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Total Results: 5,362 records

Showing results for "lessons learned".

4381. Preventing CAUTI in Special Populations: Focus on Procedure-Related Catheter Use | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-proc-related-catheter-use-slides.html
      December 01, 2017 - reinsertion—post-removal protocol with bladder scanning Slide 33 Implementing a Program: Hurdles Cleared and Lessons … Learned Gregory D.

4382. Clinical Content Enhancement Toolkit
      hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/about_grants_cd.jsp
      July 01, 2016 - Information about lessons learned and tools for other state data organizations to adopt the improvements

4383. Enhanced State Data Grants
      hcup-us.ahrq.gov/datainnovations/grants.jsp
      July 01, 2016 - performance monitoring and comparative effectiveness studies; and plans to disseminate findings, conclusions, lessons … learned, and tools for future use.

4384. Preventable Transfer to the Hospital | PSNet
      psnet.ahrq.gov/web-mm/preventable-transfer-hospital
      March 31, 2022 - Root cause analyses of transfers of skilled nursing facility patients to acute hospitals: lessons learned

4385. Chapter 3. Development of the Data Infrastructure | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.

4386. Advance Alert Monitor Program: An Automated Early Warning System for Adults At Risk for In-Hospital Clinical Deterioration | PSNet
      psnet.ahrq.gov/innovation/advance-alert-monitor-program-automated-early-warning-system-adults-risk-hospital
      October 30, 2024 - The lessons learned from the pilot were then applied to a staggered deployment of the innovation to an

4387. 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.

4388. 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

4389. 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.

4390. 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.

4391. 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.

4392. 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…

4393. 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.

4394. 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

4395. 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

4396. Patient Safety Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
      June 01, 2022 - of 115 articles that describe patient safety findings, investigative approaches, process analyses, lessons … learned, and practical tools to prevent patients from being harmed.

4397. 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

4398. 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.

4399. 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.

4400. 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