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Showing results for "lessons learned".

4621. 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

4622. Estimating the Costs of Primary Care Transformation: A Practical Guide and Synthesis Report (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/estimating-costs-primary-care-transformation.pdf
      July 31, 2015 - learned from the 15 AHRQ Estimating Costs grants. … learned. … learned for the field. … learned from the 15 AHRQ Estimating Costs grantees were used to develop the Practical Guide at the … Contrasting trajectories of change in primary care clinics: lessons from New Orleans safety net.

4623. 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

4624. 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

4625. 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

4626. 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…

4627. 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.

4628. 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.

4629. 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

4630. 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.

4631. 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

4632. 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

4633. 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…

4634. 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

4635. 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

4636. Power to the patient: Design and Test of Closed-Loop Interactive IT for Geriatric Heart Failure Self-Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs025232-holden-final-report-2019.pdf
      January 01, 2019 - The design process we used, including challenges encountered and lessons learned, are described in a … The procedures and techniques used, products developed, and lessons learned from our design work should

4637. Final Progress Report: Mentored Implementation of I-PASS for Better Handoffs and Safer Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/landrigan-report.pdf
      January 01, 2024 - Educational Conference 2016 Strategies for Implementing a Successful Handoff Program for Hospitalists: Lessons … learned from the SHM-IPASS Mentored Implementation Program Society for Hospital Medicine Annual … Aires, Argentina 2017 Strategies for Implementing a Successful Handoff Program for Hospitalists: Lessons … learned from the SHM-IPASS Mentored Implementation Program Cohort 2 Society for Hospital Medicine

4638. Final Report: Embracing the PBRN Model To Improve the Medication Use Process (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/lipowski-report.pdf
      January 01, 2024 - Results: Key Strategies for Establishing a Pharmacy PBRN Key strategies Meeting evaluation Lessons … learned Outgrowths of the conference VI. … Lessons Learned The participant evaluations were quite positive, as evidenced by the response to the

4639. Arcia-notes-Teresa (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/arcia-presentation.pdf
      May 29, 2025 - Our lessons with  icons, in  particular, really drove home the message that you can't assume that

4640. 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