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Total Results: 5,319 records

Showing results for "lessons learned".

4701. Patient, Family Member, and Clinician Perceptions of Disclosure of Adverse Events in Labor and Delivery | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/liability/baker.html
      August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … Lessons from the cockpit: How team training can reduce errors on L&D.

4702. CDSiC Stakeholder Center Progress Report (pdf file)
      digital.ahrq.gov/sites/default/files/CDSiC%20Stakeholder%20Center%20Quarterly%20Report%20Q3%202025_Final.pdf
      September 01, 2025 - potential future directions resulting from CDSiC resources and findings and shared reflections on and lessons … learned from their participation in the CDSiC. 2 Stakeholder Center Workgroups Across the … manuscript includes three additional PC CDS case studies demonstrating patient engagement and summarizes lessons

4703. III. Intervention Steps and Tools | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit3.html
      April 01, 2018 - implementing it, and offers tips about it and how to avoid potential pitfalls (based on implementation lessons … learned).

4704. Final Progress Report: Leveraging a Social Network of Elders and Families To Improve Medication Safety at Transitions of Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/quintana-report.pdf
      January 01, 2024 - online social network to generate hypotheses and better understand privacy and security concerns.63 We learned … Pharmacist involvement at discharge with the joint commission heart failure core measure: challenges and lessons … learned. … ClereMed: Lessons Learned From a Pilot Study of a Mobile Screening Tool to Identify and Support Adults

4705. Final Progress Report: HIV/HCV Support Team to Improve Medication Safety and Engagement in Care (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/berry-report.pdf
      January 01, 2024 - successful, and we have submitted results of an analysis of its accuracy as well as a description of lessons … learned in the process of creating it. … The results of the analysis of its accuracy, as well as a description of lessons learned in the process

4706. UBIQUS Document (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/oct_13_webinar_transript_10-13-11.pdf
      October 13, 2011 - Many of our advocates get in touch with us about new organizations they’ve either joined or learned … learning and we’ll discuss it, and problem solving so as to reach out and get the most meaningful lessons … stretch out a little bit more, you’re in the risk zone where you actually learn something you haven’t learned … It certainly is always great to have the opportunity to interact with you and certainly I’ve learned

4707. July Teleconference Transcript (pdf file)
      digital.ahrq.gov/sites/default/files/docs/July%20Teleconference%20Transcript.pdf
      June 16, 2021 - So in terms of lessons learned, training seemed to be most successful when clinicians taught clinicians … and George and I think you’ll find that in some ways, this kind of leverage is a lot of what I’ve learned … we have an ordered list, ideal formulations and ideal doses based on the information that we’ve learned

4708. AHRQ Grant Final Progress Report: Improving Patient Safety Through Provider Communication Strategy Enhancements (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/daugherty-report.pdf
      January 01, 2024 - Throughout the study project, a number of “lessons learned” provided insight that could be useful for … On error management: Lessons from aviation. Br Med J 2000; 320: 781-785. 22. Harnish V.

4709. Appendix F. Interventions | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/reports/engage/appf.html
      March 01, 2017 - Bringing patients into the patient-centered medical home: lessons learned in a large primary care practice … Diagnostic errors in primary care: lessons learned Yes Yes Strong Review of evidence

4710. V-C3.01 Information Technology Security Policy Manual (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/data/AHRQ-Security-and-Privacy-Language-for-Information-and-Information-Technology-Procurements.pdf
      November 07, 2023 - test the Contingency Plan and prepare a Contingency Plan Test Report that includes the test results, lessons … learned, and any action items for address. … information; • Impact classifications/threat vector; • Type of information compromised; • A summary of lessons … learned; and • Explanation of the mitigation steps of exploited vulnerabilities to prevent similar

4711. Final Progress Report: Targeted Delivery of Multiparametric Telemetry Clinical Messages to Mitigate Alarm Fatigue - PERSEUS (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/kobayashi-report.pdf
      January 01, 2024 - Web-based portals: 3a) peer-reviewed publication of alarm fatigue simulation method with pilot data and lessons … learned, 3b) program-developed MeTeOR open code with use instructions and peer-reviewed methods manuscript … Peer-reviewed publication of alarm fatigue simulation method with pilot data and lessons learned Investigators

4712. Methods-Guidance-Topics Methods (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-guidance-topics_methods.pdf
      January 01, 2010 - has not focused on specific priority setting for comparative effectiveness systematic reviews, the lessons … learned from this process are relevant. … Developing evidence-based clinical practice guidelines: lessons learned by the US Preventive Services

4713. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
      November 01, 2011 - Lessons learned and next steps. … this infrastructure, other current and future users of the EHR in the collaboration can benefit from lessons … learned and improvements in approach. 22 References 1.

4714. Using the Opportunity Estimator (Transcript) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/toolkit/content-calls/estimator.html
      April 01, 2013 - Presenting the data before, it kind of might help focus that attention to help absorb the lessons in … And I think that's another thing that we want to do is not only take the lessons we learned to help ourselves

4715. 4. Defining Language Need and Categories for Collection | Agency for Healthcare Research and Quality
      www.ahrq.gov/research/findings/final-reports/iomracereport/reldata4.html
      May 01, 2018 - The Robert Wood Johnson Foundation, offers a toolkit that details additional promising practices and lessons … learned in implementation; go to www.speakingtogether.org.

4716. CDSiC Innovation Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2024-05/Innovation%20Center%20Q1%202024%20Progress%20Report.pdf
      January 01, 2024 - overview of the app prototype, the decision to use a chatbot versus LLM for this use case, and the lessons … learned by the end of the pilot.

4717. Module-5-Implementation-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-5-implementation-guide.pdf
      June 02, 2025 - o What lessons can be learned from failed tests or unintended outcomes?

4718. CDSiC Innovation Center: Quarterly Report (pdf file)
      digital.ahrq.gov/sites/default/files/Innovation%20Center%20Q1%202024%20Progress%20Report.pdf
      June 26, 2024 - overview of the app prototype, the decision to use a chatbot versus LLM for this use case, and the lessons … learned by the end of the pilot.

4719. In Conversation With… John D. Birkmeyer, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-john-d-birkmeyer-md
      January 31, 2024 - At least for that subset of surgeons, they learned exactly where they stood against their peers. … RW : Are there lessons from other fields with similar attributes?

4720. Diagnostic Failure: A Cognitive and Affective Approach (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Croskerry.pdf
      January 01, 2004 - The MedTeamsTM approach transferred lessons learned in aviation Crew Resource Management (CRM) to emergency … Good diagnosticians are those who have learned, often to their chagrin, how to avoid these cognitive