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Showing results for "lessons learned".

4521. 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

4522. 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…

4523. 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.

4524. 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/resources/issue-briefs/dx-safety-patient-role.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

4525. 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

4526. 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

4527. 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.

4528. 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

4529. 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

4530. 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

4531. 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

4532. 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.

4533. 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

4534. 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.

4535. 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

4536. Confidential Physician Feedback Reports: Designing for Optimal Impact on Performance (pdf file)
      www.ahrq.gov/sites/default/files/publications/files/confidreportguide_0.pdf
      March 01, 2016 - Performance improvement messaging for physicians: lessons from market research* ................... … In cognitive testing, physicians are asked to tell, in their own words, what they learned from different … As much can be learned from implementation failures as from successes yet null findings on any topic … Data feedback efforts in quality improvement: lessons learned from US hospitals. … Performance improvement messaging for physicians: lessons from market research*

4537. 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.

4538. 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

4539. 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

4540. Improving Healthcare Safety by Enhancing Care Coordination (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-care-coordination.pdf
      June 30, 2025 - implemented, the effectiveness of support materials, barriers to and facilitators of implementation, and lessons … learned from implementation. … In addition, several lessons were learned, and recommendations were documented for future conferences … the process for identifying key data elements and making modifications to the EHR, as well as the lessons … learned from the IT components of this program, are generalizable to other healthcare settings and