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Showing results for "lessons learned".

4741. 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

4742. 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.

4743. Establishing a Foundation for Medicaid’s Role in the Adoption of Health Information Technology: Opportunities, Challenges, and Considerations for the Future (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/UMASS%20Final%20Report_0.pdf
      April 01, 2007 - The creation of an objective forum where lessons learned, new developments, and the opportunities/challenges … assess the opportunities for Medicaid agencies in regard to clinical HIE, the investment strategies and lessons … The creation of an objective forum where lessons learned, new developments, and the opportunities/challenges … makes sense to evaluate what commercial carriers have done to address this issue and what they have learned … Key lessons from NEHEN include: • Free is often not cheap enough.

4744. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Designing and Implementing Effective VTE Prevention Protocols: Lessons from Collaboratives. … What barriers, successes, and lessons learned did you gain from these efforts?

4745. 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.

4746. Appendix A: Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/vtguide/appa.html
      July 01, 2018 - Designing and Implementing Effective VTE Prevention Protocols: Lessons from Collaboratives. … What barriers, successes, and lessons learned did you gain from these efforts?

4747. 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

4748. Integrating Contextual Factors into Clinical Decision Support to Reduce Contextual Error, Improve Outcomes, and Reduce Misuse, Overuse, and Underuse of Outpatient Primary Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs025374-weiner-final-report-2022.pdf
      January 01, 2022 - What we’ve learned from real patient and USP collected audio about contextual error: In our research … employing real patient collected audio we learned that contextual errors are common. … Among those who did probe and successfully learned that the patient was having trouble affording his … Contextualizing medical decisions to individualize care: lessons from the qualitative sciences. … Misuse, Overuse, and Underuse of Outpatient Primary Care Abstract: Purpose Scope What we’ve learned

4749. Industrial and Systems Engineering and Health Care: Critical Areas of Research (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/BackgroundReport082310.pdf
      May 01, 2010 - report states that success has been achieved by other industries in reducing errors and that the lessons … learned in these industries should be applied to health care.

4750. 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

4751. In Conversation With… Sigall K. Bell, MD | PSNet
      psnet.ahrq.gov/perspective/conversation-sigall-k-bell-md
      February 26, 2025 - I learned that lesson from you a few years ago. You showed a slide from JAMA at a talk.

4752. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
      March 01, 2022 - Evidence that nurses need to participate in diagnosis: lessons from malpractice claims .

4753. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33866/psn-pdf
      September 01, 2018 - I learned that lesson from you a few years ago. You showed a slide from JAMA at a talk.

4754. AHRQ-Funded Patient Safety Project Highlights: Improving Healthcare Safety by Enhancing Teamwork and Leadership (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-teamwork-leadership-2025.pdf
      January 01, 2025 - healthcare delivery that depend on teamwork; and (2) provide regular communications on progress and lessons … learned with AHRQ in accomplishing the primary objective. … Researchers learned that even the largest healthcare organizations typically have only one person in … The most common and important lesson learned was that the revised LTC curriculum was a highly effective

4755. The AHRQ Hospital Survey on Patient Safety Culture: A Tool to Plan and Evaluate Patient Safety Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Jones_29.pdf
      February 23, 2008 - Hospital Association and the national Quality Improvement Organization Support Center to disseminate lessons … learned.

4756. Primary Care Practice Facilitation Curriculum Module 6: An Overview of the Facilitation Process (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-6-pf-process.pdf
      September 01, 2015 - other and help create communities of practice that bring together peers to share best practices and lessons … learned.

4757. 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

4758. Resource List - AHRQ Ambulatory Surgery Center Survey (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/asc/asc-resource-list.pdf
      April 01, 2023 - login) Ariadne Labs has developed a framework for WHO Safe Surgery Checklist implementation based on lessons … learned in more than 4,000 facilities worldwide.

4759. Delayed Diagnosis in the Setting of Virtual Care: Remembering the Physical Examination | PSNet
      psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
      April 29, 2020 - January 26, 2022 Designing an abstraction instrument: lessons from efforts to validate … Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons

4760. Private Sector Efforts in Value-Based Purchasing and Quality Improvement | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/quality-measures/21st-century/private-sector.html
      June 01, 2018 - Theory and Reality of Value-based Purchasing: Lessons from Pioneers . … Lessons from employed populations? Presentation before the Henry J.