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Total Results: 5,362 records

Showing results for "lessons learned".

4901. A Cognitive and Communication Blind Spot Contributes to Permanent Paralysis | PSNet
      psnet.ahrq.gov/web-mm/cognitive-and-communication-blind-spot-contributes-permanent-paralysis
      January 13, 2010 - September 27, 2023 Designing an abstraction instrument: lessons from efforts to

4902. Spotlight
      psnet.ahrq.gov/sites/default/files/2024-10/spotlight_case_delayed_symptomatic_subdural_hematoma_slides.pptx
      January 01, 2024 - The lesson to be learned in this case is in follow-up care, which as noted above, is not guided by high-grade

4903. Pressure Injury Prevention Program Implementation Guide (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/pu_training-impguide.docx
      October 01, 2017 - developed this Guide to share participating hospitals’ implementation strategies, experiences, and lessons … learned with hospitals like yours. … This approach helps reinforce what the new nurses have learned and ensures that there are enough staff

4904. A Framework for Conceptualizing Evidence Needs of Health Systems (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/white-paper-framework-for-conceptualizing-evidence-needs_0.pdf
      December 01, 2017 - provincial health authorities to consider priority setting for future research in health care,30 they learned … effective clinical data systems capture patient outcomes resulting from “best practice” and feedback the lessons

4905. Strategy 1: Working with Patients & Families as Advisors (Implementation Handbook) (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy1/Strat1_Implement_Hndbook_508_v2.docx
      January 28, 2011 - Learning about the process and outcomes of these experiences will help identify lessons learned, potential … family advisors is not something that most clinicians and hospital staff have been trained to do or learned … Share improvements and lessons learned with others at local, regional, and national meetings. … are comfortable, ask advisors to share information about who is in their family, where and how they learned

4906. AHRQ Training Web Conference on the Clinical Decision Support Authoring Tool - Q&A (pdf file)
      digital.ahrq.gov/sites/default/files/docs/cds-authoring-tool-qas-020719.pdf
      December 08, 2017 - Details regarding the impact, accuracy and usage of the CDS as well as the lessons learned during the

4907. Culture Clash No More: Integration and Coordination of Disease Treatment and Palliative Care | PSNet
      psnet.ahrq.gov/web-mm/culture-clash-no-more-integration-and-coordination-disease-treatment-and-palliative-care
      December 23, 2020 - cancer patients. 27 Treatment planning as an on-going process, not a one-time decision  A final lesson learned

4908. Strategies to Improve Patient Safety: Draft Report to Congress for Public Comment and Review by the National Academy of Medicine (pdf file)
      pso.ahrq.gov/sites/default/files/wysiwyg/strategies-to-improve-patient-safety_draft-report.pdf
      December 21, 2021 - researchers work with facility representatives to clarify and understand a problem and share reports and lessons … learned with the clinical community and the public, without facility and patient identification, so

4909. Final Progress Report: Incident Reporting Practices in Nursing Homes (pdf file)
      www.ahrq.gov/sites/default/files/2025-02/castle-report.pdf
      January 01, 2025 - On error management: Lessons from aviation. Br Med J 2000;320:781-85. 11. National Quality Forum. … Reporting and preventing medical mishaps: Lessons from non-medical near miss reporting systems. … On error management: Lessons from aviation. BMJ 2000;320(7237):781-85. 24.

4910. Us Chs States-Role-In-Hie (pdf file)
      digital.ahrq.gov/sites/default/files/docs/medicaid/us_chs_states-role-in-hie.pdf
      September 25, 2006 - stakeholder processes • Encouraging new ideas and knowledge sharing with other HIE projects; applying lessons … learned • Being able to manage and facilitate necessary state-level policy changes that are critical

4911. The Role of the National Quality Forum (NQF) in the Quest for Transparency in U.S. Hospitals' Patient Safety Performance | PSNet
      psnet.ahrq.gov/perspective/role-national-quality-forum-nqf-quest-transparency-us-hospitals-patient-safety
      April 01, 2010 - Five years after To Err Is Human: what have we learned? JAMA. 2005;293:2384-2390. … January 6, 2010 Reducing health care hazards: lessons from the Commercial Aviation Safety

4912. Patient Centered Virtual Multimedia Interactive Informed Consent (VIC) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023987-fuad-final-report-2018.pdf
      January 01, 2018 - peer-reviewed journals and presentations at national meetings to share and demonstrate the findings and the lessons … learned from this project.

4913. New Models of Primary Care Workforce and Financing - Case Example #7: Cherokee Health Systems (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_7.pdf
      October 01, 2016 - Lessons learned include: • Behavioral health providers are members of the core primary care team,

4914. CAHPS Clinician & Group Survey Version 3.0 Overview (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/cg/about/cg_3-0_overview.pdf
      January 01, 2015 - Those proposed changes reflected input and lessons learned from users and stakeholders, a desire to

4915. 2. Priority Questions and Recommendations | Agency for Healthcare Research and Quality
      www.ahrq.gov/prevention/resources/chronic-care/clinical-community-relationships-eval-roadmap/ccre-roadmap2.html
      July 01, 2013 - More has been learned about the characteristics of successful relationships between clinics/clinicians … What are the most appropriate methods for identifying and reporting on key lessons that may be useful

4916. Case Example #7: Cherokee Health Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-7.html
      July 01, 2019 - Lessons learned include: Behavioral health providers are members of the core primary care team, are

4917. CDSiC Stakeholder Community and Outreach Center: Quarterly Report (pdf file)
      cdsic.ahrq.gov/sites/default/files/2023-09/Stakeholder%20Center%202023%20Q3%20Report%20to%20AHRQ%209.27.23.pdf
      January 01, 2023 - Planning Committee met in August 2023 to reflect on Center accomplishments in the base period, discuss lessons … learned and areas for improvement, and preview potential ideas for Workgroup activities during the

4918. Implementation of a Data-based Medical Event Reporting System in the U.S. Department of Defense (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Davis.pdf
      February 12, 2004 - This paper explores the challenges of implementing a new medical event reporting system, the lessons … learned, and other issues related to data submission, collection, reporting, and analysis.

4919. Final Progress Report: Improving patient and clinician safety during COVID-19 through a rapidly adaptive simulation intervention (pdf file)
      www.ahrq.gov/sites/default/files/2024-09/evans-report.pdf
      January 01, 2024 - Lessons learned in preparing for and responding to the early stages of the COVID-19 pandemic: one simulation's

4920. nnovative Methods in Stakeholder Engagement: An Environmental Scan (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/stakeholders-engagement-others_research-2012-1.pdf
      January 01, 2012 - information on key points regarding stakeholder engagement processes, evaluation and measurement, lessons … learned, and the benefits and barriers of stakeholder engagement activities, we developed and tested … can allow for constant feedback to stakeholders about how their input is being used, which we have learned … Recruitment of multiple stakeholders to health services research: Lessons from the front lines. … What have we learned about stakeholder involvement in program evaluation?