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Showing results for "lessons learned".

4201. Meeting Minutes, November 2019 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2019-11-nac/nacmtg01121-minutes.html
      March 01, 2020 - The project developers look forward to obtaining feedback and lessons learned. Dr. … We have learned much from research on HIV that has taken place on the African continent.

4202. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/837324/psn-pdf
      July 08, 2022 - delivery for low-risk births Adoption Considerations Use by Others (Use By Other Organizations)   Lessons … Lessons Learned from Implementing a Place-Based, Racial Justice-Centered Approach to Health Equity.

4203. The relationship between patients' perception of care and measures of hospital quality and safety. | PSNet
      psnet.ahrq.gov/issue/relationship-between-patients-perception-care-and-measures-hospital-quality-and-safety
      February 13, 2019 - October 27, 2010 Tracking rates of patient safety indicators over time: lessons from

4204. Association of changing hospital readmission rates with mortality rates after hospital discharge. | PSNet
      psnet.ahrq.gov/issue/association-changing-hospital-readmission-rates-mortality-rates-after-hospital-discharge
      August 20, 2018 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

4205. Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM. | PSNet
      psnet.ahrq.gov/issue/challenges-and-remediation-patient-safety-indicators-transition-icd-10-cm
      September 23, 2020 - April 22, 2017 Designing an abstraction instrument: lessons from efforts to validate

4206. One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs. | PSNet
      psnet.ahrq.gov/issue/one-size-fits-all-mixed-methods-evaluation-impact-100-single-room-accommodation-staff-and
      July 01, 2016 - 21, 2017 Prospects for comparing European hospitals in terms of quality and safety: lessons

4207. The association between complications, incidents, and patient experience: retrospective linkage of routine patient experience surveys and safety data. | PSNet
      psnet.ahrq.gov/issue/association-between-complications-incidents-and-patient-experience-retrospective-linkage
      February 20, 2019 - 2019 Learning from morbidity and mortality conferences: focus and sustainability of lessons

4208. Intended and unintended effects of large-scale adverse event disclosure: a controlled before-after analysis of five large-scale notifications. | PSNet
      psnet.ahrq.gov/issue/intended-and-unintended-effects-large-scale-adverse-event-disclosure-controlled-after
      August 18, 2021 - 2015 Disclosing large scale adverse events in the US Veterans Health Administration: lessons

4209. Decisionmaker | Digital Healthcare Research
      digital.ahrq.gov/population/decisionmaker
      January 01, 2024 - Conference on Health IT and Analytics (CHITA) facilitates the development of research and implementation lessons

4210. Preventable deaths due to problems in care in English acute hospitals: a retrospective case record review study. | PSNet
      psnet.ahrq.gov/issue/preventable-deaths-due-problems-care-english-acute-hospitals-retrospective-case-record-review
      July 20, 2022 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons

4211. Collaborative EHR Implementation to Bridge the Continuum of Care in Rural Iowa (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
      January 01, 2009 - conducted with participating pharmacists and DON/CNOs to learn more about the major challenges and lessons … learned related to developing and using a shared formulary. … Lessons learned from the interviews identified ten categories of essential ingredients for success: … Conclusions: Lesson Learned Seven CAHs as part of the Mercy Health Network-North Iowa, in partnership … Implementation CPOE Adoption Perceptions of Anticipated and Realized Benefits Conclusions: Lesson Learned

4212. Communication: Severe Hypertension - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
      July 01, 2023 - At the readiness stage: Use check-backs to confirm providers have understood new information learned … At this point, there is an opportunity for the team to use some of the tools you just learned about. … to the established care plan Use SBAR to: Frame event reports Structure case scenarios for sharing lessons … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessons … 44 Hospital AIM Team Leads SPPC-II SCRIPT Now that you’ve learned about the communication tools and

4213. Communication: Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
      July 01, 2023 - At the readiness stage: • Use check‐backs to confirm providers have understood new information learned … At this point, there is an opportunity for the team to use some of the tools you just learned about. … established care plan Use SBAR to: • Frame event reports • Structure case scenarios for sharing lessons … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessons … learned, or summarizing a particularly effective or ineffective event for posterity and continuous

4214. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/nurse-role-dxsafety6.html
      September 01, 2022 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims.

4215. Learning from AHRQ's Diagnostic Safety Culture Survey at a Tertiary Care Health System in Brazil: A Case Study (pdf file)
      www.ahrq.gov/sites/default/files/publications2/files/dx-issue-brief-20-brazil-health-system.pdf
      August 01, 2024 - on prior work on this topic.6-8 For instance, we are implementing periodic meetings to disseminate lessons … learned from diagnostic errors.

4216. Info FAQs | Agency for Healthcare Research and Quality
      www.ahrq.gov/faqs/index.html?page=4
      June 12, 2025 - Finding the True North: Lessons From the National Healthcare Quality and Disparities Report.

4217. In Conversation With… Robert M. Wachter, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-robert-m-wachter-md
      August 01, 2015 - RW : I learned something from each interview, and it made it an incredibly rich experience. … I do think there are huge lessons to be drawn from those examples. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned … implementations, we believe that health care systems and vendors would be well served by a library of lessons … learned and use cases that they can draw upon to design and install their systems.

4218. Recent Insights into CAHPS Survey Modes and Response Rates (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/recent-insights-transcript.pdf
      January 01, 2020 - Specifically, we would like to share lessons learned including how do these strategies affect response … We also learned from both of these experiments that the contact information for emergency department … So we really learned here that a web-only approach was not going to work for this population. … Parast, Slide 37 Our lessons from Feasibility Test II, overall response rates in this setting are still … Parast, Slide 38 Specific to lessons learned about a web survey, like I said, email coverage rates vary

4219. Our Maturing Understanding of Safety Culture: How to Change It and How It Changes Safety | PSNet
      psnet.ahrq.gov/perspective/our-maturing-understanding-safety-culture-how-change-it-and-how-it-changes-safety
      March 01, 2017 - s desire for more data was balanced with the intent to act on what they had already learned. … RW : During my training years, I learned precisely nothing about culture. … MDW : I would probably challenge you and say you learned an awful lot about culture as a medical student … So articulating that, codifying it, and saying, "Here are the lessons you can learn from the pain we … Resources From the Same Author(s) Perspective What We've Learned

4220. 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