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Showing results for "lessons learned".

4981. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
      May 01, 2017 - Informal information exchange session designed to improve team performance and effectiveness through lessons … learned and reinforcement of positive behaviors. … UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES—Case Study Through these EFM trainings, all unit staff have learned … One day, a woman in labor arrived at the hospital emergency room, but the unit staff only learned of … When the director of Women’s and Children’s Services at the WakeMed Raleigh hospital learned about the

4982. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
      May 01, 2017 - Informal information exchange session designed to improve team performance and effectiveness through lessons … learned and reinforcement of positive behaviors. … UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES—Case Study Through these EFM trainings, all unit staff have learned … One day, a woman in labor arrived at the hospital emergency room, but the unit staff only learned of … When the director of Women’s and Children’s Services at the WakeMed Raleigh hospital learned about the

4983. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-dx-stewardship-references.html
      August 01, 2024 - Lessons and pitfalls of whole genome sequencing. … Population health for CKD and diabetes: lessons from the Indian Health Service.

4984. Improving Healthcare Safety by Enhancing Healthcare Facility Design (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hcfd-041825.pdf
      April 01, 2025 - The lessons learned from this project have also influenced the design of several surgery center projects

4985. Final Progress Report: Midcoast Maine Patient Safety and IT Integration (pdf file)
      www.ahrq.gov/sites/default/files/2024-07/buckley-report.pdf
      January 01, 2024 - assessment of HIT implementation can lead to limited acceptance or rejection among staff---a lesson learned

4986. 5. Impacts of Federally Funded HSR and PCR | Agency for Healthcare Research and Quality
      www.ahrq.gov/healthsystemsresearch/hspc-research-study/impacts.html
      June 01, 2020 - Through discussions with study participants, we learned of examples of federally funded HSR and PCR studies … interagency workgroup, the Federal PCMH Collaborative, for agencies across the federal government to share lessons

4987. References | Agency for Healthcare Research and Quality
      www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-current-state-references.html
      January 01, 2024 - Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

4988. Primary Care and Patient Safety: Opportunities at the Interface | PSNet
      psnet.ahrq.gov/perspective/primary-care-and-patient-safety-opportunities-interface
      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

4989. 043-Vap-Prevention-Notes (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/043-vap-prevention-notes.docx
      October 01, 2024 - The CUSP team was happy to share their lessons learned, leading to overall improvements in patient care

4990. Final Progress Report: Diagnostic Error in Medicine Annual Conference (pdf file)
      www.ahrq.gov/sites/default/files/2025-03/singh2-report.pdf
      January 01, 2025 - Furthermore, much remains to be learned about the real workings of clinical decision making and what

4991. Disclosure of Medical Error | PSNet
      psnet.ahrq.gov/perspective/disclosure-medical-error
      January 01, 2009 - Those last two matter a lot to patients because they want to sense that a lesson has been learned from … RW: What have you learned about providers' needs in terms of training? … October 14, 2020 Apology laws and malpractice liability: what have we learned?

4992. Mod4-System-Focused-Event-Guide (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/mod4-system-focused-event-guide.pdf
      April 01, 2016 - Are there opportunities to improve trainings, competencies and orientation sessions by including lessons … learned from this event?

4993. The Association Between Pharmacist Support and Voluntary Reporting of Medication Errors: An Analysis of MEDMARX® Data (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Jones_91.pdf
      July 17, 2008 - HROs pay attention to near misses as small failures that provide free lessons about sources of poor

4994. A Strategic Approach for Funding Research: The Agency for Healthcare Research and Quality’s Patient Safety Initiative 2000–2004 (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Keyes.pdf
      January 01, 2004 - Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems.

4995. Measures of Implementation of Person-Centered Care Planning for People with Multiple Chronic Conditions (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/mcc/pccp4p/measures-rapid-scan-report.pdf
      April 10, 2025 - Measuring patient well-being during whole- person clinical care: Lessons from the veterans health administration … and why this interview is important is to learn more from you about what you know and what you have learned … I have learned a lot from our conversation today.

4996. Final Progress Report: Advancing Patient Safety Implementation through Pharmacy-Based Opioid Medication Use Research (pdf file)
      www.ahrq.gov/sites/default/files/2024-02/green-report.pdf
      January 01, 2024 - To facilitate dissemination of lessons learned from the dissemination project, all study materials were … The website includes pathways for these institutions, who, as we learned from our research, seek effective

4997. 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

4998. Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
      May 01, 2018 - Lessons from Use of the Measure 1. … What lessons are available from the current or prior use of the measure? Not applicable.

4999. Discovery and Visualization of New Information from Clinical Reports in the EHR - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022085-melton-meaux-final-report-2018.pdf
      January 01, 2018 - We observed clinicians to understand key barriers in using clinical text and learned from current EHR … Our findings do provide insights and lessons learned to inform best practices for building UIs and implementing

5000. 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