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Showing results for "lessons learned".

4581. National Opportunity To Improve Infection Control in ESRD (NOTICE) Phase Two Final Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/finalreportphase2.pdf
      September 29, 2014 - Checklist and Change Package Use in the Community ..................................................... 38 Lessons … Learned ............................................................................................ … Lessons Learned The lessons learned from the NOTICE project are many and vary in topic and significance … HRET has learned from its experience in previous clinically focused projects (On the CUSP: Stop CLABSI … Lessons learned regarding the production of videos include the need for clearly defined goals and objectives

4582. Pediatric Patient Safety Consortium (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA204-Materials_XIII.pdf
      August 25, 2014 - Implementing developmental screening and referrals: lessons learned from a national project. … questioning indicates the little girl is already reading and writing postcards to relatives, but has not learned … 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.

4583. 2013-2015 AHRQ Health Information Technology Portfolio Annual Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2013-2015-ahrq-hit-summary-report.pdf
      January 01, 2015 - and many others allowed AHRQ staff, grantees, and contractors to disseminate project results, share lessons … learned, and build on each other’s work. … Findings and lessons learned are shared through the AHRQ Health IT website. … Technology -Assisted Population-Based Cancer Screening Program PAR-HS-08-268 Nemeth, Lynne Synthesizing Lessons … Learned Using Health Information Technology PAR-HS-08-268 Stablein, Timothy The Role of Privacy in

4584. Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cpi/centers/ockt/kt/tools/impuspstf/impuspstf.pdf
      September 21, 2010 - Implementing U.S. Preventive Services Task Force (USPSTF) Recommendations into Health Professions Education TECHNICAL ASSISTANCE DOCUMENT IMPLEMENTING U.S. PREVENTIVE SERVICES TASK FORCE (USPSTF) RECOMMENDATIONS INTO HEALTH PROFESSIONS EDUCATION September 21…

4585. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49466/psn-pdf
      October 14, 2004 - Lessons from plaintiff depositions. Arch Intern Med. 1994;154:1365-70.[ go to PubMed ] 2.

4586. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49632/psn-pdf
      July 01, 2011 - Enhancing patient safety and resident education during the academic year- end transfer of outpatients: lessons

4587. The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Meadows.pdf
      December 01, 2003 - The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents 387 The Incident Decision Tree: Guidelines for Action Following Patient Safety Incidents Sandra Meadows, Karen Baker, Jeremy Butler Abstract The National Patient Safety Agency has developed the Incident Decision Tree to hel…

4588. Final Progress Report: Partnering With Patients To Find Adverse Events (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/weingart2-report.pdf
      January 01, 2024 - In addition, the lessons from inpatient care appear to hold in the ambulatory setting. … Lessons from a patient partnership intervention to prevent adverse drug events.

4589. The Pains of Chronic Opioid Usage | PSNet
      psnet.ahrq.gov/web-mm/pains-chronic-opioid-usage
      April 04, 2018 - Lessons learned in the abuse of pain relief medication: a focus on healthcare costs.

4590. Overuse as a Patient Safety Problem | PSNet
      psnet.ahrq.gov/perspective/overuse-patient-safety-problem
      September 01, 2014 - Perspective African Partnerships for Patient Safety: Lessons … Learned December 1, 2014 Perspective Beyond

4591. Arcia-notes-Teresa (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/arcia-presentation.pdf
      October 08, 2025 - Our lessons with  icons, in  particular, really drove home the message that you can't assume that

4592. TeamSTEPPS® Diagnosis Improvement: Module 7: Putting It All Together (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-presenters-notes.pdf
      January 01, 2008 - Considering when, where, and how use of the TeamSTEPPS tools and lessons from this course may have resulted … In this module, participants learned that: • Diagnostic error is a patient safety issue and applications

4593. Module 7: Putting It All Together
      www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/dx-improvement/module7-all-together.pptx
      January 01, 2008 - Considering when, where, and how use of the TeamSTEPPS tools and lessons from this course may have resulted … In this module, participants learned that: Diagnostic error is a patient safety issue and applications

4594. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49792/psn-pdf
      May 01, 2017 - Ebola US Patient Zero: lessons on misdiagnosis and effective use of electronic health records.

4595. Cognitive Overload in the ICU | PSNet
      psnet.ahrq.gov/web-mm/cognitive-overload-icu
      June 01, 2005 - overwhelmed as the sole recipient of the cognitive load in such environments.( 14 ) There are also lessons

4596. Rural Community Partnerships—EMR Implementation Project (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015302-mullen-final-report-2008.pdf
      January 01, 2008 - The lesson learned with Physician Center was to have the scanning solution in place doing back scanning … It kept me ahead of what was being learned about the basics of EMR and allowed me to advance in the

4597. The Contribution of Diagnostic Errors to Maternal Morbidity and Mortality During and Immediately After Childbirth: State of the Science (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/dxsafety-issuebrief-maternal-morbidity.pdf
      September 01, 2021 - Apply lessons learned from trends and improvements in morbidity and mortality due to various comorbidities

4598. Implementation, Adoption, and Scaling Workgroup: Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-09/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
      January 01, 2024 - meeting diverse patient needs and preferences.2 Previous implementation experiences offer valuable lessons … Recommendations for Future PC CDS Research Lessons learned from across projects can inform a future … PC CDS implementation science research agenda and apply lessons learned to resolve both emerging and … Leveraging the rich experiences and lessons learned from these projects, stakeholders in the PC CDS … Evaluation of these shared decision making tools included assessing the impact and lessons learned during

4599. Implementation, Adoption, and Scaling Workgroup: Exploring Challenges and Opportunities for Patient Engagement, Implementation, Adoption, and Scaling Through PC CDS Case Studies (pdf file)
      digital.ahrq.gov/sites/default/files/Final%20IAS%20PC%20CDS%20Case%20Studies%20Report_2.pdf
      August 31, 2024 - meeting diverse patient needs and preferences.2 Previous implementation experiences offer valuable lessons … Recommendations for Future PC CDS Research Lessons learned from across projects can inform a future … PC CDS implementation science research agenda and apply lessons learned to resolve both emerging and … Leveraging the rich experiences and lessons learned from these projects, stakeholders in the PC CDS … Evaluation of these shared decision making tools included assessing the impact and lessons learned during

4600. Final Grant Report: Using Military & Aviation Simulation Experience to Improve Rural Obstetric Safety (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/guise2-report.pdf
      January 01, 2024 - • The error protection mechanisms that the teams had learned were even evident in a completely new … skills, including consistent use of team language, were evident on the second visit, indicating that learned … training program designed to improve clinical teamwork and safety in obstetrics, the toolkit, and lessons … learned.