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Showing results for "lessons learned".

4481. 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

4482. Section 2. Forming a Patient Flow Team | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ptflow/section2.html
      July 01, 2018 - Key lessons include: The value of engaging inpatient staff at the outset to make them part of the

4483. Final Progress Report: Yale Center for Healthcare Innovation, Redesign, and Learning (CHIRAL) (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/chaudhry-report.pdf
      January 01, 2025 - meetings, at which PIs and research staff met to discuss accomplishments to date, challenges, lesson learned … meetings, at which PIs and research staff meet to discuss accomplishments to date, challenges, lesson learned

4484. Final Progress Report: Center for Safety In Emergency Care (pdf file)
      www.ahrq.gov/sites/default/files/2025-05/wears2-report.pdf
      January 01, 2025 - Lessons in Patient Safety. Chicago, IL: National Patient Safety Foundation; 2001:1-6.

4485. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/867428/psn-pdf
      December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls December 18, 2024 Dykes PC, Sousane Z, Mossburg SE. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls. PSNet [internet]. 2024. https://psnet.ahrq.gov/perspective/conversation-patricia-dykes-a…

4486. Final Progress Report: Reduction of Nephrotoxic Medication-Associated Acute Kidney Injury in Children (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/goldstein-report.pdf
      January 01, 2024 - Five years after To Err Is Human: what have we learned? JAMA 2005;293:2384- 90. … Harnessing the Potential of Health Care Collaboratives: Lessons from the Keystone ICU Project. … A framework for collaborative improvement: lessons from the Institute for Healthcare Improvement's Breakthrough

4487. 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

4488. Workplace Safety Resource List (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/workplace-safety/workplace_safety_resource_list.pdf
      October 01, 2021 - demonstrate how to create prevention plans, train and deploy staff, evaluate progress, and incorporate lessons … learned from exercises and incidents. 8.

4489. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49690/psn-pdf
      September 01, 2013 - Lessons learned in the abuse of pain relief medication: a focus on healthcare costs.

4490. Quality Indicators Sensitive to Nurse Staffing in Acute Care Settings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Savitz.pdf
      March 01, 2004 - However, our review of the literature did identify three important lessons. … First, we learned it is important to take a comprehensive view of nurse staffing and quality indicators … , and not to look at a single indicator in isolation.27 Secondly, we learned from our AHRQ-funded research

4491. In Conversation with...Peter J. Pronovost, MD, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withpeter-j-pronovost-md-phd-0
      October 01, 2010 - PP: One of the key lessons that I've learned is that there are different types of problems in safety … WHO surgical checklist embraced human factors principles, which helped user perception, they later learned

4492. What Makes a Good Checklist | PSNet
      psnet.ahrq.gov/perspective/what-makes-good-checklist
      October 01, 2010 - WHO surgical checklist embraced human factors principles, which helped user perception, they later learned … PP: One of the key lessons that I've learned is that there are different types of problems in safety

4493. Health Care–Acquired Urinary Tract Infection: The Problem and Solutions | PSNet
      psnet.ahrq.gov/perspective/health-care-acquired-urinary-tract-infection-problem-and-solutions
      November 01, 2008 - We asked him to speak with us about how research on UTI prevention provides broader lessons for patient … November 8, 2023 Lessons learned in implementing a chronic opioid therapy management

4494. Introduction to the Case Studies | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-intro.html
      November 01, 2014 - Identify challenges to implementing Lean, potential solutions to the challenges, and lessons learned.

4495. Methods Research Report: Linking Evidence Reviews to Organizational Guideline Planning: A Pilot Test of an Interactive Web-Based Presentation and Discussion of Evidence (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/linking-evidence-reviews-methods_0.pdf
      October 01, 2018 - Applicability to Other Health Systems .................................................................... 8 Lessons … Learned and Applicability for Other EPC Reports ................................................... … Lessons Learned and Applicability for Other EPC Reports In general, our health care-organization partner … EPC Report Participant Survey Results Discussion Value and Applicability to Other Health Systems Lessons … Learned and Applicability for Other EPC Reports Conclusion References

4496. Final Progress Report: Understanding the implementation of new practices in healthcare organizations (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/nembhard-report.pdf
      January 01, 2024 - The second category of covariates related to hospitals’ baseline/learned performance, with respect to … A framework for collaborative improvement: Lessons from the Institute for Healthcare Improvement's Breakthough … Lessons in cooperation: an update on improving the quality of hospital care.

4497. AHRQ’s 30th Anniversary Primary Care Research Conference: Proceedings (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/about/primary-care-research-conference-proceedings.pdf
      January 01, 2023 - • Lessons learned about pre-existing vulnerabilities of primary care. … While there are lessons to be learned about how primary care and specialty care are balanced and how … • Lessons could be learned from behavioral health integration. …  “We could consider some of the lessons learned from behavioral health integration.

4498. Enhancing Medication CPOE Quality & Safety by Indications Based Prescribing - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
      January 01, 2018 - Leveraging lessons from the requirements and consensus-building phase, we designed a prototype that … Based on lessons from the requirements and consensus-building phase with stakeholders, we designed a … of opinion across the many stakeholder groups.13,14 Aim 2 - Prototype Design The team took the lessons … and key insights learned from the stakeholder panel webinar phase, and worked to design a working prototype … their electronic ordering workflow, in our study with minimal training on the prototype, they quickly learned

4499. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49490/psn-pdf
      September 01, 2005 - mix-ups—creative answers can be found nearly everywhere (eg, even bartender equipment might hold design lessons

4500. Slide 1
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/breaking-down-barriers-051215.pptx
      February 01, 2015 - 1.3333333333333333 0 Month/Year Rate per 1000 Foley days Foley days of units combined Learning & Sustaining Lessons … Learned Basics do need to be assessed and addressed Ongoing competency & audits necessary Industry