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Showing results for "lessons learned".

3881. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
      October 01, 2015 - develop this resource guide on how to sustain and spread infection-prevention change initiatives, using lessons … These main drivers are based on the lessons of the hospital units that participated in the On the CUSP

3882. Safety and Medical Education | PSNet
      psnet.ahrq.gov/perspective/safety-and-medical-education
      December 01, 2013 - I have learned from them, and at the same time I've been able to contribute to their mission to improve … Over time though, I have found common threads between the breadth of topics I studied, and I often learned … I have learned a lot of useful concepts for diagnostic error from this collaboration. … Identifying and classifying diagnostic errors in acute care across hospitals: early lessons … April 1, 2013 Perspective What Have We Learned About

3883. In Conversation with…David W. Bates, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-withdavid-w-bates-md-msc
      May 01, 2018 - What have we learned about making effective decisions for it to work? DB: We've learned a lot. … One thing we've learned is that how to do it best does vary a lot by the specific clinical situation. … What lessons have you learned from your research career that you think are applicable to other people

3884. Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work? | PSNet
      psnet.ahrq.gov/perspective/integrating-multiple-medication-decision-support-systems-how-will-we-make-it-all-work
      May 01, 2008 - What have we learned about making effective decisions for it to work? DB: We've learned a lot. … One thing we've learned is that how to do it best does vary a lot by the specific clinical situation. … What lessons have you learned from your research career that you think are applicable to other people

3885. Module 8: Organizational Learning and Sustainability | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes8.html
      August 01, 2022 - Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.

3886. Module 1: Preventing Pressure Injuries in Hospitals—Understanding Why Change Is Needed | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
      October 01, 2017 - Instead of the ice breaker above, you may ask participants to briefly share a hard lesson they have learned … Lessons learned from key pressure injury prevention initiatives show that support is needed from top-level

3887. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49495/psn-pdf
      December 01, 2005 - A generation ago, aviation learned the lesson from several horrible accidents that tragedy can often … Rather than risking a false alarm and its accompanying stigma, they have learned to say, “Oh, it’s probably … The complexity of team training: what we have learned from aviation and its applications to medicine

3888. Practical Solutions for Supporting Primary Care Quality Improvement with Health Information Technology (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/EvidenceNOW-Webinar-Practical-Solutions.pdf
      May 01, 2018 - Mathematica Policy Research How HIT can help (and not hinder) primary care – Ground lessons … www.pcmh.ahrq.gov/ How HIT can help (and not hinder) primary care – Ground lessons

3889. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33855/psn-pdf
      April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … RW: As a learning health system, what do you think the lessons are from readmission penalties? … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned

3890. Facilitator Guide: Build Your SSI Prevention Bundle (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/actionplan-trip-facguide.docx
      January 01, 2017 - Because of the small scale, lessons learned provide opportunities for iterative adjustment, adjustments … Compare the findings with your predictions, then summarize and reflect upon what you have learned. … Refine the change based on what you learned from the test and modify test if necessary.

3891. Action Plan for Translating Research Into Practice: Gap Analysis and Tests of Change: Facilitator Guide | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mvp/modules/cusp/action-plan-trip-fac-guide.html
      February 01, 2017 - Because of the small scale, lessons learned provide opportunities for iterative adjustment, adjustments … Compare the findings with your predictions, then summarize and reflect upon what you have learned. … Refine the change based on what you learned from the test and modify test if necessary.

3892. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/866622/psn-pdf
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

3893. Appendix 1-A. Suggested Slides for Module 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/facilities/ltc/gdmod1a.html
      October 01, 2014 - Slide 6 Key Lessons Learn to notice a change early.

3894. Sailing too close to the wind? How harnessing patient voice can identify drift towards boundaries of acceptable performance. | PSNet
      psnet.ahrq.gov/issue/sailing-too-close-wind-how-harnessing-patient-voice-can-identify-drift-towards-boundaries
      February 28, 2024 - 28, 2024 From theory to policy in resilient health care: policy recommendations and lessons

3895. Medication prescribing errors in a teaching hospital. | PSNet
      psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
      December 23, 2008 - May 27, 2011 E-prescribing, efficiency, quality: lessons from the computerization of

3896. A review of the literature examining linkages between organizational factors, medical errors, and patient safety. | PSNet
      psnet.ahrq.gov/issue/review-literature-examining-linkages-between-organizational-factors-medical-errors-and
      June 24, 2010 - April 24, 2018 How doctors think: common diagnostic errors in clinical judgment--lessons

3897. Deafening silence? Time to reconsider whether organisations are silent or deaf when things go wrong. | PSNet
      psnet.ahrq.gov/issue/deafening-silence-time-reconsider-whether-organisations-are-silent-or-deaf-when-things-go
      August 24, 2016 - 24, 2016 Culture and behaviour in the English National Health Service: overview of lessons

3898. A Department of Medicine infrastructure for patient safety and clinical quality improvement. | PSNet
      psnet.ahrq.gov/issue/department-medicine-infrastructure-patient-safety-and-clinical-quality-improvement
      July 01, 2017 - June 14, 2023 Teaching patient safety in global health: lessons from the Duke Global

3899. Preventable morbidity at a mature trauma center. | PSNet
      psnet.ahrq.gov/issue/preventable-morbidity-mature-trauma-center
      September 22, 2021 - 2023 Learning from morbidity and mortality conferences: focus and sustainability of lessons

3900. Overlapping surgery in arthroplasty - a systematic review and meta-analysis. | PSNet
      psnet.ahrq.gov/issue/overlapping-surgery-arthroplasty-systematic-review-and-meta-analysis
      October 19, 2022 - January 6, 2018 The Lancet Commission on lessons for the future from the COVID-19 pandemic