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Showing results for "lessons learned".

4201. In Conversation with...Barbara Pelletreau and John Riggi about Cybersecurity | PSNet
      psnet.ahrq.gov/perspective/conversation-withbarbara-pelletreau-and-john-riggi-about-cybersecurity
      March 27, 2024 - there is an operational issue or crisis, we create an after-action report to identify best practices, lessons … learned, and the plan for the future. … 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.

4202. Cybersecurity and How to Maintain Patient Safety | PSNet
      psnet.ahrq.gov/perspective/cybersecurity-and-how-maintain-patient-safety
      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. … there is an operational issue or crisis, we create an after-action report to identify best practices, lessons … learned, and the plan for the future.

4203. Action Planning Tool for the AHRQ Surveys on Patient Safety Culture™ (SOPS®) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
      November 01, 2022 - Be sure to capture their lessons learned. … Look at your data and summarize what was learned. … • Act – Act on what was learned from the test and prepare for the next test or rollout on a larger

4204. Error Disclosure Training and Organizational Culture | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/etchegaray.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … safety culture may be more likely to foster opportunities for physicians to use knowledge and skills learned … This was a “train‑the‑trainer” approach in which the attendees learned about disclosure coaching and

4205. The Role of Patient-facing Technologies to Empower Patients and Improve Safety | PSNet
      psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
      November 01, 2017 - Wanda Pratt : A lot of my work brings in material that we have learned from the field of human–computer … Yet the patient has been dealing with it for a long time, read about it on their own, and learned a … February 15, 2023 Lessons learned implementing a complex and innovative patient safety

4206. 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.

4207. Implementation of an Evidence-based Protocol for Surgical Infection Prophylaxis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Savino.pdf
      July 01, 2003 - The purpose of this paper is to share lessons learned during implementation that may assist others engaged … Summary and recommendations With implementation of the AMP at multiple sites, clear lessons were learned

4208. AHRQ Comparative Health System Performance Initiative: Annual Workshop (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/chsp/news-and-events/events/workshops/chsp-annual-workshop1-slides.pdf
      September 29, 2016 - Agenda: Using data to identify health systems • Hear from work by AHRQ and the 3 CoE teams • Review lessons … learned, challenges, successes • Discuss options for summarizing (and disseminating) lessons learned

4209. Final Progress Report: Quality Improvement and Practice-Based Research in Neurology Using the EMR (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
      January 01, 2024 - We are planning to write a paper summarizing the experiences of the NPBRN, include pitfalls and lessons … learned, for publication in a peer-reviewed journal. … Significance: We have identified pitfalls and lessons learned with respect to quality improvement and

4210. Final Progress Report: EQUIPPED (Enhancing Quality of Prescribing Practices for Older Adults Discharged from the Emergency Department) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/vaughan-report.pdf
      January 01, 2024 - Lessons learned were provided to subsequent sites based on the sequential implementation approach. … development linked with prevention in a Vietnamese American community: Successes, challenges, and lessons … learned.

4211. Presentation: Engaging Senior Executives
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_sr-execs.pptx
      December 01, 2017 - successful strategies for engaging your executive in this program We ask that you share what you have learned … These lessons can be shared broadly across the organization. … ASK: Currently, do you have mechanisms to systematically capture and share lessons learned and successes

4212. Integration of an NLP-based Application to Support Medication Management - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs021544-zhou-final-report-2014.pdf
      January 01, 2014 - integrating the proposed tool with the LMR and its current medication reconciliation application, the lessons … learned from previous projects, and other technical issues. … We gathered feedback on the tool from clinicians and generalized lessons learned on the usability of

4213. AHRQ Challenge Project Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/ahrq-step-up-app-challenge-final-report-2020.pdf
      January 01, 2020 - Lessons Learned • Identify all key technical requirements for each phase before launch to decrease … Lessons Learned D. Opportunities for Improvement

4214. Team-Developed Care Plan and Ongoing Care Management by Social Workers and Nurse Practitioners Result in Better Outcomes and Reduced Acute Care Utilization in Low-Income Seniors and other High-Risk Populations | PSNet
      psnet.ahrq.gov/innovation/team-developed-care-plan-and-ongoing-care-management-social-workers-and-nurse
      July 23, 2024 - Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed. … Geriatric Resources for Assessment and Care of Elders Team Care in a Veterans Affairs Medical Center: Lessons … Learned and Effects Observed.

4215. Living Systematic Reviews: Practical Considerations for the Agency for Healthcare Research and Quality Evidence-based Practice Center Program (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/practical-considerations.pdf
      March 01, 2022 - in implementing the protocol that was developed a priori, and reflects on the challenges faced and lessons … learned in the process of developing and maintaining a living systematic review. … Challenges along with lessons learned are also described in this document.

4216. Statewide Telehealth Program Enhances Access to Care, Improves Outcomes for High-Risk Pregnancies in Rural Area | PSNet
      psnet.ahrq.gov/innovation/statewide-telehealth-program-enhances-access-care-improves-outcomes-high-risk
      November 13, 2024 - Over its 17 years in operation, the High-Risk Pregnancy Program has gained a number of valuable lessons … learned that are particularly advantageous when reviewing this innovation for replication in other areas … The following lessons learned offer guidance in launching and sustaining this innovation: Identify

4217. Making Acute Care More Patient-Centered | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
      June 01, 2020 - Drawing on lessons from this project, the PSLL developed a new “productized” version of Health-ITUES

4218. Infectious Complications Related to the Catheter Other than CAUTI (September 9, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/infectious-complications-transcript.html
      November 01, 2015 - And then another RN who said in response to a question about what lessons they've learned for implementing … One infection control professional said this to us when we asked about what lessons she had learned. … It was something I learned from today, it's not just focusing on the NDROs, but thinking how we can use … I learned some things too. Thank you to the other speakers. Ashley Hoffmann: Likewise.

4219. Rafael Borja (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/infectious-complications-transcript.doc
      September 09, 2014 - And then another RN who said in response to a question about what lessons they’ve learned for implementing … One infection control professional said this to us when we asked about what lessons she had learned. … It was something I learned from today, it’s not just focusing on the NDROs, but thinking how we can use … I learned some things too. Thank you to the other speakers. Ashley Hoffmann: Likewise. All right.

4220. Doing 20 "Slow" Pelvic Muscle Strengthening Exercises (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/doing-20-slow-pelvic-strengthening-exercises.pdf
      June 02, 2025 - Doing 20 "Slow" Pelvic Muscle Strengthening Exercises - 1 - Doing 20 “Slow” Pelvic Muscle Strengthening Exercises Doing 20 “Slow” Pelvic Muscle Strengthening Exercises (ten minutes) 00:00 Welcome to pelvic floor muscle training. I am happy are taking the time to learn pelvic muscle exercises. Let's star…