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Total Results: 5,319 records

Showing results for "lessons learned".

4601. Evaluation | CDS Connect
      cds.ahrq.gov/evaluation
      April 16, 2025 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

4602. Slide 1 (ppt file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/preventing-cauti-engaging-clinicians-051413.ppt
      January 01, 2013 - 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 Learning Objectives Describe the methods to engage clinicians in CAUTI prevention Describe methods to engage l…

4603. 105-What-Are-The-4-Es-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-surgery/105-what-are-the-4-es-notes.docx
      April 01, 2025 - Lessons learned should be shared.

4604. Strategy 4: IDEA Discharge Planning (Implementation Handbook) (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy4/Strat4_Implement_Hndbook_508_v2.pdf
      April 01, 2011 - This guide integrates what hospitals that participated in Transforming Care at the Bedside learned as … Identify lessons learned from the single-unit pilot implementation, refine your approach, and then spread … Reducing hospital readmissions: lessons from top-performing hospitals.

4605. Learning from Primary Care Meaningful Use Exemplars - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
      January 01, 2014 - reengineering our healthcare system.(4) However, it has been recognized that more needs to be learned … Synthesizing Lessons Learned Within a Practice-Based Research Network (PPRNet). 26th Annual Conference

4606. Strategy 6F: On-Demand Advice, Diagnosis, and Treatment for Minor Health Conditions | Agency for Healthcare Research and Quality
      www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6f-ondemand.html
      April 01, 2023 - Malpractice claims in Swedish telenursing: lessons learned from interviews with telenurses and managers

4607. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33726/psn-pdf
      March 01, 2012 - from our patients' experiences, we should learn from our mistakes, and infuse in our system those lessons … learned as quickly as possible.

4608. 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.

4609. Implementing a Low-Literacy, Multimedia IT System to Enhance Patient-Centered Cancer Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017300-hahn-final-report-2012.pdf
      January 01, 2012 - Unfortunately, what we learned from our study is that physicians told us they did not have sufficient … Unfortunately, what we learned from our study is that physicians told us they did not have sufficient … The results and lessons learned in our AHRQ-funded C3 study will be very useful for this new project

4610. When Patients and Providers Speak Different Languages | PSNet
      psnet.ahrq.gov/web-mm/when-patients-and-providers-speak-different-languages
      December 08, 2021 - The provider learned that the patient was having symptoms concerning for unstable angina and determined … Achieving quality in health care through language access services: lessons from a California public hospital

4611. Examining the Effectiveness of Debriefing at the Point of Care in Simulation-Based Operating Room Team Training (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Gururaja_7.pdf
      January 24, 2008 - point of care.4 Background The development of teamwork skills has become recognized as a set of learned … examples of teamwork competencies using their clinical experience • Apply teamwork competencies learned … The complexity of team training: What we have learned from aviation and its application to medicine

4612. A Nonpunitive, Computerized System for Improved Reporting of Medical Occurrences (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Arroyo.pdf
      June 11, 2003 - ultimate goal was to uncover real and potential problems at an earlier stage so that appropriate lessons … can be learned and corrective actions taken.

4613. Misplaced Nasogastric Tube Resulting in Aspiration | PSNet
      psnet.ahrq.gov/web-mm/misplaced-nasogastric-tube-resulting-aspiration
      August 01, 2009 - July 2, 2019 The safety journal: lessons learned with an error reporting tool to stimulate

4614. AHRQ_HHS Brand_Color (doc file)
      www.ahrq.gov/sites/default/files/publications/files/execsumm-lean-redesign.docx
      March 01, 2017 - Develop and disseminate knowledge and lessons learned about what factors affect the scale-up and sustainability

4615. Appendix B. In-Person Meetings | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/ssi/ssiapb.html
      April 01, 2018 - Lessons Learned Burden of unsupported practitioner SSI surveillance Documented need for enhanced

4616. Chapter 5. Project Findings for Goal 1 | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter5.html
      December 01, 2017 - Lessons Learned and Suggestions for Data Chapter 9.

4617. Final Revised Operations Center Operational Framework (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-02/OY1%20Operations%20Center%20Operational%20Framework.pdf
      January 01, 2024 - Committee member or Workgroup Lead on ROI for PC CDS ■ Debrief and discussion of Annual Meeting and lessons … learned ■ Potential ideas for additional work ■ Dissemination and outreach activity updates September

4618. Delay in Malignancy Diagnosis Reflects Systemic Failures | PSNet
      psnet.ahrq.gov/web-mm/delay-malignancy-diagnosis-reflects-systemic-failures
      September 25, 2019 - July 19, 2023 Rooting an error review process in just culture: lessons learned.

4619. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49519/psn-pdf
      September 01, 2006 - Case & Commentary: Part 3 The team subsequently learned that the night float resident had mistakenly … Handoff strategies in settings with high consequences for failure: lessons for health care operations

4620. Final Revised Operations Center Operational Framework (pdf file)
      digital.ahrq.gov/sites/default/files/OY1%20Operations%20Center%20Operational%20Framework.pdf
      September 01, 2024 - Committee member or Workgroup Lead on ROI for PC CDS ■ Debrief and discussion of Annual Meeting and lessons … learned ■ Potential ideas for additional work ■ Dissemination and outreach activity updates September