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Showing results for "lessons learned".

4381. Section 3: Selecting and Targeting Populations for a Care Management Program | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3.html
      October 01, 2014 - The State has learned early lessons from its experience with this population: Stakeholder involvement

4382. Exploring How Artificial Intelligence (AI) Can Enhance Patient-Centered Clinical Decision Support | CDSiC
      cdsic.ahrq.gov/cdsic/AI-viewpoint
      February 25, 2025 - through the CDSiC’s Four Workgroups February 3, 2023 View More Related Resources Lessons … Learned from a National Initiative Promoting Publicly Available Standards-Based Clinical Decision Support

4383. 2. Overview of AHRQ’s Recent Investments in Primary Care Research | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/2025-annual-report/overview.html
      August 01, 2025 - support grantees’ success, creates a learning community to support peer-to-peer sharing of resources and lessons … learned, and evaluates the program’s impact. 

4384. Strongyloides: A Hidden Traveler and Potentially Lethal Missed Diagnosis. | PSNet
      psnet.ahrq.gov/web-mm/strongyloides-hidden-traveler-and-potentially-lethal-missed-diagnosis
      August 25, 2021 - Missed Diagnosis in a Patient with Recurrent Pneumothorax August 25, 2021 Lessons … learned in implementing a chronic opioid therapy management system.

4385. Enhanced Medication Histories (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/enhancedmedhistories_102611comp.pdf
      October 01, 2011 - Learned ............................................................................................ … Learned As a result of this project, we have learned lessons which we would like to share with others … In this way we learned of problems earlier, than if we had waited for the clinic personnel to contact … Lessons from KatrinaHealth. June 13, 2006. … Learned 1.

4386. CUSP: A Framework for Success (Slide Presentation) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/framework-slides/slides.html
      October 01, 2014 - Learn from one defect per quarter; share or post lessons.

4387. AHRQ Webinar - Integrating Patient-Reported Outcomes into Practice: Benefits, Challenges, and Recommendations for Action - Q&As (pdf file)
      digital.ahrq.gov/sites/default/files/docs/integrating-pros-into-practice-qas-02272024.pdf
      February 27, 2024 - ANSWER: The most important thing that we learned in our qualitative studies was that there was definitely … Having those conversations more in-depth on the front end, this is a key lesson learned by me.

4388. What Exactly Is Patient Safety? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Emanuel-Berwick_110.pdf
      July 02, 2008 - Commentators asserted that the more error-related information was shared, the better lessons could be … These and other developments produced a readiness for looking at what might be learned and adapted from … espouses continuous cycles of learning, reporting of adverse events or near misses, dissemination of lessons … learned, and the establishment of cultures that are trusted to not cast unfair blame. … What have we learned? JAMA 2005; 293: 2384-2390. 6. Leape LL, Bates DW, Cullen DJ, et al.

4389. Understanding Quality and Safety Problems in the Ambulatory Environment: Seeking Improvement With Promising Teamwork Tools and Strategies (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Webster_76.pdf
      July 18, 2008 - In aviation, the crew debriefs after every flight so as to incorporate lessons learned in real time. … Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project. … Handoff strategies in settings with high consequences for failure: Lessons for health care operations

4390. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach – Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs28284-simpson-final-report-2023.pdf
      January 01, 2023 - We learned that real-time data sources, well integrated practice and research teams, and a commitment … However, the most important lesson that we learned from this research was the essential contribution … Scaling the Lessons Learned from Ambulatory Telehealth Approaches during COVID-19: Small Wins, Big

4391. TeamSTEPPS® Diagnosis Improvement: Module 6 Mutual Support - Facilitator’s Notes (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-presenters-notes.pdf
      January 10, 2022 - Frame problems in terms of personal experience and lessons learned. • Choose the location. … In this module, participants learned that: • Mutual support fosters team adaptability, mutual trust,

4392. Module 6: Mutual Support
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module6-mutual-support.pptx
      January 10, 2022 - Frame problems in terms of personal experience and lessons learned. Choose the location. … In this module, participants learned that: Mutual support fosters team adaptability, mutual trust, and

4393. Person-Centered Care Planning for Persons With Multiple Chronic Conditions: Summit Summary Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/pccp4p-summitsummary.pdf
      September 01, 2025 - Share lessons learned from TEP, PR, and LC sessions as a foundation for identifying opportunities for … The Summit shared lessons learned from the prior year’s work conducted by three expert panel groups … Objectives 1) Share lessons learned from Roundtable and Learning Collaborative sessions as a foundation

4394. Ambulatory Care Compact to Organize Risk and Decision-making (ACCORD) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
      January 01, 2011 - 2 Final Report Purpose In this Final Report, we share the design, implementation, and lessons … learned in the development of an innovative model of care delivery that enables patients and primary … denotes rapid and visible detection of deviations so that corrective actions can be taken quickly and lessons … learned to avoid future deviations. … Lessons learned from the focus groups and research team testing were then used to establish a set of

4395. Communication: Obstetric Hemorrhage - PowerPoint Presentation
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
      July 01, 2023 - to the established care plan Use SBAR to: Frame event reports Structure case scenarios for sharing lessons … learned (either positive or negative) to other staff Summarize a particularly effective or ineffective … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessons … learned, or summarizing a particularly effective or ineffective event for posterity and continuous learning … 51 Hospital AIM Team Leads SPPC-II SCRIPT Now that you’ve learned about the communication tools and

4396. Communication: Obstetric Hemorrhage (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
      July 01, 2023 - clarify, or suggest changes to response plans • Ensure all staff understand the new information learned … established care plan Use SBAR to: • Frame event reports • Structure case scenarios for sharing lessons … might be useful at the Reporting stage to frame event reports, structure case scenarios for sharing lessons … learned, or summarizing a particularly effective or ineffective event for posterity and continuous … 51 SCRIPT Now that you’ve learned about the communication tools and strategies we have for improving

4397. Appendix C: Alternate Care Facility Questionnaire | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/shuttered/acfselection/appendixc.html
      July 01, 2018 - What lessons did you learn with regards to integrating non-health care provider volunteers into the operation … Were there any lessons learned with regards to doing so?       ___  Yes   ___  No      12a.

4398. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-care-transitions7.html
      June 01, 2023 - Handoff strategies in settings with high consequences for failure: lessons for health care operations … Usability of a human factors-based clinical decision support in the emergency department: lessons learned

4399. National Pcep Meeting White Paper (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/national_pcep_meeting_white_paper.docx
      May 05, 2014 - funding was coming to a close, the four grantees explored strategies for bringing together what had been learned … Infrastructure for large-scale quality-improvement projects: early lessons from North Carolina Improving … The North Carolina Healthcare Quality Alliance: lessons in aligning quality improvement strategies statewide

4400. Sustainability-Partnerships-And-Teamwork-In-Health-It-Implementation (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/sustainability-partnerships-and-teamwork-in-health-it-implementation.pdf
      December 01, 2012 - They may also wish to build on the lessons learned from THQIT by building in ways to demonstrate the … This report draws on the lessons learned by early adopters under the Agency for Healthcare Research … This section synthesizes lessons learned across grantees and does not identify vendors by name or endorse … The lessons discussed in this report about sustainability, partnerships, and teamwork in health IT … learned during their planning and implementation processes.