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Total Results: 5,324 records

Showing results for "lessons learned".

4521. 2017 Health Information Technology Annual Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
      January 01, 2017 - piloted CDS, technical integration with the pilot site EHR, evaluation of the CDS’s performance, and lessons … learned through evaluation of the pilot testing experience, including direct clinical user feedback … Findings and lessons learned are shared through the AHRQ Health IT website.

4522. Case 3. Grand Hospital Center | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case3.html
      November 01, 2014 - We also link lessons learned to these facilitators and barriers. … Lessons learned addressed staff engagement most often. … Contents Organizing the Lean Initiative In this section, we discuss barriers, facilitators, and lessons … learned related to organizing the Lean initiative.

4523. Medication Discrepancies and Potential Adverse Drug Events During Transfer of Care from Hospital to Home | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/neumiller.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … Nursing lessons from the MHA Keystone ICU Project: developing and implementing an innovative approach

4524. Challenges to Real-Time Decision Support in Health Care (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Fitzgerald_108.pdf
      January 01, 2007 - The review of preventable deaths is usually done long after the event, and the lessons to be learned … On error management: Lessons from aviation. Br Med J 2000; 320: 83-102. 6.

4525. Final Progress Report: NYU Patient Imaging, Quality and Safety Laboratory (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/horwitz-report.pdf
      January 01, 2025 - This project will apply lessons learned from ambulatory ordering redesign to improve the ordering process … The Art of Innovation: Lessons in Creativity from IDEO, America’s Leading Design Firm.

4526. 7. Conclusions and Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/conclusions.html
      July 01, 2021 - Study participants also mentioned lessons from past federal efforts, such as the need to not only fund … funders of HSR and PCR, who have launched initiatives to support innovative research, may also provide lessons

4527. Improving Workplace Safety in Hospitals: A Resource List for Users of the AHRQ Workplace Safety Supplemental Item Set (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-resources.pdf
      May 01, 2023 - demonstrate how to create prevention plans, train and deploy staff, evaluate progress, and incorporate lessons … learned from exercises and incidents. 8.

4528. Chipra204-Materials Ii (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_II.pdf
      June 02, 2025 - Implementing developmental screening and referrals: lessons learned from a national project.

4529. Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/cost/report.html
      October 01, 2015 - turnover. 10 Conclusions The conclusions drawn from synthesizing the approaches, methods, and lessons … learned from the 15 AHRQ Estimating Costs grantees were used to develop the Practical Guide at the beginning

4530. Module-10-Slides (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-10-slides.pdf
      February 24, 2022 - CR What created the need The implementation process How the hybrid program currently works Lessons … learned 15 Changing the CR Paradigm to Benefit Patients 16 Why hybrid CR can benefit patients

4531. Primary Care Practice Facilitation Curriculum Module 32: Improving Self-Management Support and Engaging Patients in Care and Practice Improvement Topics (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-32-self-management-support.pdf
      September 01, 2015 - What were some lessons learned from the Bodenheimer article on implementing self- management support

4532. Meeting Minutes, May 2022 | Agency for Healthcare Research and Quality
      www.ahrq.gov/news/events/nac/2022-05-nac/nacmtg051222-minutes.html
      August 01, 2022 - AHRQ could seek to determine lessons learned from the COVID era with respect to policy changes that occurred

4533. Applying a Novel Organization Change Scale in a Multisite Patient Safety Initiative | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/brock.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional

4534. Summary of Patient Safety Research Opportunities | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/news-events/summit-research-2020/questions.html
      March 01, 2021 - Based on the experience of COVID, what important lessons learned have emerged regarding effective strategies

4535. Transforming the Morbidity and Mortality Conference into an Instrument for Systemwide Improvement (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Deis_82.pdf
      June 03, 2008 - Here, we describe our first 2 years’ experience with the MM&I conference and discuss the lessons learned

4536. Synthesis Report: Methods and Results From the AHRQ Estimating Costs Research Grants | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/reports/cost-guide/synthesis-report.html
      February 01, 2017 - turnover. 10 Conclusions The conclusions drawn from synthesizing the approaches, methods, and lessons … learned from the 15 AHRQ Estimating Costs grantees were used to develop the Practical Guide at the beginning

4537. Steroids and Safety: Preventing Medication Adverse Events During Transitions of Care | PSNet
      psnet.ahrq.gov/web-mm/steroids-and-safety-preventing-medication-adverse-events-during-transitions-care
      September 09, 2013 - October 27, 2010 Project BOOST implementation: lessons learned.

4538. A Weighty Mistake | PSNet
      psnet.ahrq.gov/web-mm/weighty-mistake
      September 01, 2016 - May 12, 2021 Lessons learned from a systems approach to engaging patients and families

4539. Deaths Not Foretold: Are Unexpected Deaths Useful Patient Safety Signals? | PSNet
      psnet.ahrq.gov/web-mm/deaths-not-foretold-are-unexpected-deaths-useful-patient-safety-signals
      March 01, 2004 - April 1, 2016 Implementing hospital-based communication-and-resolution programs: lessons … learned in New York City.

4540. Promoting Self-Management in Stroke Survivors Using Health-IT - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r21hs021794-lakshiminarayan-final-report-2015.pdf
      January 01, 2015 - Some of the lessons learned on this pilot study include clarification on appropriate exclusions.