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Showing results for "lessons learned".

4321. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Lessons learned from the analysis of collected event reports by PSOs can be used to educate members

4322. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33638/psn-pdf
      August 01, 2006 - I learned an important lesson: enlightened, risk-taking leadership is the only way to achieve significant

4323. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/841566/psn-pdf
      December 14, 2022 - However, we all know that healthcare requires data which is timely and interoperable; we certainly learned … establishing the systems of safety and those key tools of high-reliability organizations that we have learned … There are many lessons here, including communication strategies, culture, leadership, teamwork training

4324. Title Page (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015270-hayden-final-report-2008.pdf
      January 01, 2008 - Lessons learned include the importance of understanding and considering organizational structure and … We have learned that in both the pre- and post- eMAR systems, nurses would often make corrections on … We learned that the software did not provide enough patient-specific information to ever tell us. … Additional Lessons Learned. … past four years, and through our study of staff attitudes toward patient safety, there are several lessons

4325. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
      January 01, 2024 - Today, TeamSTEPPS is part of the ongoing patient safety movement and the training builds on lessons and

4326. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/846563/psn-pdf
      March 21, 2023 - Lessons learned from adverse events could help improve future patient safety.

4327. The CoolCraig App: Promoting Health by Improving Self-Regulation in Adolescents with ADHD - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs026058-lakes-final-report-2022.pdf
      January 01, 2022 - Little research has characterized how adolescents conceive of and apply lessons from treatment long-term … Adapting multi-device deployments during a pandemic: Lessons learned from two studies.

4328. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33700/psn-pdf
      October 01, 2010 - PP: One of the key lessons that I've learned is that there are different types of problems in safety

4329. AHRQ Practice Facilitation Training Modules: Additional Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
      July 01, 2022 - Practice Feedback Interventions: 15 Suggestions for Optimizing Effectiveness summarizes lessons from

4330. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. … Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. … Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.

4331. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.353_slideshow.ppt
      August 01, 2015 - information to enable clear identification of patients (and promote patient safety) 15 15 Key Lessons

4332. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
      June 02, 2025 - Robinson has several key lessons to share with new users to facilitate their quality improvement journey

4333. Impact of System Failures on Healthcare Workers | PSNet
      psnet.ahrq.gov/perspective/impact-system-failures-healthcare-workers
      August 30, 2023 - Lessons learned from adverse events could help improve future patient safety.

4334. An American View of the UK's Patient Safety Enterprise: Top Down vs. Bottom Up | PSNet
      psnet.ahrq.gov/perspective/american-view-uks-patient-safety-enterprise-top-down-vs-bottom
      December 01, 2005 - But, in the patient safety arena, I found significant challenges, ones that hold lessons for the American … Understanding the factors influencing implementation of a new national patient safety policy in England: lessons

4335. Showing Health Information Value in a Community Network | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network
      January 01, 2023 - Early lessons from the ongoing, 3-year project -- which involves providing clinical alerts, feedback

4336. A Seasonal Care Transition Failure | PSNet
      psnet.ahrq.gov/web-mm/seasonal-care-transition-failure
      June 01, 2016 - Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons … Enhancing patient safety and resident education during the academic year-end transfer of outpatients: lessons

4337. In Conversation with Chalapathy Venkatesan and Kathy Helak about Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/conversation-chalapathy-venkatesan-and-kathy-helak-about-application-safety-ii
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

4338. Application of Safety-II Principles | PSNet
      psnet.ahrq.gov/perspective/application-safety-ii-principles
      August 28, 2024 - At that conference, we learned from other industries, such as aviation and nuclear power, sharing practical … Sarah Mossburg: Are there any lessons learned or advice that you would provide to other organizations

4339. In Conversation with… Michael Cohen, RPh, MS, ScD (hon) | PSNet
      psnet.ahrq.gov/perspective/conversation-michael-cohen-rph-ms-scd-hon
      April 01, 2006 - Can you share some of the lessons that you have learned through your work that are relevant to other

4340. ACKNOWLEDGEMENTS (pdf file)
      hcup-us.ahrq.gov/reports/race/NASHPDisparitiesReport.pdf
      January 01, 2020 - LEARNED ............................................................................................ … It highlights lessons states have learned in the process of creating their documents and using them … LEARNED After reviewing featured states’ documents and talking with officials from each of these … states, several themes and lessons emerged … Lessons learned by these states, such as the need for substantive stakeholder and community involvement