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Showing results for "lessons learned".

4621. 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

4622. WITHIN 3 (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/shah.pdf
      October 08, 2025 - So, in terms of lessons learned over the -- the several years we've been doing this, I touched on this

4623. HCUP-US Methods Series
      hcup-us.ahrq.gov/reports/methods/methods.jsp
      February 01, 2025 - 01 Enhancing Clinical Information in Statewide Hospital Administrative Data: Project Summary and Lessons … Learned (PDF file, 248 KB) Report #2010-02 Population Denominator Data for Use with the

4624. 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

4625. Improving Quality through Decision Support for Evidence-Based Pharmacotherapy (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
      January 01, 2011 - the qualitative analysis with 28 regard to the third possible point of failure, we also learned … Lessons Learned. … We have learned several valuable lessons through the development, implementation and operational support … As a second lesson, we learned that conventional technologies of facsimile and email, while ubiquitous

4626. Quality Improvement in Action Facilitator Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/qi-action-notes.docx
      April 01, 2022 - Thus, beginning the planning phase again, with what has been learned from the first cycle, to continually … The “act” phase is a chance to consider all lessons learned and to think about how to make the desired

4627. In Conversation With… Susan Haas, MD, MSc | PSNet
      psnet.ahrq.gov/perspective/conversation-susan-haas-md-msc
      March 01, 2019 - tangibly now that would be different than you would have done a couple of years ago based on what you've learned … networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself.

4628. Aviation Safety Methods: Quickly Adopted but Questions Remain | PSNet
      psnet.ahrq.gov/perspective/aviation-safety-methods-quickly-adopted-questions-remain
      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

4629. Building a Safety Program in a Vast Health Care Network | PSNet
      psnet.ahrq.gov/perspective/building-safety-program-vast-health-care-network
      March 01, 2019 - networks can communicate across their systems with relative ease, hopefully sharing best practices and lessons … learned from within the system itself. … tangibly now that would be different than you would have done a couple of years ago based on what you've learned

4630. 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

4631. In Conversation With... Freya Spielberg, MD, MPH | PSNet
      psnet.ahrq.gov/perspective/conversation-freya-spielberg-md-mph
      September 28, 2022 - KH: What would you say are some your biggest lessons learned from that engagement? … The other thing that's really important, is that what we've learned during the epidemic is that even … FS: I’ve just learned so much through my recent experiences as the Primary Care Medical Director for … The other interesting thing that I've learned recently was from overseeing a student who has been helping

4632. Improving Care in a Rural Region with Consolidated Picture Archiving and Communication System (PACS) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015328-coleman-final-report-2007.pdf
      January 01, 2007 - anticipated impacts of a shared PACS, 2) the planning and implementation process, 3) challenges and lessons … learned, and 4) comparisons on the impact of a shared PACS and a stand-alone PACS.10 We asked … The lesson learned was that the central PACS team could not completely mitigate the need for dedicated … for Spectrum radiologists. 16 The implementation of this shared system also has several lessons … HIE projects can take away important lessons from this process by further examining the technical aspects

4633. In Conversation With… David Blumenthal, MD, MPP | PSNet
      psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp-0
      March 27, 2024 - We spoke with him about the HITECH Act and lessons learned in health care since it was enacted.

4634. Evaluation | CDS Connect
      cds.ahrq.gov/evaluation
      April 16, 2025 - Search All AHRQ Sites Careers Contact Us Español FAQs Email Updates

4635. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/ldusafety.pptx
      May 01, 2017 - Observations from 450 shoulder dystocia simulations: lessons for skills training.

4636. 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

4637. Improving Healthcare Through AHRQ's Digital Healthcare Research Program: 2021 Year in Review (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2021-year-in-review.pdf
      January 01, 2021 - These lessons learned led to the development of an implementation guide to support replication and successful … In the process, we learned how different specialties’ thinking processes and perspectives differ, and … The July 1, 2021, webinar, Opportunities for Digital Healthcare: Lessons Learned From the COVID-19 Pandemic … digital.ahrq.gov/events https://digital.ahrq.gov/events/national-web-conference-opportunities-digital-healthcare-lessons-learned-covid … 19-pandemic https://digital.ahrq.gov/events/national-web-conference-opportunities-digital-healthcare-lessons-learned-covid

4638. 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

4639. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33850/psn-pdf
      January 01, 2018 - Duly noted: lessons from a two-site intervention to assess and improve the quality of clinical documentation

4640. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33868/psn-pdf
      October 01, 2018 - Safety in the Retail Pharmacy October 1, 2018 Chui MA. Safety in the Retail Pharmacy. PSNet [internet]. 2018. https://psnet.ahrq.gov/perspective/safety-retail-pharmacy Perspective There are approximately 67,000 retail/community pharmacies dispensing 4.4 billion prescriptions each year.(1) Many patients interact w…