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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Blegen.pdf
January 01, 2004 - assembly line or cogs in a machine producing a
product; they are professionals who apply knowledge, adapt learned
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ce.effectivehealthcare.ahrq.gov/patient-safety/reports/liability/baker.html
August 01, 2017 - Initiative
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned
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ce.effectivehealthcare.ahrq.gov/hai/cusp/toolkit/content-calls/assertion.html
April 01, 2013 - Skip to main content
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-88-measure-1-section-2-attachment-1.pdf
February 01, 2012 - Measure 1, Section 2, Attachment 1
Attention Deficit Hyperactivity Disorder
Performance Measurement Set
Supported by AHRQ/CHIPRA-PQMP
Proposed by the ADHD Expert Work Group (listed in Appendix A)
In collaboration with the Pediatric Measurement Center of Excellence (PM…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/chipra-89-adhd-behavior-section-2-attach-1.pdf
February 01, 2012 - Attention Deficit Hyperactivity Disorder Performance Measurement Set
Attention Deficit Hyperactivity Disorder
Performance Measurement Set
Supported by AHRQ/CHIPRA-PQMP
Proposed by the ADHD Expert Work Group (listed in Appendix A)
In collaboration with the Pediatric Meas…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/chronic/chipra-177-fullreport.pdf
May 01, 2018 - Use of Higher-Than-Recommended Doses of Antipsychotics in Children and Adolescents
1
Use of Higher-than-Recommended Doses of
Antipsychotics in Children and Adolescents
Section 1. Basic Measure Information
1.A. Measure Name
Use of Higher-than-Recommended Doses of Antipsychotics in Children and Adolescents
1.B.…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/implementing-new-protocol-transcript.pdf
October 01, 2018 - Implementing the New CAHPS Protocol for Obtaining Patient Comments About Their Care
Implementing the New CAHPS Protocol for
Obtaining Patient Comments About Their Care
October 2018 Webcast
Speakers
Caren Ginsberg, PhD, Director, CAHPS Division, Center for Quality Improvement and Patient Safety,
Agency for H…
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/officebasedcare/ts-obc-online-module5.pptx
January 01, 1995 - understand the plan monitor all actions relative to that plan.
12
Module 5 Summary
In this module you learned … and how it is cultivated within a team
Module 5: Situation Monitoring
‹#›
In this module, you learned
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/pa-spread-impact.pptx
September 01, 2014 - Initiative.
https://www.pcpcc.org/initiative/pennsylvania-chronic-care-initiative-cci
Apply lessons learned … Disseminate model, lessons learned in 3 other states (NJ, NY, VT).
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/podcasts/Qualitative_Methods_2012_04_11_Transcript.pdf
January 01, 2012 - Before we jump into specific tools and methods, share with us
what you've learned about the benefits … So again, what we have learned as a very effective way of identifying people like this is to start with … What we've also learned in our research over the years is that most us think having an outpatient experience
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
May 01, 2017 - process, describing what happened, conducting an analysis of team performance, and identifying lessons learned … Slide 20
SAY:
The final step in the debriefing process is to identify lessons learned and look ahead … to how the team can generalize what they learned in the scenario to their daily practice.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
September 10, 2015 - Medical liability carriers
Mello et al: Communication-and-resolution programs: the challenges and lessons learned … medical liability carriers include:
Communication-and-resolution programs: the challenges and lessons learned … Communication-and-resolution programs: the challenges and lessons learned from six early adopters.
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - Through this
Advances in Patient Safety: Vol. 1
384
dialogue, health care providers learned of … Early in this study, we learned that words like “error” and “mistake”
create strong reactions that leave … Finally, we learned that resources can be easily and affordably delivered via e-
mail, an issue of importance … We believe the lessons learned from this project regarding the
organizational, intra- and inter-individual
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
April 06, 2008 - The PSO assesses the information from these sources and
feeds back lessons learned to those health care … Using these reports and lessons learned, the PSO will populate its own database, as well as
a national … allows the PSO to focus on assisting and
engaging health care providers with information and lessons learned … What
we have learned from aviation and its applications to
medicine.
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ce.effectivehealthcare.ahrq.gov/hai/cusp/clabsi-neonatal/nclabsi8.html
January 01, 2013 - Many States are planning additional activities around unit team engagement and sharing of lessons learned
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ce.effectivehealthcare.ahrq.gov/patient-safety/settings/emergency-dept/discharge-process.html
July 01, 2017 - Characteristics of Frequent Users of Three Hospital Emergency Departments, the team summarizes what was learned
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/teamstepps/instructor/onlinecourse/tsonlinemodule8.pptx
March 28, 2006 - feedback; recognize and reward contributions to wins
Further builds morale and motivation
Leverage lessons learned … Whenever you can, leverage lessons learned to help plan the next goal for the change. … down your answers to the following questions: First, what methods have you used to integrate lessons learned … And then based on what you've learned so far, write down what you would have done differently. … it will really help keep those teams on track and on task.
23
Module 8 Summary
In this module you learned
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-yount-sops-action-planning-tool.pdf
June 01, 2019 - • Costs and time to train 200 staff
• Transfer of what was learned in training
► Will staff actually
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/idstateataglance.pdf
March 01, 2012 - Idaho’s medical home model will be implemented after Utah’s and will build on the
lessons learned from
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/ilstateataglance.pdf
March 01, 2012 - This collaborative will be a forum
for sharing data, experiences, and lessons learned from past initiatives