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Showing results for "lessons learned".

4181. Simulation Training | PSNet
      psnet.ahrq.gov/primer/simulation-training
      September 15, 2024 - Primers Maternal Safety January 31, 2024 Quality improvement lessons … learned from National Implementation of the "Patient Safety Events in Community Care: Reporting, Investigation

4182. The ECG Is Not Normal | PSNet
      psnet.ahrq.gov/web-mm/ecg-not-normal
      November 10, 2015 - Editorial Note: The physician (case submitter) further reflected on what he learned from this experience … These are the smaller lessons from this case.

4183. Diagnostic Safety Research (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/DiagnosticSafety-flier.pdf
      November 01, 2024 - Diagnostic Safety Centers of Excellence to promote and encourage collaboration and capture and share lessons

4184. An Overview of the CANDOR Process
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module8/module8-organizational-learning-sustainability.pptx
      August 20, 2015 - Encourage your Team Leads to discuss actual CANDOR events to drive home important lessons.

4185. In Conversation with...Joseph Britto, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjoseph-britto-md
      February 01, 2007 - The essential difference is that it treats the physician as the "learned intermediary" (to borrow a phrase … read about—diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons … learned and recent advances. … Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic

4186. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
      January 01, 2009 - We also learned that ED physicians were not always aware of the existence of many of the safety net … Lessons Learned and Challenges to EHR and HIE Implementation There was general consensus among hospitals … MCHIE_Final_ Report.pdf “Metro DC Health Information Exchange (MeDHIX) Characteristics, Challenges, Lessons … Learned” AHRQ 2008 Annual Conference; Thomas L. … Aim 4 Aim 5 Aim 6 Aim 7 Results Aim 1 Aim 2 Aim 3 Aim 4 Aim 5 Aim 6 Aim 7 Lessons

4187. Identifying Barriers to the Success of a Reporting System (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
      March 01, 2004 - Reporting and preventing medical mishaps: Lessons from non-medical near miss reporting systems. … were likely to have contributed to the increase in reporting rates for ASRS during this period, the lessons … to be learned from the example set by ASRS are clear: If you want an individual to voluntarily report … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

4188. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49573/psn-pdf
      January 01, 2009 - Basic assumptions and lessons distilled from the cognitive systems engineering literature (11-14) are … Overall, they highlight a number of important lessons that can be applied to health care settings. … Assumptions and Lessons from the Literature Assumptions Lessons Human behavior in professional settings

4189. Primary Care Practice Facilitation Curriculum Module 9: Using Appreciative Inquiry with Practices (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
      September 01, 2015 - Ask pairs to report back to the large group what they learned from conducting the interview. a. … What lessons did you learn about conducting an AI-focused interview? b. What was comfortable? c. … After all skits and drawings have been shared, ask each learner to share one lesson learned about working … After completing the rounds, members return to their teams, discuss what they learned, talk about the … own implementation plan, and discuss possible changes to their plan to improve it based on what they learned

4190. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare, August 1, 2025 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-workgroup-meeting-notes-aug2025.pdf
      September 01, 2025 - • Some of our JIF objectives:  Standardization of workflows  Sharing lessons learned and effective

4191. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare July Meeting Summary (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
      January 01, 2024 - DLS is also partnering with VA Hospital Systems Laboratories and sharing best practices and lessons … learned.

4192. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
      March 01, 2016 - Performance improvement messaging for physicians: lessons from market research* ................... … In cognitive testing, physicians are asked to tell, in their own words, what they learned from different … As much can be learned from implementation failures as from successes yet null findings on any topic … Data feedback efforts in quality improvement: lessons learned from US hospitals. … Performance improvement messaging for physicians: lessons from market research*

4193. Facilitator Guide: Overview of the Improvement Model (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
      December 01, 2017 - SAY: The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights SAY: It also builds on the lessons learned from National On the CUSP: Stop

4194. Program Overview: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
      December 01, 2017 - Say: The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights Say: It also builds on the lessons learned from National On the CUSP

4195. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/references.html
      May 01, 2023 - Diagnostic errors in primary care: lessons learned. J Am Board Fam Med 2012;25(1):87-97. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. … Bringing patients into the patient-centered medical home: lessons learned in a large primary care practice … Team-Based health care delivery: lessons from the field.

4196. Final Progress Report: Producing Evidence: Coordination within a Multiteam System Makes Healthcare Safer (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
      January 01, 2024 - model Textual data describing perceptions of perceived progress, resources, processes, outcomes, lessons … learned Senior Leader Interview, hospital level, n=14, completed post-implementation Guiding … learned, and plans for sustainment *One hospital did not complete the CAPTURE Falls scorecard post-implementation … Lessons learned from defining and categorizing falls among adults in small rural hospitals. … Challenges in defining and categorizing falls on diverse unit types: Lessons from expansion of the NDNQI

4197. In Conversation With... Charles A Crecelius, MD, PhD, CMD and Lori L Popejoy, PhD, RN, FAAN | PSNet
      psnet.ahrq.gov/perspective/conversation-charles-crecelius-md-phd-cmd-and-lori-l-popejoy-phd-rn-faan
      October 28, 2020 - your initiative and its intersection with the COVID-19 response – how are you using the work and the lessons … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … We are not New York, so some lessons didn’t apply. … While management of the infection has improved as the pandemic has continued and facilities have learned … Hood about Remote Patient Monitoring March 15, 2023 The Lancet Commission on lessons

4198. Introduction to the SPPC-II Teamwork Toolkit for Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
      July 01, 2023 - Self-directed and self-paced Mandatory in-person team facilitation sessions Reinforce online module lessons … and demonstration-based training, we expect you to schedule in-person team facilitation sessions so lessons

4199. Diagnostic Errors in Medicine: What Do Doctors and Umpires Have in Common? | PSNet
      psnet.ahrq.gov/perspective/diagnostic-errors-medicine-what-do-doctors-and-umpires-have-common
      February 01, 2007 - Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic … The essential difference is that it treats the physician as the "learned intermediary" (to borrow a phrase … read about—diagnosis-specific knowledge on how does one investigate, how does one treat, what are the lessons … learned and recent advances.

4200. Implementation and Dissemination of 'Gabby,' a Health Information Technology (HIT) System for Young Women, into Community-Based Clinical Sites - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
      January 01, 2022 - learned” or tips from other implementation sites for outreach and engagement techniques. … learned. … Lessons learned and site feedback collected during the pre- and mid-implementation processes guided … Module 7: Lessons Learned; this module uses case studies to provide examples of potential implementation … learned.