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Showing results for "lessons learned".

4561. Archived Announcements About CAHPS Surveys | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/news-and-events/news/archive/index.html
      June 01, 2024 - Lessons From Healthcare Organizations on Improving Patient Experience —Speakers discussed using CAHPS

4562. Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/preventing-cauti-engaging-leadership-slides.html
      December 01, 2017 - Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Slide presentation Slide 1 Preventing CAUTI: Engaging Clinicians and Senior Leadership to Implement Change Sanjay Saint, MD, MPH M. Todd Greene, MPH, PhD University of Michigan Medical School Ann Arbor VA Medical Center …

4563. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33752/psn-pdf
      August 01, 2013 - We learned along the way that teamwork is important. … RW: Aside from the issue of resilience and readiness of the providers, what else have we learned about … There were places where they would shut down the OR or the ED, and I think that that lesson has been learned

4564. The Wrong Channel | PSNet
      psnet.ahrq.gov/web-mm/wrong-channel
      February 01, 2003 - mix-ups—creative answers can be found nearly everywhere (eg, even bartender equipment might hold design lessons

4565. After-Visit Confusion | PSNet
      psnet.ahrq.gov/web-mm/after-visit-confusion
      August 21, 2007 - August 21, 2007 Perspective Rapid Response Teams: Lessons

4566. Just Culture Webcast November 2016 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/hospital/hospwebinar/just-culture-webcast-transcript-508-compliant.pdf
      June 01, 2017 - But I learned a lot. … I learned from the experience that big change is hard, and sometimes it takes a long time, and it can … Are there any lessons learned in this area that you want to share that perhaps can expedite the process … So what I've learned is, as I said, some things take a lot of time.

4567. Grant Final Report: Toward an Optimal Patient Safety Information System (TOPSIS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/koss-report.pdf
      January 01, 2024 - These open-ended answers focused on the need for up-to-date information, shared information, such as lessons … learned from other institutions, benchmarks from similar institutions, and more communication and educational … Lessons from the Australian patient safety foundation: setting up a national patient safety surveillance … Error in medicine: what have we learned? Ann Intern Med. 2000; 132(9):763- 67. 10.

4568. Primary Care Practice Facilitation Curriculum Module 7: Professionalism for Practice Facilitators (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-7-professionalism.pdf
      September 01, 2015 - homes (PCMHs), and then the PF returns to the practice to assist members in implementing what was learned … Share with your fellow PFs the lessons you have learned and the problems you are encountering. … • Be willing to share the challenges you are encountering and your lessons learned, with other PFs

4569. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33606/psn-pdf
      December 15, 2024 - opioid-prescribing-decreases-after-learning-patients-fatal-overdose https://psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs

4570. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/73104/psn-pdf
      January 04, 2021 - Researchers have also learned through disease surveillance that COVID-19 disproportionately affects … epidemiology-and-risk-factors-coronavirus-infection-health-care-workers-living-rapid-review https://psnet.ahrq.gov/issue/lessons-walking-medical-distancing-tightrope … acr-recommendations-use-chest-radiography-and-computed-tomography-ct-suspected-covid-19 https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience … https://psnet.ahrq.gov/issue/patient-safety-recommendations-covid-19-epidemic-outbreak-lessons-italian-experience

4571. Developmental Screening and Follow-Up: Follow-Up Referral Tracking (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-205-fullreport.pdf
      January 01, 2014 - Implementing developmental screening and referrals: lessons learned from a national project. … Implementing developmental screening and referrals: lessons learned from a national project. … Implementing developmental screening and referrals: lessons learned from a national project. … Lessons from Use of the Measure 1. … Lessons from Use of the Measure Section 9. Levels of Aggregation Section 10.

4572. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49639/psn-pdf
      November 01, 2011 - They are free lessons about how things go wrong and how they can be fixed before someone gets hurt. … Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

4573. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/857259/psn-pdf
      November 30, 2023 - California’s mandatory nurse staffing ratios: key lessons 2 decades in. … .2021.103110 https://www.beckershospitalreview.com/nursing/californias-mandatory-nurse-staffing-ratios-key-lessons

4574. Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/hartung-report.pdf
      January 01, 2024 - Final Progress Report: RESPOND Pharmacy Education Toolkit: AHRQ Final Report RESPOND Pharmacy Education Toolkit: AHRQ Final Report Principal Investigator: Daniel Hartung, PharmD, MPH Team Members: Nicole O’Kane, Christi Hildebran, Adriane Irwin, Lindsey Alley, Kevin Novak, Sara Haverly, David Cameron, Jennifer Hal…

4575. In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/conversation-patricia-dykes-about-ongoing-journey-prevent-patient-falls
      December 18, 2024 - In Conversation with Patricia Dykes about The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Essay View more articles from the same authors. Citation…

4576. The Ongoing Journey to Prevent Patient Falls | PSNet
      psnet.ahrq.gov/perspective/ongoing-journey-prevent-patient-falls
      December 18, 2024 - The Ongoing Journey to Prevent Patient Falls Patricia Dykes, PhD, MA, RN, FAAN, FACMI, Zoe Sousane, BS, Sarah E. Mossburg, RN, PhD | December 18, 2024  Also Read the Conversation View more articles from the same authors. Citation Text: Dykes PC, Sousane Z, Mossb…

4577. In Conversation With… J. Bryan Sexton, PhD, MA | PSNet
      psnet.ahrq.gov/perspective/conversation-j-bryan-sexton-phd-ma
      February 26, 2025 - We learned along the way that teamwork is important. … RW : Aside from the issue of resilience and readiness of the providers, what else have we learned about … There were places where they would shut down the OR or the ED, and I think that that lesson has been learned … PhD February 1, 2014 Perspective What We've Learned

4578. Clinical-Care-Rapid-Review-Appendix-C (xls file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/clinical-care-rapid-review-appendix-c.xlsx
      January 01, 2018 - Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … In addition, for events that fall under the "CARe Insurer Case Protocol", lessons learned from the insurer … In addition, for events that fall under the "CARe Insurer Case Protocol", lessons learned from the insurer … attorney to discuss a resolution In addition, for events that fall under the "CARe Insurer Case Protocol", lessons … learned from the insurer investigation are fed back to the hospital and improvements may be made.

4579. In Conversation with…Jack Barker, PhD | PSNet
      psnet.ahrq.gov/perspective/conversation-withjack-barker-phd
      January 01, 2006 - RW: How has your training program evolved and what lessons have you learned as you've actually gone … Certainly there are some technical things that could be learned, but because of the current state of

4580. System Redesign Responses to Challenges in Safety-Net Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/systemredesignsafetynet/systemredesign.pdf
      June 01, 2015 - As we learned, some of their experiences have been positive, but the systems also occasionally struggle … Staff learned that improvement work does not need to be perfect; small changes can make a big difference … Green Belts returning to the organization did not have the skills to deploy what they had learned and … Instead, different systems provide lessons on different dimensions: both the practices that are working … While these cases are only illustrative, we believe they offer important lessons about redesign and