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Showing results for "lessons learned".

4241. Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner | PSNet
      psnet.ahrq.gov/innovation/risk-mitigation-using-anesthesia-risk-alert-program-applying-proactive-approach-data
      February 26, 2025 - Anesthesia adverse events voluntarily reported in the Veterans health administration and lessons learned

4242. Chipra204-Materials Iiia (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_IIIA.pdf
      January 01, 2014 - Implementing developmental screening and referrals: lessons learned from a national project.

4243. Module-9-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
      February 24, 2022 - and hospital case studies to understand techniques for activating patients to engage in CR. 2 Apply lessons … learned through the case studies to gaps in your CR program's care coordination workflow.

4244. Federal Interagency Workgroup: Improving Diagnostic Safety and Quality in Healthcare: March 2024 Meeting (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dx-safety-workgroup-meeting-notes-mar2024.pdf
      July 26, 2024 - DLS is also partnering with VA Hospital Systems Laboratories and sharing best practices and lessons … learned

4245. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-patient-role-references.html
      September 01, 2024 - Lessons learned from a systems approach to engaging patients and families in patient safety transformation

4246. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/850678/psn-pdf
      June 14, 2023 - The lessons learned from the pilot were then applied to a staggered deployment of the innovation to

4247. Missing Trauma | PSNet
      psnet.ahrq.gov/web-mm/missing-trauma
      March 03, 2011 - Resources From the Same Author(s) Patterns of errors contributing to trauma mortality: lessons … learned from 2,594 deaths.

4248. An Obstructed View | PSNet
      psnet.ahrq.gov/web-mm/obstructed-view
      August 07, 2019 - January 10, 2024 Patients' perspectives on quality and patient safety failures: lessons … learned from an inquiry into transvaginal mesh in Australia.

4249. Triage Time Bomb | PSNet
      psnet.ahrq.gov/web-mm/triage-time-bomb
      September 01, 2008 - Failure to Latch September 1, 2008 Changing smart pump vendors: lessons … learned.

4250. Reconciling Records | PSNet
      psnet.ahrq.gov/web-mm/reconciling-records
      September 01, 2017 - Initial lessons from the first national demonstration project on practice transformation to a patient-centered … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

4251. Diagnostic Errors Case Studies | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
      November 10, 2025 - PRIDE Learning Network, diagnostic error case studies were reviewed to identify common pitfalls and lessons … learned.

4252. Integrating Patient-Reported Outcomes Into Routine Primary Care: Monitoring Asthma Between Visits | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/integrating-patient-reported-outcomes-routine-primary-care-monitoring-asthma
      January 01, 2024 - Opportunities for Digital Healthcare: Lessons Learned from the COVID-19 Pandemic AHRQ hosted a Web conference

4253. Medication Reconciliation Victory After an Avoidable Error | PSNet
      psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
      April 01, 2015 - August 14, 2024 Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.

4254. Introduction to the SPPC‐II Teamwork Toolkit for Severe Hypertension (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction-speaker-notes.pdf
      July 01, 2023 - Self‐directed and self‐paced • Mandatory in‐person team facilitation sessions o Reinforce online module lessons … and demonstration‐based training, we expect you to schedule in‐person team facilitation sessions so lessons

4255. Enabling E-Prescribing and Enhanced Management of Controlled Medications - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
      January 01, 2012 - It was subsequently learned that the Transaction Control Reference Number, which was not required by … With the lessons learned, the project is therefore proposing additional areas of study may exist with … learned for prescriber and pharmacy software system vendors, providers, pharmacies, PMPs, and regulators … The lessons learned from this project may influence how quickly these implementations occur. … The findings of this study provide important lessons to those implementing EPCS in the community, but

4256. From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
      February 09, 2005 - From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin Dose Calculator … 395 From Insight to Implementation: Lessons from a Multi-site Trial of a PDA-based Warfarin

4257. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
      October 01, 2020 - Several critical success factors are required to sustain the interventions learned and continued gains … Encourage team leaders to discuss actual patient stories to drive home important lessons. … The following examples will provide “lessons learned” to assist in sustainability in your facility.

4258. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33828/psn-pdf
      March 01, 2017 - 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

4259. Plan Your Reporting Checklist (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.pdf
      December 26, 2018 - How will you share the lessons you have learned with your partners?

4260. Plan Complete Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
      December 26, 2018 - FORMCHECKBOX How will you share the lessons you have learned with your partners?