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Showing results for "lessons learned".

4661. 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.

4662. 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

4663. 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.

4664. 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

4665. 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

4666. 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.

4667. 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.

4668. AHRQ_DHR_2022_Annual_Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/ahrq-dhr-2022-year-in-review.pdf
      January 01, 2022 - For example, we can evaluate the lessons learned in the early years of health IT implementation, when … Participating groups used Plan-Do-Study-Act cycles to test and improve workflows and shared feedback and lessons … learned with the group. … Mueller and her team hope that the lessons learned will inform successful and sustained adoption by … Panel: Using Electronic Patient- Reported Outcomes to Monitor Patients Between Visits: Tools and Lessons

4669. 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

4670. 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…

4671. Public Reporting of Patients’ Comments with Quality Measures: How Can We Make It Work? (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140603_QI/reporting-patients-comments-transcript.pdf
      June 01, 2014 - Webcast in four parts today, and we're going to start with part one with an overview of what we've learned … Our focus was on physician performance, but the lessons learned are likely to apply equally to hospitals … results we're reporting to you this afternoon are from the first round of the elicitation, from which we learned … We took a variety of lessons from those, from the comparative performance, from where things worked

4672. Use of a Clinical Pathway To Facilitate the Translation and Utilization of AHRQ EPC Report Findings (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/clinical-pathway-methods-report.pdf
      December 01, 2018 - Learned and Applicability for Other EPC Reports .................................................... … rules and logic to facilitate integration into an electronic health record or other technology.16 Lessons … Learned and Applicability for Other EPC Reports We utilized the UPHS standard, generalizable 10-step … Resource and Time Requirements Discussion Utility and Applicability for Other Health Systems Lessons … Learned and Applicability for Other EPC Reports Conclusions References Abbreviations and Acronyms

4673. Final Progress Report: Improve Safety, Quality, and Efficiency in Radiotherapy with Automated HIT System (pdf file)
      www.ahrq.gov/sites/default/files/2024-04/yang-report.pdf
      January 01, 2024 - both safety and quality control have been improving due to workflow improvements according to the lessons … learned from previous incidents and following published recommendations and guidelines.

4674. Disposition of Comments for Technical Brief 31 Mobile Applications for Self-Management of Diabetes (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/related_files/tech-brief-31-mobile-applications-self-mgmt-disposition-comments.pdf
      May 08, 2018 - Lessons From a Community-Based mHealth Diabetes Self-Management Program: “It's Not Just About the Cell … Integration of a mobile-integrated therapy with electronic health records: lessons learned.

4675. From Science to Service: A Framework for the Transfer of Patient Safety Research into Practice (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Nieva.pdf
      January 07, 2005 - adopting institutions can serve as agents for further dissemination by sharing their experiences and lessons … learned. … Lessons from experienced guideline implementers: attend to many factors and use multiple strategies

4676. Case 6. Horizon Hospital—Lakeview Healthcare | Agency for Healthcare Research and Quality
      www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-case6.html
      November 01, 2014 - Process improvement staff also share what they learned from similar projects or activities when a process … We also link lessons learned to these facilitators and barriers.     … Organizing the Lean Initiative In this section, we discuss barriers, facilitators, and lessons learned … Training None of the interviewees mentioned education and training as a barrier, facilitator, or lesson learned

4677. Organisation-Memory-Report-Expert-Group-Learning-Adverse-Events-Nhs-Chaired-Chief-Medical
      psnet.ahrq.gov/issue/organisation-memory-report-expert-group-learning-adverse-events-nhs-chaired-chief-medical
      June 12, 2013 - psnet

4678. 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

4679. Making Healthcare Safer Practices: 13. Alarm Fatigue (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/making-healthcare-safer/mhs3/alarm-fatigue-1.pdf
      March 01, 2020 - learned. … were the most troublesome for nursing staff.5 In a study by Whalen et al., a telemetry task force learned … Findings Risk of Bias (High, Moderate, Low) Comments Allen et al., 201314 Adopting the lessons … Lessons learned include: (1) unit staff should analyze alarm parameters to determine if they are … Not provided Lessons learned include: (1) unit staff should analyze alarm parameters to determine

4680. 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.