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221. Root cause analysis of reported patient falls in ORs in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/root-cause-analysis-reported-patient-falls-ors-veterans-health-administration
     January 17, 2019 - July 16, 2015 Sharing lessons learned to prevent incorrect surgery. … March 25, 2020 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 11, 2018 Learning and sharing safety lessons to improve patient care.

222. Psn-Pdf (pdf file)
     psnet.ahrq.gov/node/43098/psn-pdf
     August 25, 2015 - A ward with a better information-sharing network had fewer medication errors, highlighting the value … of interprofessional information-sharing as a critical component of safety culture.

223. TeamSTEPPS Team Leadership Module 2
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/curriculum/teamstepps-module-2-slides.pptx
     June 02, 2025 - Facilitate information sharing. Encourage team members to assist one another. … Request feedback. 27 27 Sharing the Plan: Briefs Team Leadership A team brief is an effective … strategy for sharing the plan. … Teamwork Team Leadership Effective leaders cultivate desired team behaviors and skills through: Open sharing

224. How DeKalb Medical fixed drug safety problems after fatal error. | PSNet
     psnet.ahrq.gov/issue/how-dekalb-medical-fixed-drug-safety-problems-after-fatal-error
     October 11, 2017 - leadership, modifying the electronic health record to address alert overrides , and enhancing information sharing … May 20, 2020 Patients as diagnostic collaborators: sharing visit notes to promote accuracy

225. Health IT | The Academy
     integrationacademy.ahrq.gov/about/integrated-behavioral-health/health-it
     June 01, 2024 - providers, and Support patient education (e.g., showing patient trends in clinical measures on screen, sharing … Privacy Regulations Protecting patients’ privacy and sharing information are closely related. … These regulations can create significant barriers to sharing important information, but some technologies

226. Section 1: Overview of Key Communication Concepts and Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/teamstepps-program/curriculum/team/overview/index.html
     May 01, 2023 - Facilitate information sharing. Encourage team members to assist one another. … Sharing the Patient Care Plan Brief — Short session prior to start to share the plan, discuss team

227. Building Capacity for Patient Safety | PSNet
     psnet.ahrq.gov/perspective/building-capacity-patient-safety
     July 31, 2023 - Learning across organizations that encourage sharing, learning, and improvement is a foundation for the … Many organizations have pathways for learning within their organizations by sharing best practices and … Federal programs, like AHRQ’s Patient Safety Organizations (PSOs), make it possible for sharing and … On an organizational level, similar fears of litigation can result in a lack of sharing and openness … We have been sharing information through publications for nearly 20 years.

228. We want to know: patient comfort speaking up about breakdowns in care and patient experience. | PSNet
     psnet.ahrq.gov/issue/we-want-know-patient-comfort-speaking-about-breakdowns-care-and-patient-experience
     May 20, 2020 - frequently encouraged to engage with health care providers as partners in safety by speaking up and sharing … experiencing a problem during hospitalization, and 30% of those patients did not always feel comfortable sharing

229. Impact of providing patients access to electronic health records on quality and safety of care: a systematic review and meta-analysis. | PSNet
     psnet.ahrq.gov/issue/impact-providing-patients-access-electronic-health-records-quality-and-safety-care-systematic
     July 27, 2022 - Meta-analysis found that sharing EHRs with patients is effective in reducing HbA1c levels; the included … concluded that more methodologically robust studies are necessary to quantitatively assess the impact of sharing

230. Designing Digital Healthcare Technology to Support Cognitive Team Work in Pediatric Trauma Settings | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/designing-digital-healthcare-technology-support-cognitive-team
     January 01, 2023 - informative graphic displays in emergency department trauma bays can streamline and expedite information sharing … Gurses and her team wanted to find a better way to support the information-sharing process and cognitive

231. Scaling and Dissemination of an Effective Clinical Decision Support Tool for Pneumonia | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/scaling-and-dissemination-effective-clinical-decision-support
     January 01, 2023 - pneumonia clinical decision support tool has potential to help healthcare systems overcome barriers to sharing … the point of care, increasing the use of guidelines-based treatments, and overcoming the barriers to sharing

232. Quantifying Efficiencies Gained through Shareable Clinical Decision Support Resources | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/quantifying-efficiencies-gained-through-shareable-clinical-decision-support
     January 01, 2023 - To support these goals, in 2016 AHRQ launched CDS Connect , a prototype infrastructure for sharing CDS … It includes a repository of publicly accessible, reusable CDS resources for sharing among CDS implementers … Trust and transparency are important aspects of sharing CDS resources.

233. Implementation of an Electronic Care Plan for People with Multiple Chronic Conditions | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/implementation-electronic-care-plan-people-multiple-chronic-conditions
     January 01, 2023 - health records and other health information technology (IT) systems for aggregation, analysis, and sharing … that use different health IT systems to determine how well the applications enable the collection and sharing … This research demonstrated the feasibility of implementing applications to enable standards-based sharing

234. Recognizing Excellence in Diagnosis. | PSNet
     psnet.ahrq.gov/issue/recognizing-excellence-diagnosis
     November 03, 2023 - August 21, 2024 Global Knowledge Sharing Platform for Patient Safety. … June 8, 2023 Events that inspired change: the importance of sharing what happened to

235. What Not To Do | The Academy
     integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/what-not-do
     June 01, 2022 - Establish ground rules about information sharing and care coordination, if possible. … Some patients diverting or misusing their medication may be sharing their medications with a family member … Don’t use privacy regulations as an excuse for not sharing information across the care team. … safe, and train staff to help patients understand the value of information sharing. … Don’t let privacy and confidentiality regulations stand in the way of sharing critical information across

236. Final Progress Report: Building Consensus Among States on Patient Safety Reporting (pdf file)
     www.ahrq.gov/sites/default/files/2024-11/golden-west-report.pdf
     January 01, 2024 - The general purpose of the conference was to facilitate the sharing of ideas and information between … These consortia could learn from each other, creating a need for an information sharing conference. … Interactive Plenary Session: Strategies for Disseminating and Sharing Patient Safety Information to … Sharing resources we’ve developed what tools have worked to translate research into practice 16. … Great information on other states, gave balance of presentation, information sharing, and networking

237. Privacy or Safety? | PSNet
     psnet.ahrq.gov/web-mm/privacy-or-safety
     December 01, 2011 - Case Objectives Understand that the HIPAA Omnibus Rule is an enabler of data sharing, not a barrier … tale that argues for much better education about HIPAA's provisions, which have always permitted the sharing … HIPAA's Privacy Rule has always enabled the sharing of health information in order to treat a patient … At that time, there were no civil penalties or fines for inappropriate information sharing. … Use of digital health information and data sharing are increasingly necessary for our changing health

238. State and Regional Demonstration Projects (2004-2011) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects
     January 01, 2023 - These six States were funded to identify and support data-sharing and interoperability activities aimed … Goals of the State and Regional Demonstrations To identify and support State and regional data sharing

239. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - RIS Download Citation Related Resources From the Same Author(s) Sharing … May 12, 2021 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014 Sharing lessons learned to prevent incorrect surgery.

240. Final Progress Report: Chronic Care Technology Planning Project (pdf file)
     www.ahrq.gov/sites/default/files/2024-07/branscombe-report.pdf
     January 01, 2024 - readiness to change, create a network of like- minded individuals with a common vision of advancing the sharing … This highly coordinated, statewide electronic clinical information-sharing system is being developed … first states in the nation to develop such a coordinated statewide electronic clinical information sharing … Though standards for the CCR have not been endorsed at this time, opportunities for sharing information … The environment for sharing information will occur through the established IHI style Learning Sessions