilitator-Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/assess-resident-UTI-facilitator-guide.docx
      June 01, 2021 - The lesson learned here is to treat the patient, not lab values! … The lesson learned from case 2 is that cloudy or smelly urine is NOT an indication to send a urine culture … We learned in case 1 that dysuria alone can suggest a UTI.

3693. How Does Hospital Quality Management Drive Quality? Results From the "Deepening Our Understanding of Quality Improvement (DUQuE)" Project. | PSNet
      psnet.ahrq.gov/issue/how-does-hospital-quality-management-drive-quality-results-deepening-our-understanding
      March 11, 2009 - 17, 2018 From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons

3694. Care transitions: a threat and an opportunity for patient safety. | PSNet
      psnet.ahrq.gov/issue/care-transitions-threat-and-opportunity-patient-safety
      May 20, 2009 - Related Resources From the Same Author(s) Reducing health care hazards: lessons

3695. Systemic: How Racism Is Making Us Ill. | PSNet
      psnet.ahrq.gov/issue/systemic-how-racism-making-us-ill
      June 10, 2015 - September 19, 2024 Lessons from the Covid War: An Investigative Report.

3696. Health IT Safety Center Roadmap. | PSNet
      psnet.ahrq.gov/issue/health-it-safety-center-roadmap
      June 29, 2016 - December 18, 2013 Findings and Lessons From the Improving Quality Through Clinician Use

3697. Complexity, bullying, and stress: analyzing and mitigating a challenging work environment for nurses. | PSNet
      psnet.ahrq.gov/issue/complexity-bullying-and-stress-analyzing-and-mitigating-challenging-work-environment-nurses
      June 09, 2011 - June 22, 2009 Reducing health care hazards: lessons from the Commercial Aviation Safety

3698. A Call for Change: The 2011 Commonwealth Fund Survey of Public Views of the U.S. Health System. | PSNet
      psnet.ahrq.gov/issue/call-change-2011-commonwealth-fund-survey-public-views-us-health-system
      May 04, 2022 - February 6, 2008 Escape Fire: Lessons for the Future of Health Care.

3699. A piece of my mind. Snakes on a dock. | PSNet
      psnet.ahrq.gov/issue/piece-my-mind-snakes-dock
      March 15, 2016 - relates a personal anecdote to illustrate how assumptions can affect clinical reasoning and provides lessons

3700. Hospitals installed more sinks to stop infections. The sinks can make the problem worse. | PSNet
      psnet.ahrq.gov/issue/hospitals-installed-more-sinks-stop-infections-sinks-can-make-problem-worse
      October 05, 2016 - Lessons from aviation for returning to non-urgent surgery following COVID-19.