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www.ahrq.gov/action-alliance/webinars/high-reliability.html
November 01, 2023 - Webinar: Journey To Becoming a High-Reliability Organization
The fifth webinar, held on September 26, highlighted the journey toward becoming a high-reliability organization. YouTube embedded video: https://www.youtube-nocookie.com/embed/bfk177p9-Mc VHA's Journey to High Reliability: Advancing Toward Zero Harm …
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www.ahrq.gov/patients-consumers/diagnosis-treatment/treatments/index.html
December 01, 2017 - Taking Medicines
Learn about taking medicine
Read
Blood Thinner Pills: Your Guide to Using Them Safely
How To Create a Pill Card
Your Medicine: Be Smart. Be Safe.
Watch
Staying Active and Healthy With Blood Thinners (Video, 8 minutes, 29 seconds; Transcript )
Manténgase activo y saludable con lo…
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www.ahrq.gov/cahps/quality-improvement/reports-and-case-studies/Report_ICH-QI-Project.html
March 01, 2016 - other sources, the grantees produced a formal report to CMS on the successes, challenges, and lessons learned
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www.ahrq.gov/news/newsroom/case-studies/ktcquips52.html
October 01, 2014 - Saunders Medical Center officials reported using SBAR and communication techniques learned during TeamSTEPPS
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160315/susan-edgman-levitan-intro-slides.pdf
March 15, 2016 - Specific improvement strategies implemented
• Barriers addressed
• Results achieved
• Key lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-learning-benchmarks.pdf
June 02, 2025 - TeamSTEPPS Learning Benchmarks
TeamSTEPPS Learning Benchmarks
Instructions: These questions focus on medical teamwork and communication and their effect
on quality and safety in patient care. For each of the following questions, please circle the
letter next to the one best answer.
1. A nurse is called t…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/024-ss-cusp-learning-from-defects.pptx
April 01, 2025 - Learning From Defects
Learning From Defects
Surgical Services
For: Cardiac, Hip and Knee Joint Replacement, and Spinal Fusion Surgeries
AHRQ Pub. No. 25-0029
April 2025
AHRQ Safety Program for MRSA Prevention: Targeting SSI
AHRQ Safety Program for MRSA Prevention | Surgical Services
Learning From Defects
1
Educat…
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www.ahrq.gov/research/findings/final-reports/ptmgmt/introduction.html
July 01, 2018 - self-management support can improve outcomes for different chronic conditions, but much remains to be learned
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
December 01, 2017 - Lessons Learned and Suggestions for Data
Chapter 9.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Study: Review how the test went and lessons learned.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - From the experiences of Heights Hospital, several lessons learned for potential Lean adopters are:
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www.ahrq.gov/talkingquality/assess/what-you-evaluate/chcf-example.html
March 01, 2016 - What CHCF Learned
Ads drive traffic.
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www.ahrq.gov/research/shuttered/acfselection/chapter1.html
July 01, 2018 - The refinement of this tool is of particular interest based on lessons learned during hurricanes Katrina
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Potential Lean adopters can benefit from some lessons learned from the experiences at Suntown.
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www.ahrq.gov/news/newsroom/case-studies/201808.html
December 01, 2018 - “In speaking with staff, we learned they felt that having two staff members present for all insertions
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www.ahrq.gov/hai/tools/surgery/modules/sustainability/scorecard-slides.html
December 01, 2017 - Defects: How many defects have you learned from in past 6 months?
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
April 13, 2016 - Specific improvement strategies implemented
• Barriers addressed
• Results achieved
• Key lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/research/findings/nhqrdr/nhqr02/asthqwork.doc
April 01, 2006 - Disseminate lessons learned and best practices beyond the quality improvement team to spread improvements
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
September 08, 2015 - • Use what you learned from your environmental scan (see Task 1.4) to help
determine which stakeholders … strategies for facilitating better engagement, methods for
building the necessary structure, and lessons learned … These parents and youth have reported back to others in the
groups and have used what they have learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/learn/learn-facilitator-guide.docx
May 01, 2017 - AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
Learn About the Comprehensive Unit-Based Safety Program for Perinatal Safety
SAY:
This module introduces the comprehensive unit-based safety program, also called CUSP, that we will use as the foundation …