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Showing results for "lessons learned".

401. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/44979/psn-pdf
     April 06, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters

402. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
     pbrn.ahrq.gov/talkingquality/assess/index.html
     September 01, 2019 - Evaluate a Quality Report What You Can Evaluate Evaluation Plan Elements Applying Lessons … Learned Recommended Reading on Evaluation Resources About TalkingQuality … section discusses ways to assess the effectiveness of your report card and suggests how to use the lessons … Applying What You Have Learned Recommended Reading on Evaluation To learn about including an evaluation

403. Assess Your Health Care Quality Reporting Project | Agency for Healthcare Research and Quality
     pcmh.ahrq.gov/talkingquality/assess/index.html
     September 01, 2019 - Evaluate a Quality Report What You Can Evaluate Evaluation Plan Elements Applying Lessons … Learned Recommended Reading on Evaluation Resources About TalkingQuality … section discusses ways to assess the effectiveness of your report card and suggests how to use the lessons … Applying What You Have Learned Recommended Reading on Evaluation To learn about including an evaluation

404. Surgical programs in the Veterans Health Administration maintain briefing and debriefing following medical team training. | PSNet
     psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
     October 24, 2018 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis.

405. Application of human factors to improve usability of clinical decision support for diagnostic decision-making: a scenario-based simulation study. | PSNet
     psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
     May 11, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … November 11, 2020 Lessons learned from a systems approach to engaging patients and families … Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.

406. A mixed methods study exploring patient safety culture at 4 VHA Hospitals. | PSNet
     psnet.ahrq.gov/issue/mixed-methods-study-exploring-patient-safety-culture-4-vha-hospitals
     September 25, 2019 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … December 19, 2014 Quality improvement lessons learned from National Implementation of … April 12, 2023 Lessons learned from the RaDonda Vaught ruling.

407. GLIDES Project – Technical Expert Panel - Alliance of Chicago (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/GLIDES_TEP_2012_ahamilton.pdf
     January 01, 2012 - • History of EHRS Adoption and Clinical Decision Support • GLIDES Asthma Project Overview and lessons … learned OVERVIEW OF ALLIANCE OF CHICAGO Alliance Overview • HRSA funded network … learned and key challenges associated with incorporating CDS developed “externally” Assessment … Learned • Exchange of content required HIT vendor involvement – to coordinate customized data element … Learned Thank You

408. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

409. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.innovations.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

410. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.healthcare411.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

411. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.monahrq.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

412. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.talkingquality.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

413. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.qualitymeasures.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

414. Spotlight on Idaho -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-idaho-state-snapshot.pdf
     January 01, 2018 - CHIPRA Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons … Partner States: Idaho and Utah implemented similar projects and met regularly to discuss shared lessons … Idaho established a pediatric quality improvement partnership Idaho met regularly with and applied lessons … Efforts in Idaho After Idaho’s quality demonstration ended in February 2016— • Idaho expected to apply lessons … • Idaho planned to disseminate a toolkit—based on lessons learned from the PCMH learning collaborative—to

415. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/45706/psn-pdf
     September 01, 2018 - improving-communication-and-resolution-following-adverse-events-using-patient-created https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york

416. Retained guidewires in the Veterans Health Administration: getting to the root of the problem. | PSNet
     psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
     March 13, 2013 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … April 12, 2019 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009 Sharing lessons learned to prevent incorrect surgery. … 2017 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

417. September 2020 CDS Connect Work Group Call (pdf file)
     cds.ahrq.gov/sites/default/files/workgroups/1211/CDS_Connect_Work_Group_September_2020_Presentation.pdf
     January 01, 2020 - Lenox (MITRE) • 3:02 - 3:05 • Review of the Agenda, Maria Michaels (CDC) • 3:05 - 3:50 • Sharing Lessons … Learned with CDS: Stewardship of Implemented, Interoperable & Shareable CDS Artifacts: Lessons Learned … learned for use of CDS Connect ► Versioning discussion illustrated with a WG member use case • Share … Learned and Future Directions Laura Haak Marcial, PhD – RTI International Joshua E. … Learned and Future Directions��Laura Haak Marcial, PhD – RTI International� Joshua E.

418. CDS Connect Work Group - July 2020 Meeting (pdf file)
     cds.ahrq.gov/sites/default/files/workgroups/1196/CDS_Connect_Work_Group_July%202020_Slides.pdf
     July 01, 2020 - Lenox (MITRE) • 3:02 – 3:05 • Review of the Agenda, Maria Michaels (CDC) • 3:05 – 3:45 • Sharing Lessons … Learned with CDS: Nancy Nurthen and Sai Simhadri, Digital Infuzion • 3:45– 3:50 • What's New with CDS … learned for use of CDS Connect • Share new features and resources available for CDS Connect • Discuss … topics of interest to members relating to opportunities for CDS Connect 3 SHARING LESSONS LEARNED … LEARNED WITH CDS:��Nancy Nurthern and Sai Simhadri,� Digital Infuzion What is the Clinical Environment

419. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality
     www.qualitymeasures.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
     January 01, 2014 - For instance, they can draw on a wider pool of resources and expertise and apply lessons learned from … learned.” … They intentionally delayed Idaho’s implementation so that it could leverage the lessons learned from … “It’s really useful to take the time to work with another State and hear its lessons learned. … Collaborating with these other States has saved us years and years of lessons learned.”

420. How are CHIPRA quality demonstration States working together to improve the quality of health care for children? | Agency for Healthcare Research and Quality
     www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight06.html
     January 01, 2014 - For instance, they can draw on a wider pool of resources and expertise and apply lessons learned from … learned.” … They intentionally delayed Idaho’s implementation so that it could leverage the lessons learned from … “It’s really useful to take the time to work with another State and hear its lessons learned. … Collaborating with these other States has saved us years and years of lessons learned.”