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Showing results for "lessons learned".

4441. Tacit Handover, Overt Mishap | PSNet
      psnet.ahrq.gov/web-mm/tacit-handover-overt-mishap
      August 01, 2006 - 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

4442. The Safety Challenges of Supervision and Night Coverage in Academic Residency | PSNet
      psnet.ahrq.gov/web-mm/safety-challenges-supervision-and-night-coverage-academic-residency
      February 21, 2024 - In the discussion, he learned that the intern had never before rotated at this particular hospital and … ) Identifying and classifying diagnostic errors in acute care across hospitals: early lessons

4443. Production Pressures | PSNet
      psnet.ahrq.gov/web-mm/production-pressures
      November 16, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.

4444. Establishing a Business Case for Health Information Exchange (HIE) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/UHIN_BusinessCaseReport.pdf
      November 01, 2005 - To learn more about the latest tools, best practices, and lessons learned in health IT, please visit

4445. HCUP-US Methods Series Topic Page
      hcup-us.ahrq.gov/reports/methods/methods_topic.jsp
      November 01, 2024 - 01 Enhancing Clinical Information in Statewide Hospital Administrative Data: Project Summary and Lessons … Learned (PDF file, 248 KB) Report #2006-02 Final PNUM Linkage Variable Report of the

4446. Are We Getting Better at Measuring Patient Safety? | PSNet
      psnet.ahrq.gov/perspective/are-we-getting-better-measuring-patient-safety
      November 10, 2015 - January 27, 2019 Quality improvement lessons learned from National Implementation of

4447. Coming up for Err: Missed Diagnosis in a Patient with Recurrent Pneumothorax | PSNet
      psnet.ahrq.gov/web-mm/coming-err-missed-diagnosis-patient-recurrent-pneumothorax
      December 14, 2022 - December 14, 2022 Lessons learned in implementing a chronic opioid therapy management

4448. Race and Ethnicity Data Improvement Toolkit
      hcup-us.ahrq.gov/datainnovations/raceethnicitytoolkit/about_grants_re.jsp
      July 01, 2016 - Information about lessons learned and tools for other state data organizations to adopt the improvements

4449. Health Care Data Science for Quality Improvement and Patient Safety | PSNet
      psnet.ahrq.gov/perspective/health-care-data-science-quality-improvement-and-patient-safety
      October 01, 2016 - in Acute Hospital Care Units April 26, 2023 Changing smart pump vendors: lessons … learned. … Perspective Assessing the Safety of Electronic Health Records: What Have We Learned

4450. In Conversation With...Donald A. Norman, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
      November 01, 2006 - We have learned a lot about how automation has been introduced to other industries, to know that it always … By being the last in line to automate, we may be able to take advantage of what we've learned from errors … The Art of Innovation; Lessons in Creativity from IDEO, Americas Leading Design Firm.

4451. Patient-Centered Outcomes Research Trust Fund Strategic Framework (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pcor/pcortf-strategic-framework.pdf
      June 01, 2023 - be evaluated for impact to ensure that changes are bringing about intended results, and to identify lessons … learned that can be applied to bring about further improvements. … AHRQ will evaluate the efforts at both the state and national levels to share lessons learned and best

4452. Methods Research Report: Testing a Machine Learning Tool for Facilitating Living Systematic Reviews of Chronic Pain Treatments (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-testing-machine-learning-tool-chronic-pain.pdf
      November 01, 2020 - IDF term weighting and IR research lessons. … Alexander Technique lessons or acupuncture sessions for persons with chronic neck pain: a randomized

4453. Welcome to today’s AHRQ webcast, the National Web-Based Teleconference on Health IT and Underserved Populations Health IT Adoption in Rural Clinical Settings (pdf file)
      digital.ahrq.gov/sites/default/files/docs/AHRQ%20Transcript%208-27-10.pdf
      June 16, 2021 - And there are some facilitators for HIT in a rural state, and some of the lessons learned. … So lessons learned in the HIT trenches from our very own Dr. … I think knowing up front, and I think these are more general lessons about HIT than just about rural … And so those are the lessons that those of us in the trenches are learning. … Remember I said in my 'lesson learned' innovation is messy but I think it is so worth it.

4454. Final Progress Report: Using Performance Measurement To Improve the Quality and Safety of Healthcare (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/ballard-report.pdf
      January 01, 2024 - He also reported on the lessons learned from the implementation of a nationwide system, including intended

4455. In Conversation with... Joan Stanley about The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/conversation-joan-stanley-about-role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - We learned through our conversations with clinical practices that we need a common language and similar … education is focused on being able to demonstrate what the learner can do with what they know or have learned … Safety concepts can be integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations One of the most difficult parts of a nurse’s education is translating the theory learned

4456. The Role of Undergraduate Nursing Education in Patient Safety | PSNet
      psnet.ahrq.gov/perspective/role-undergraduate-nursing-education-patient-safety
      November 27, 2023 - Safety concepts can be integrated into lessons to instill patient safety as a core competency in students … Clinical Rotations One of the most difficult parts of a nurse’s education is translating the theory learned … We learned through our conversations with clinical practices that we need a common language and similar … education is focused on being able to demonstrate what the learner can do with what they know or have learned

4457. In Conversation With… Susan E. Skochelak, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-e-skochelak-md-phd
      February 01, 2019 - We have learned that creating such a transparent and just culture does not automatically result from … conducive environment to not only teach the foundations of health systems science, but to reinforce these lessons

4458. Running Effective Meetings and Creating Capacity for Practices to Run Effective Meetings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-22-meetings.pdf
      September 01, 2015 - Based on what you learned from this exercise and the module, what would you do differently with the … What are three lessons you learned from this exercise that you would use with your practices? 3. … • What useful lessons can we take from this story? … Partners can then present each other’s stories and lessons learned back to the whole group.

4459. Personalized Engagement Tool for Pediatric BMT Patients and Caregivers - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
      January 01, 2017 - Setting: AHRQ’s “Findings and Lessons from the Improving Management of Individuals with Complex Healthcare … Lessons learned and recommendations for future directions include continued attention to patient privacy

4460. Long-Term Care and the Response to COVID-19 | PSNet
      psnet.ahrq.gov/perspective/long-term-care-and-response-covid-19
      October 28, 2020 - While management of the infection has improved as the pandemic has continued and facilities have learned … your initiative and its intersection with the COVID-19 response – how are you using the work and the lessons … I would encourage frontline staff in hard hit areas to use forums like that to share what they’ve learned … We are not New York, so some lessons didn’t apply.