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Showing results for "lessons learned".

4021. Rehearsing Team Care for Relatively Rare Obstetric Emergencies Leads to Improved Outcomes | PSNet
      psnet.ahrq.gov/innovation/rehearsing-team-care-relatively-rare-obstetric-emergencies-leads-improved-outcomes
      July 23, 2024 - Structured communication techniques: Participants learned structured communication, teamwork and situational … Participants also received and learned to use forms to document communication. … Chair of the Department of Obstetrics and Gynecology and now Director of PROMPT for North America, learned … Lessons from a series of research on teamwork, leadership and team training.

4022. Safety In Dentistry | PSNet
      psnet.ahrq.gov/perspective/safety-dentistry
      August 01, 2016 - efficiently detect dental charts that contain patient safety events.( 2,16,17 ) One important point we have learned … Lessons learned from dental patient safety case reports. J Am Dent Assoc. 2015;146:318-326.e2. … We think the principle of patient safety must be learned at the beginning of health education.

4023. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867653/psn-pdf
      February 26, 2025 - Ochsner’s Chief Quality Officer learned about RCA2 during a conference and was so impacted that we soon … We learned from other organizations that those are not sustainable actions. … Sarah Mossburg: What are the main lessons you have learned from years of completing RCAs and RCA2 ?

4024. Community Connections: Linking Primary Care Patients to Local Resources for Better Management of Obesity (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/obesity-toolkit.pdf
      March 01, 2014 - the YMCA, as a key partner in this project, played a critical role in developing the toolkit, the lessons … Lessons learned: • Do not provide the practice with too much information. … learned: • One motivated, informed practice champion can make all the difference … Lessons learned: • Even in the absence of practice-wide buy-in, one motivated and committed provider … Lessons learned: • Busy, well-functioning practices may prioritize existing relationships and projects

4025. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
      September 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

4026. A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
      September 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

4027. Module 4: Event Reporting, Event Investigation and Analysis | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/notes4.html
      August 01, 2022 - medical liability carriers include: Communication-and-resolution programs: the challenges and lessons … learned from six early adopters.

4028. AHRQ EvidenceNOW: Building State Capacity: Interim Evaluation Report II (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/building-capacity/en-bsc-interim-report-2.pdf
      July 01, 2024 - We outline several lessons learned below. … learned … They also have biweekly meetings with all PFs to receive continuous training and share lessons learned … We outline several lessons learned below. … What lessons were learned?

4029. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49699/psn-pdf
      February 01, 2014 - Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

4030. Charting The Future Of Integrated Behavioral Health Transcript (doc file)
      integrationacademy.ahrq.gov/sites/default/files/2025-08/Charting%20the%20Future%20of%20Integrated%20Behavioral%20Health_Transcript.docx
      January 01, 2025 - And she's going to draw on some lessons learned from implementing, scaling integrated care and suicide … So I think along the way we learned about the chronic care model, we learned about the fact that for … you know, start going going back a little bit and just sort of talk about some of the, you know, the lessons … country, and we were talking about teams and 87 00:21:41.520 --> 00:22:06.479 Virna Little: some of the lessons … I think we have learned that a single provider cannot help that. Many people.

4031. AHRQ National Webinar on Artificial Intelligence Tools to Improve Provider Effectiveness and Patient Outcomes – Questions and Answers (pdf file)
      digital.ahrq.gov/sites/default/files/docs/artificial-intelligence-tools-improve-qa-03182025.pdf
      March 18, 2025 - Real-Time Predictive Monitoring in Acute Care Cardiology Trial (PM-IMPACCT) QUESTION: What are some lessons … learned from implementing the CoMET system and integrating it into the workflow? … ANSWER: So, I have alluded to some of the lessons learned, particularly around methodological considerations

4032. DEcIDE DRN Report 2 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/distributed-network-proof_research.pdf
      June 01, 2010 - Lessons learned from this proof-of-principle demonstration include the likely success of an incremental … Based on the lessons learned from this proof-of-principle demonstration, an incremental approach to

4033. Final Progress Report: Communication to Prevent and Respond to Medical Injuries: WA State Collaborative (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher1-report.pdf
      January 01, 2024 - learned to improve current activities and promote better planning by careful selection of alternatives … They also reported high knowledge/self- efficacy to perform learned tasks. … Emergent Evaluation Plan and Lessons learned Elements of the original planned evaluation activities proved … This experience has generated useful lessons for the HRET Toolkit project and other CRP efforts going … We are applying these lessons in the HRET Toolkit project: we have developed a shorter data form and

4034. LEARNING OBJECTIVES OF THIS WORKBOOK (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
      April 01, 2006 - Disseminate lessons learned and best practices beyond the quality improvement team to spread improvements

4035. In Conversation With… Mark L. Graber, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-l-graber-md
      January 01, 2016 - MG : We didn't know either, but after a few calls to the Institute of Medicine we learned. … Also I'm a huge fan of the AHRQ WebM&M conferences, and there are many, many valuable lessons in there … What I've learned is that IOM reports tend to stay at a very high level, and it's up to the stakeholders … Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record.

4036. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865418/psn-pdf
      March 27, 2024 - .10 Finally, it is critically important for the organization to debrief about the event, determine lessons … learned, and develop a plan for carrying out action items.

4037. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33705/psn-pdf
      January 01, 2011 - We recommend that organizations use the lessons from malpractice claims to improve systems of care. … The American Society of Anesthesiology Closed Claims Project: what have we learned, how has it affected

4038. AHRQ's Digital Healthcare Research Program: Federal Partnerships in Improving Health Care Quality | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
      January 01, 2020 - Accelerate the transfer of lessons learned from existing public and private sector initiatives, including

4039. G. Kaiser Permanente: Evolution of Data Collection on Race, Ethnicity, and Language Preference Information | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapg.html
      May 01, 2018 - undertook a comprehensive assessment, review, and analysis of industry collection standards, practices, and lessons … learned as well as integrating notable work and contributions from the fields of public health, sociology

4040. New AHRQ SOPS® Workplace Safety Supplemental Item Set for Nursing Homes - Naomi Yount, PhD (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
      January 01, 2023 - www.train.org/cdctrain/course/1081802/ (requires free account setup and login) Th is guide provides ideas and lessons … learned to improve the well-being of the healthcare workforce, including actions that individua ls,