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Showing results for "lessons learned".

4141. Final Progress Report: Bridging the Gap between EMS and Health Services Research: A Conference for Researchers and Practitioners (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/delia-kutzin-report.pdf
      January 01, 2025 - Identify lessons learned from recent EMS innovations across the US. … James Augustine, MD – District of Columbia Fire and EMS Department Session 6: Conference Lessons & Next … Fairbanks emphasized the use of lessons from other high-risk industries such as aviation and nuclear … Nevertheless, research on hospital quality offers a framework and lessons that can be used as a foundation … Conference Lessons & Next Steps Kevin McGinnis moderated the last session, which summarized lessons and

4142. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/IAWG-October2024-mtg.pdf
      January 17, 2025 - They shared their experience to date and key lessons learned.

4143. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865570/psn-pdf
      April 10, 2024 - Anesthesia adverse events voluntarily reported in the Veterans health administration and lessons learned

4144. Pocket Guide: TeamSTEPPS: Strategies & Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/pocketguide.pdf
      January 01, 2020 - Informal information exchange session designed to improve team performance and effectiveness through lessons … learned and reinforcement of positive behaviors 17 Leadership Brief Checklist During the brief

4145. The Wild West: Patient Safety in Office-Based Anesthesia | PSNet
      psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
      April 01, 2003 - January 12, 2011 Adverse event reporting: lessons learned from 4 years of Florida office

4146. 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.

4147. Medication Overdose | PSNet
      psnet.ahrq.gov/web-mm/medication-overdose
      September 01, 2011 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study.

4148. 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

4149. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837658/psn-pdf
      July 08, 2022 - Root cause analyses of transfers of skilled nursing facility patients to acute hospitals: lessons learned

4150. Advanced Methods in Delivery System Research - Planning, Executing, Analyzing, and Reporting Research on Delivery System Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
      July 01, 2013 - Slide 28 Point-of-Care Testing as an Influenza Surveillance Tool: Methodology and Lessons Learned from

4151. Wrong-side Bedside Paravertebral Block: Preventing the Preventable | PSNet
      psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
      August 10, 2019 - Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149:774-779.

4152. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
      March 01, 2017 - sections on critical factors to successfully improve and sustain changes in health care organizations, and lessons … learned from LTC facilities that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI

4153. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33876/psn-pdf
      August 01, 2018 - networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself.

4154. Section 6. Facilitating Change and Anticipating Challenges | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
      July 01, 2018 - A respondent from another hospital indicated that one of the lessons learned was that there "needs to

4155. 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

4156. Research Dissemination | Digital Healthcare Research
      digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-dissemination
      January 01, 2022 - Future Directions Panel: Future Directions for Patient-Centered Clinical Decision Support: What Have We Learned … Visits Panel: Using Electronic Patient-Reported Outcomes to Monitor Patients Between Visits: Tools and Lessons

4157. How to Use This Toolkit | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
      July 01, 2018 - that a terrorist incident or disaster occurs, and the facility must be opened for surge use, valuable lessons … will be learned during operations.

4158. Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes | PSNet
      psnet.ahrq.gov/innovation/enhancing-support-patients-social-needs-reduce-hospital-readmissions-and-improve-health
      February 26, 2025 - Caring beyond health care: lessons learned from a community-based partnership to reduce hospital readmission

4159. Workaround Error | PSNet
      psnet.ahrq.gov/web-mm/workaround-error
      October 30, 2024 - May 8, 2017 Developing a quality and safety curriculum for fellows: lessons learned from

4160. 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