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Total Results: 5,362 records

Showing results for "lessons learned".

4281. 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.

4282. 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.

4283. 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.

4284. 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

4285. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49604/psn-pdf
      June 01, 2010 - The Commentary While there is something to be learned about the proper care of spinal catheters from … Handoff strategies in settings with high consequences for failure: lessons for health care operations

4286. Opioid Use Disorder Resources—2018 Updates | The Academy
      integrationacademy.ahrq.gov/news-and-events/news/opioid-use-disorder-resources-2018-updates
      January 11, 2018 - Developing Coordinated State Opioid Strategies (Milbank Memorial Fund)—this issue brief describes lessons … learned by state officials about coordinating law enforcement, public health agencies, and Medicaid

4287. 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

4288. Diagnostic Errors Case Studies | PSNet
      psnet.ahrq.gov/curated-library/diagnostic-errors-case-studies
      August 10, 2025 - PRIDE Learning Network, diagnostic error case studies were reviewed to identify common pitfalls and lessons … learned.

4289. 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

4290. 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.

4291. 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

4292. 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

4293. 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

4294. 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.

4295. Case 4. Suntown Hospital | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case4.html
      November 01, 2014 - All interviewees were asked to share their insights, that is, their lessons learned based on their experiences … Contents Organizing the Lean Initiative In this section, we discuss barriers, facilitators, and lessons … learned related to organizing the Lean initiative. … learned related to implementing the Lean initiative. … mentioned Lean during meetings and gave Lean team members the opportunity to share improvements and lessons

4296. Using the CAHPS Database to Compare, Report, and Improve Organizational Performance (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/Final_Using_the_CAHPS_Database_Webcast_Transcript.pdf
      January 01, 2014 - So the first one who will be talking to you will be Francis Fullam from Rush, talking about lessons learned … As Gladys explained, I’m just going to summarize the lessons learned from the 2010 project with primary … The big lessons are that when we compared Consortium hospital results to the national averages from … Fullam, Slide 51 So the lessons learned were that A, we learned what we needed to do to submit this … But it’s still something to work on, both what we learned from comparing ourselves to these national

4297. Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/learning-health-systems-patient-safety
      February 26, 2025 - that may be missed without effective reporting and analysis in combination with dissemination of the lessons … learned. … You just must establish trust with the partners and have the willingness to share what is learned.

4298. 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

4299. 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?

4300. 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?