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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/educational-bundles/urine-culturing/antibiotic-stewardship/abx-stewardship-part2.pptx
March 01, 2017 - Through this program you may have learned about not ordering and collecting a urine culture unless a
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www.ahrq.gov/sites/default/files/wysiwyg/takeheart/training/module-9-slides.pdf
February 24, 2022 - hospital case studies to understand techniques for
activating patients to engage in CR.
2 Apply lessons learned
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/6-strategies-for-improving/access/strategy6a-openaccess.html
March 01, 2020 - Through the action groups, the teams learned about the Advanced Access model and received support in
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/mindfulness-061014.pptx
March 07, 2014 - Changing the Way We Think About Antibiotic Stewardship
A lesson learned from experience with infection
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www.ahrq.gov/hai/cauti-tools/archived-webinars/mindfulness-slides.html
December 01, 2017 - Slide 21
Changing the Way We Think About Antibiotic Stewardship
A lesson learned from experience
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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 …