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Showing results for "lessons learned".

3741. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/planningtool_0.pdf
      January 01, 2016 - Be sure to capture their lessons learned. … organizations that have implemented the same initiative to find out how they did it and identify their lessons … learned.

3742. 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.

3743. 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

3744. 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.

3745. 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

3746. 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.

3747. 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.

3748. 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.

3749. 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.

3750. 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.

3751. 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

3752. 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

3753. CUSP: A Framework for Success (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
      April 01, 2013 - The third step of CUSP is to share what we've learned and to prioritize what we’re seeing. … education to orientation, committing to learning to one defect a quarter, sharing what those learning lessons … Everybody learned the same information. We also did the urinary cath insertion competency. … So what we did when we learned from these defects is that we executed a new plan. … And then I think Mary Jo has given us some very practical lessons on how to go ahead and how her unit

3754. Medication administration errors: understanding the issues. | PSNet
      psnet.ahrq.gov/issue/medication-administration-errors-understanding-issues
      December 15, 2011 - December 2, 2020 Teaching patient safety in global health: lessons from the Duke Global

3755. Josie's Story: A Patient Safety Curriculum. | PSNet
      psnet.ahrq.gov/issue/josies-story-patient-safety-curriculum
      July 24, 2019 - This curriculum provides a set of materials that incorporates lessons from Josie's Story into existing

3756. Global Report on Infection Prevention and Control: Executive Summary. | PSNet
      psnet.ahrq.gov/issue/global-report-infection-prevention-and-control-executive-summary
      March 09, 2022 - May 1, 2024 View More Related Resources Lessons from the Covid

3757. Report on the Safe Use of Pick Lists in Ambulatory Care Settings. | PSNet
      psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
      June 29, 2016 - October 6, 2016 Findings and Lessons From the AHRQ Ambulatory Safety and Quality Program

3758. Medication therapy management programs: forming a new cornerstone for quality and safety in Medicare. | PSNet
      psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
      January 06, 2017 - January 6, 2017 Reducing health care hazards: lessons from the Commercial Aviation Safety

3759. Mistakes, Errors and Failures across Cultures. | PSNet
      psnet.ahrq.gov/issue/mistakes-errors-and-failures-across-cultures-navigating-potentials
      January 20, 2021 - June 19, 2019 Findings and Lessons From the Improving Management of Individuals With

3760. Breaking the rules: understanding non-compliance with policies and guidelines. | PSNet
      psnet.ahrq.gov/issue/breaking-rules-understanding-non-compliance-policies-and-guidelines
      September 24, 2018 - Developing a 'critical' approach to patient and public involvement in patient safety in the NHS: learning lessons