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Showing results for "lessons learned".

4961. Clinical Inertia and Outpatient Medical Errors (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/OConnor.pdf
      January 01, 2003 - Lessons from experienced guideline implementers: attend to many factors and use multiple strategies

4962. Final Progress Report: APPLIED STRATEGIES FOR IMPROVING PATIENT SAFETY (ASIPS) (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/pace-report.pdf
      January 01, 2024 - Our mixed-methods approach allowed us to efficiently and effectively extract patient safety lessons

4963. Integrating Patient-Generated Health Data into Electronic Health Records in Ambulatory Care Settings: A Practical Guide (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/pghd-practical-guide.pdf
      December 01, 2021 - relationships with colleagues from other practices who have done this type of work, bringing back lessons … learned and use case ideas, among others. … • Study the data with your team to interpret the impact of the change. • Identify what you have learned

4964. Approaches to Standardizing Override Reasons for Patient-Centered Clinical Decision Support (pdf file)
      cdsic.ahrq.gov/sites/default/files/2025-09/508_SRF%20Level%202%20Override%20Taxonomy%20Implementation%208.28.25.pdf
      January 01, 2025 - reasons collected from PC CDS tools to the taxonomy domains/subdomains to analyze, compare, and draw lessons … learned across PC CDS applications. … real-world testing, enabling feedback and data collection to refine implementation strategies and document lessons … learned.

4965. Final Progress Report: Safety in the Home Healthcare Sector: A Pilot Study (pdf file)
      www.ahrq.gov/sites/default/files/2024-11/gershon-report.pdf
      January 01, 2024 - .8 This approach, referred to by Leape and Berwick as a “mantra in healthcare,” is based in part on lessons … learned from high-hazard work organizations, or “high-reliability organizations” (HRO), such as aviation … Five Years After To Err is Human: What Have We Learned? JAMA. 2005;293(19):2384-2390. 10. … Organizational failure: lessons from industry applied to the medical domain.

4966. Approaches to Standardizing Override Reasons for Patient-Centered Clinical Decision Support (pdf file)
      digital.ahrq.gov/sites/default/files/508_SRF%20Level%202%20Override%20Taxonomy%20Implementation%208.28.25.pdf
      June 01, 2025 - reasons collected from PC CDS tools to the taxonomy domains/subdomains to analyze, compare, and draw lessons … learned across PC CDS applications. … real-world testing, enabling feedback and data collection to refine implementation strategies and document lessons … learned.

4967. Secure Messaging in a Pediatric Respiratory Medicine Setting (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/securemessagingpediatricrespiratorysettingreport_013012comp.pdf
      January 01, 2011 - The tools developed and lessons learned can be easily adapted and applied to other systems and outpatient … The tools developed and lessons learned can be easily adapted and applied other systems and outpatient

4968. Future Research Needs for Childhood Obesity Prevention Programs (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/pdf/child-obesity-future_research.pdf
      March 31, 2010 - Promoting children's healthy eating in obesogenic environments: Lessons learned from the rat. … Promoting children's healthy eating in obesogenic environments: Lessons learned from the rat.

4969. Understanding Primary Care Teamwork in Context: Implications for HIT Design - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022505-wetterneck-final-report-2020.pdf
      January 01, 2020 - following each interview, in which the interviewers made detailed notes about the new information they learned … Initial lessons from the first national demonstration project on practice transformation to a patient-centered … Lessons learned from implementing the patient-centered medical home.

4970. Development of an EMR-integrated Enhanced After-Visit Summary - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r21hs023844-federman-final-report-2017.pdf
      January 01, 2017 - The lessons learned from other institutions and from direct experience in implementation of AVS redesign … An unexpected but critical finding of this work was that several sites learned that their investment

4971. Accurate ADHD Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-088-fullreport.pdf
      January 05, 2017 - Additionally, the team learned valuable information about the nature of the documentation of the relevant … Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? … Lessons from Use of the Measure Section 9. Levels of Aggregation Section 10.

4972. Environmental Scan of Patient Safety Education and Training Programs (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/environmental-scan-programs/envptscan.pdf
      June 01, 2013 - Upon contacting these organizations, we learned that the QIOs were in a transition period between the … Next Steps Based on the lessons learned throughout this project, AIR recommends that AHRQ consider

4973. Telehealth Education for Asthma Connecting Hospital and Home (TEACHH) - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r03hs028033-frey-final-report-2024.pdf
      January 01, 2024 - The pictorial lessons, hands-on interactive demonstration technique, and application of stickers to … The second visit (3 weeks after visit #1) was intended to reinforce previous lessons, with a particular

4974. Final Progress Report: Reducing Diagnostic Errors in Primary Care Pediatrics (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/rinke-report.pdf
      January 01, 2025 - Lessons from this project can be applied broadly and serve as a foundation for hypertension care delivery … After completing baseline data collection, teams participated in a 2-day video conference, where they learned

4975. Postpartum Care for Women Up to One Year After Pregnancy (pdf file)
      effectivehealthcare.ahrq.gov/sites/default/files/product/pdf/postpartum-care-one-year-protocol-amendment.pdf
      April 25, 2022 - Lessons learned about payment strategies to improve postpartum care in Medicaid and CHIP. 2019. https

4976. Part Two: Design of Physician Feedback Reporting Systems | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/confid-report/system-design.html
      February 01, 2016 - Performance improvement messaging for physicians: lessons from market research* Just

4977. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/33607/psn-pdf
      September 27, 2022 - The evolving role of the chief wellness officer in the management of crisis by health care systems: lessons

4978. Failed Interpretation of Screening Tool: Delayed Treatment | PSNet
      psnet.ahrq.gov/web-mm/failed-interpretation-screening-tool-delayed-treatment
      August 20, 2018 - The case illustrates several important lessons, including the clinical presentation of infections and

4979. Hidden Mystery | PSNet
      psnet.ahrq.gov/web-mm/hidden-mystery
      December 01, 2011 - SPOTLIGHT CASE Hidden Mystery Citation Text: Brunette DD. Hidden Mystery. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2005. Copy Citation Format: Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote …

4980. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/49651/psn-pdf
      May 01, 2012 - Handoff strategies in settings with high consequences for failure: lessons for health care operations