-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/situ/sim-tool-guidance.html
July 01, 2023 - Application/Generalization
This part of the debriefing can help the team assess what they learned … Ask team members to discuss specific ways they can apply what they learned in the simulation exercise … It is helpful in this debrief phase to generate a list of lessons learned and action items—that is, what
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/overview/component-kit.docx
May 01, 2017 - Based on what was learned, IHI has developed a set of management principles and tools designed to sustain … “Studying” means reviewing how the test went — reflecting on what you learned. … “Acting” means using what you learned to move to further tests or incorporate the change into daily practice
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module1/module1-overview.pptx
May 19, 2016 - The CANDOR process promotes the value of disseminating lessons learned and solutions to prevent harm … Disclosure
Module 1
11
Begins within 60 minutes after an has been identified and continues as more is learned … Disclosure process begins 60 minutes after a CANDOR event has been identified and continues as more is learned
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/officebasedcare/module4/4_ts_office_leading-ig.pptx
January 20, 2006 - worked, and what did not;
Reflection on “why” and implications for practice;
Discussion of lessons learned … plan next time;
Establishment of a method to formally change the existing plan to incorporate lessons learned … The team leader should then ask, What are our take-aways or lessons learned from this experience?
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-clinical-processes-workflows.pdf
December 15, 2023 - metrics for this QI project.
2
Lessons Learned … Metrics
Barriers to Implementation
Learning Collaboratives
Facilitators to Implementation
Lessons Learned
-
ce.effectivehealthcare.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/tap.html
October 01, 2014 - States participating in the initial Learning Network, highlighting many of their successes and lessons learned … This appendix outlines each State's strategies and lessons learned regarding:
Program planning. … Arkansas' Lessons Learned: Gaining Stakeholder Support
Understand State legislators' goals and their … Indiana's Lessons Learned: Evaluation
Randomized controlled trials allow for validation of intervention … North Carolina's Lessons Learned: Provider Engagement
Involve physicians early in the planning process
-
ce.effectivehealthcare.ahrq.gov/hai/tools/surgery/modules/on-boarding/science-of-safety-fac-notes.html
December 01, 2017 - Share what you’ve learned with your team. … developing handouts, posters, or newsletter articles to help introduce and reinforce the concepts you’ve learned … We ask that you share what you’ve learned with your teams. … Slide 31: Lessons Learned
Say:
To review the main components of this module, consider these thoughts
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/affinity-details-emerging-strategies-cr.pdf
January 01, 2021 - EVENT SUMMARY
LEARNING COMMUNITY AFFINITY GROUP | SUMMARY AT-AT-GLANCE | 7
Lessons Learned … about Required Adjustments to COVID-19
Panelists shared lessons they have learned about adjustments … —Tricia McNair,
CR Program Graduate
FOSTERING SOCIAL SUPPORT:
LESSONS LEARNED
• Assigning
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/longtermcare/module7/ts2-0ltc_module7_slides_summary.pptx
February 03, 2006 - 05.2
Mod 7 LTC 2.0 Page ‹#›
Summary – Pulling It All Together
Summary
In the preceding section, we learned
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA202-Materials_VA.pdf
August 22, 2014 - Implementing developmental screening and referrals:
lessons learned from a national project.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/fundamentals/module7/slsummary.pptx
February 03, 2006 - 2.0 Page ‹#›
Summary— Pulling It All Together
Page ‹#›
9
Summary
In the preceding section, we learned
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - Hospitals with Star Ratings (includes VA data) Patient discharged from Oct 2018 to Sept 2019
LESSONS LEARNED … SHEP HCAHPS Star Rating -Care Transition
SHEP HCAHPS Star Rating -Overall Rating of Hospital
LESSONS LEARNED
-
ce.effectivehealthcare.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter1.html
December 01, 2017 - Lessons Learned and Suggestions for Data
Chapter 9. … Lessons learned and suggestions for data enhancements and potential future uses of the data are addressed
-
ce.effectivehealthcare.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/gabbay.html
October 01, 2015 - practices focused on improving the care of patients with diabetes, with the goal of applying lessons learned … Lessons Learned and Implications for Others
Supplemental financial support was critical to PCMH transformation
-
ce.effectivehealthcare.ahrq.gov/sops/events/webinars/medical-office.html
June 01, 2022 - In addition, the Oregon Practice-based Research Network shared lessons learned.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/d8_combo_projectevaluation.docx
May 25, 2016 - Recognition of lessons learned.
Plans for future activities (if applicable).
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/action-alliance/involving-patients-families-in-safety-slides.pdf
July 25, 2023 - Notes
Presentation Notes
Pre training for patient partners
Future State: Cultures
28
What we learned … What was one NEW thing you learned about how to meaningfully
engage patients and families in safety? … and Families
Diagnostic Error project
Co-design
Best Practices
Future State: Cultures
What we learned
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
December 15, 2023 - Lessons Learned from Mayo Rochester:
▶ Patient screening is important. … Tools Implemented
QI Metrics
Barriers to Implementation
Facilitators to Implementation
Lessons Learned
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/cauti-tools/cauti-icu/preventing-cauti-icu-setting-facilitators-guide.docx
September 01, 2015 - Next, we learned the importance of good communication related to catheter removal. … In Module 1, you learned that hospital-acquired urinary tract infections impact almost 560,000 people … You also learned in Module 1 that very clear, evidence-based guidelines exist about catheter use. … In addition, you learned about the influence of unit culture on practice change and the importance of … You also learned about the power of teachable moments related to catheter use.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - The Patient Safety program manager and invited presenters then share stories and discuss lessons
learned … Mentor meetings ultimately led to a system-wide formal storytelling forum, “No
Harm Intended: Lessons Learned … this insight led to development of a system-wide storytelling forum called
“No Harm Intended: Lessons Learned … These sessions are intended to promote
open discussion and sharing of lessons learned from near misses … Five years after to err is human:
What have we learned? JAMA 2005; 293: 2384-2390.
4.