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Total Results: 5,323 records

Showing results for "lessons learned".

4341. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33635/psn-pdf
      July 01, 2006 - RW: What have you learned about physician pushback in terms of standardization, and what tips would … That's probably the most important lesson I've learned.

4342. Introduction to the SPPC‐II Teamwork Toolkit for Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_1-introduction-speaker-notes.pdf
      July 01, 2023 - facilitation sessions • 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

4343. In Conversation With… Gordon Schiff, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-gordon-schiff-md
      February 26, 2025 - RW : What have we learned in the last 5 or 10 years about trying to measure diagnostic errors? … We've been looking at malpractice cases for lessons. … One thing we've learned is that stories are very important.

4344. In Conversation with Lucy Savitz about Learning Health Systems for Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-lucy-savitz-about-learning-health-systems-patient-safety
      February 26, 2025 - You just must establish trust with the partners and have the willingness to share what is learned. … that may be missed without effective reporting and analysis in combination with dissemination of the lessons … learned.

4345. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/865413/psn-pdf
      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.

4346. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33797/psn-pdf
      January 01, 2016 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health record.

4347. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49595/psn-pdf
      December 01, 2009 - "Superficial" Report Leads to "Deep" Problem December 1, 2009 Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. 2009. https://psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem The Case A 35-year-old woman presented to the emergency department (ED) complaining of left foot and an…

4348. Guide to Sustaining a Program To Reduce Catheter-Associated Urinary Tract Infections in Long-Term Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/sustainability/sustaining-guide.pdf
      March 01, 2017 - on critical factors to successfully improve and sustain changes in health care organizations, and lessons … learned from LTC facilities that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI

4349. AHRQ Patient Safety Tools and Resources (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/resources/resources/PS-tools-2024.pdf
      January 01, 2024 - Based on expert input and lessons learned from the Agency’s $23 million Patient Safety and Medical

4350. Methods Research Report Improving Access To And Usability of Systematic Review Data for Health Systems Guideline Development (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-health-systems-guidelines-development.pdf
      February 01, 2019 - Applicability for Other Health Systems ................................................................. 14 Lessons … Learned and Utility for Other EPC Reports .......................................................... … Lessons Learned and Utility for Other EPC Reports The pilot project demonstrated that alternative formats … Tableau for Experts Required Time Investment Utility and Applicability for Other Health Systems Lessons … Learned and Utility for Other EPC Reports Dissemination Product One: MAGICapp Dissemination Product

4351. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49627/psn-pdf
      June 01, 2011 - Editorial Note: The physician (case submitter) further reflected on what he learned from this experience … These are the smaller lessons from this case.

4352. Developing a Community-Wide Electronic Shared Medication List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Stock_113.pdf
      June 15, 2005 - How can PeaceHealth build on what has already been learned from existing electronic tools? … The purpose of the focus group interviews was to qualitatively capture key lessons from the project. … Much was learned about the key components to successful quality improvement, such as building infrastructure … Each partner experienced a unique set of “key lessons.” … Throughout the implementation of this project, innovation and discovery continued to reveal important lessons

4353. Health Information Exchange (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/health-information-exchange_executive.pdf
      December 01, 2015 - Veterans Affairs’ (VA) implementation of the Virtual Lifetime Electronic Record (VLER): findings and lessons … learned from Health Information Exchange at 12 sites. … Health information exchange implementation: lessons learned and critical success factors from a case … A shared electronic health record: lessons from the coalface.

4354. Training-Tools-Facnotes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/training-tools/training-tools-facnotes.docx
      May 01, 2017 - 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.

4355. Workarounds and Resiliency on the Front Lines of Health Care | PSNet
      psnet.ahrq.gov/perspective/workarounds-and-resiliency-front-lines-health-care
      August 01, 2009 - many academic and consumer articles, which focus on optimizing organizational effectiveness through lessons … While rivals were in the mindset of planning, command, and control, Toyota had learned that no amount … several months, they started tackling this problem, these constant breakdowns in care, in the ways we learned … These people often find that there are so many disanalogies that the lessons aren't transferable.

4356. In Conversation with...Steven J. Spear, DBA, MS, MS | PSNet
      psnet.ahrq.gov/perspective/conversation-withsteven-j-spear-dba-ms-ms
      August 01, 2009 - many academic and consumer articles, which focus on optimizing organizational effectiveness through lessons … While rivals were in the mindset of planning, command, and control, Toyota had learned that no amount … several months, they started tackling this problem, these constant breakdowns in care, in the ways we learned … These people often find that there are so many disanalogies that the lessons aren't transferable.

4357. Final Progress Report: Chronic Care Technology Planning Project (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
      January 01, 2024 - The Team met four times in the final quarter of the project year to discuss lessons learned, identify … The learning sessions’ content will consist of information learned from the Leadership, Clinical, and … What should we do next to advance what we’ve learned?

4358. Chronic Care Technology Planning Project (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/p20hs014949-branscombe-final-report-2005.pdf
      January 01, 2005 - The Team met four times in the final quarter of the project year to discuss lessons learned, identify … The learning sessions’ content will consist of information learned from the Leadership, Clinical and … What should we do next to advance what we’ve learned?

4359. Primary Care Practice Facilitation Curriculum Module 8: Approaches to Quality Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-8-approaches-to-qi.pdf
      September 01, 2015 - What lessons did you learn in completing the PDSA template that you will want to apply when you go … predictions Act Describe what modifications to the plan will be made for the next cycle from what you learned

4360. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33841/psn-pdf
      September 01, 2017 - We've learned that even really well-designed software can be made very challenging for clinicians when … One of the key lessons is to be more of a learning system all the way through. AG: Absolutely.