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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/nursing-home/resources/eprotect-respiratory.html
May 01, 2022 - ePROTECT Respiratory Infections (EN)
Resource: ePROTECT Respiratory Infections (EN)
This course provides a general introduction to Acute Respiratory Infections and basic hygiene measures to protect against infection. By the end of the course, participants should be able to describe basic information about A…
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www.ahrq.gov/nursing-home/resources/basics-infection-prevention.html
April 01, 2022 - Basics of Infection Prevention & Control in the Post-COVID-19 World
Resource: Basics of Infection Prevention & Control in the Post-COVID-19 World
This course will review how COVID-19 spreads, signs and symptoms of COVID-19, and how to report illness. It will review the role of a healthcare worker in reporti…
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www.ahrq.gov/nursing-home/resources/module-11d-linen-management.html
May 01, 2022 - Module 11D—Linen Management—Nursing Home Infection Preventionist Training Course
Resource: Module 11D—Linen Management—Nursing Home Infection Preventionist Training Course
This module discusses recommended practices for linen management. At the conclusion of the module, participants will understand how lin…
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www.ahrq.gov/nursing-home/resources/after-action-review.html
November 01, 2019 - COVID-19 After Action Review Toolkit
Resource: COVID-19 After Action Review Toolkit
An After Action Review is a powerful tool that can help organizations reflect, assess, learn, and improve. Organizations can use the review retrospectively to assess previous work or activities, or it can serve as a useful to…
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www.ahrq.gov/policymakers/measurement/quality-by-state/index.html
December 01, 2015 - Quality Information by State
Innovations Exchange
The AHRQ Health Care Innovations Exchange offers busy health professionals and researchers a variety of opportunities to share, learn about, and ultimately adopt evidence-based innovations and tools suitable for a range of health care settings and population…
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkit3.html
March 01, 2014 - As an example, the health facilitator in the AHRQ pilot project learned that Emailing information to … What the health facilitator learned from this pilot is that while Email is almost always easier for the … However, both the study team and practices learned that physical eligibility alone was insufficient for
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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 …