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Total Results: 5,323 records

Showing results for "lessons learned".

4461. "Superficial" Report Leads to "Deep" Problem | PSNet
      psnet.ahrq.gov/web-mm/superficial-report-leads-deep-problem
      July 01, 2012 - "Superficial" Report Leads to "Deep" Problem Citation Text: Dhaliwal G. "Superficial" Report Leads to "Deep" Problem. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2009. Copy Citation Format: Google Scholar BibTeX EndN…

4462. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/836850/psn-pdf
      March 31, 2022 - Future lessons learned from this project will be valuable for reducing ADEs from PIMs. 

4463. CDS Standards and Regulatory Frameworks Workgroup: An Initial Taxonomy of Override Reasons for PC CDS Recommendations (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-07/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
      January 01, 2024 - Currently, analysis of overrides is inefficient, and lessons learned from studies of CDS performance … particularly suited to facilitating comparison of overrides of PC CDS across different institutions to share lessons … learned. … Currently, analysis of overrides is inefficient, and lessons learned from studies of CDS performance … learned.

4464. CDS Standards and Regulatory Frameworks Workgroup: An Initial Taxonomy of Override Reasons for PC CDS Recommendations (pdf file)
      digital.ahrq.gov/sites/default/files/SRF_Taxonomy%20of%20PC%20CDS%20Override%20Recommendations_508_0.pdf
      July 01, 2024 - Currently, analysis of overrides is inefficient, and lessons learned from studies of CDS performance … particularly suited to facilitating comparison of overrides of PC CDS across different institutions to share lessons … learned. … Currently, analysis of overrides is inefficient, and lessons learned from studies of CDS performance … learned.

4465. Uses of Quality Measurement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-resources/tools/chtoolbx/uses/index.html
      June 01, 2020 - Creating more effective health plan quality reports for consumers: lessons from a synthesis of qualitative

4466. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33698/psn-pdf
      August 01, 2010 - RS: That's where the toolkit using lessons borrowed from Toyota is so widely applicable.

4467. PowerPoint Presentation (ppt file)
      psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.407_slideshow.ppt
      May 01, 2017 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

4468. Labor and Delivery Unit Safety: Shoulder Dystocia | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/labor-delivery-unit/tool-shoulder-dystocia.html
      July 01, 2023 - Observations from 450 shoulder dystocia simulations: lessons for skills training.

4469. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33645/psn-pdf
      February 01, 2007 - Diagnosing diagnosis errors: Lessons from a multi-institutional collaborative project for the diagnostic

4470. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/60376/psn-pdf
      July 30, 2020 - psychological-impact-and-coping-strategies-frontline-medical-staff-hunan-between-january-and https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

4471. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33730/psn-pdf
      June 01, 2012 - The idea was to aggregate the existing reporting systems and learn lessons nationally.

4472. Rural Hospital Collaborative for Excellence Using IT - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015431-brooks-final-report-2007.pdf
      January 01, 2007 - potential differences in those who were randomized to receive the educational component and discern lessons … Galimbertti M, Rural Hospital Information Technology Implementation for Safety and Quality Improvement: Lessons … Learned, (Under review by the Computers, Informatics, Nursing J) REFERENCES 1. … Driving improvement in patient care: lessons from Toyota. J Nurs Adm.

4473. In Conversation With… Mark Chassin, MD, MPP, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-mark-chassin-md-mpp-mph
      April 26, 2023 - RW : You said one of the early lessons was that you couldn't easily translate these observations from … And it goes back to the aphorism that I learned a long time ago from a very wise CIO who said, "Computers

4474. Using Deliberative Methods to Engage Patients, Consumers, and the Public (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/deliberative-methods-how-to-webinar-text-only.pdf
      December 06, 2011 - This webinar focuses on the second part – regarding what we have learned about deliberative methods … year, informed by the literature review, input from our Technical Expert Panel, and AHRQ, and gleaned lessons … In the educational component, participants learned about Alzheimer’s disease, the clinical research … Participants learned about social determinants of health – or the environmental and contextual factors

4475. Using Deliberative Methods to Engage Patients, Consumers, and the Public (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/deliberative-methods-how-to-webinar-text-only.pdf
      December 06, 2011 - This webinar focuses on the second part – regarding what we have learned about deliberative methods … year, informed by the literature review, input from our Technical Expert Panel, and AHRQ, and gleaned lessons … In the educational component, participants learned about Alzheimer’s disease, the clinical research … Participants learned about social determinants of health – or the environmental and contextual factors

4476. Presentation: Program Overview
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel.pptx
      December 01, 2017 - ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: The safety program for surgery builds on the lessons … learned from previous successful statewide efforts to improve culture and reduce healthcare-associated … doubled Overview ‹#› AHRQ Safety Program for Surgery – Onboarding SAY: It also builds on the lessons … learned from National On the CUSP: Stop BSI program.

4477. An Introduction to Assessing Practices: Issues to Consider (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-12-intro-to-assessing-practices.pdf
      September 01, 2015 - What lessons did you learn from completing these surveys and reviewing the UDS data reports? 2. … What have been your experiences and lessons learned assessing systems in practices (or other organizations

4478. Meeting Minutes, November 2020 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2020-11-nac/nacmtg111020-minutes.html
      March 01, 2021 - Pancholi responded that the program is collecting lessons learned and distilling them into a form that … AHRQ has learned and demonstrated that dissemination must be followed by active, multilevel implementation

4479. Human Factors Engineering Can Teach You How to Be Surprised Again | PSNet
      psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
      November 01, 2006 - The Art of Innovation; Lessons in Creativity from IDEO, Americas Leading Design Firm. … 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

4480. The Patient’s Role in Diagnostic Safety and Excellence: From Passive Reception Toward Co-Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/dx-safety-issue-brief-co-design-rev.pdf
      September 01, 2024 - In the authors’ mutual observations, we have learned that experienced patients agree that the heart of … https://www.thinklocalactpersonal.org.uk/ 5 e The modes of change model highlights lessons learned … Lessons learned from a systems approach to engaging patients and families in patient safety transformation