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Showing results for "learned".

261. Errors upstream and downstream to the Universal Protocol associated with wrong surgery events in the Veterans Health Administration. | PSNet
     psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
     November 21, 2012 - Download Citation Related Resources From the Same Author(s) Sharing lessons learned … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … March 25, 2020 Wrong-side thoracentesis: lessons learned from root cause analysis. … May 12, 2021 Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014 Sharing lessons learned to prevent incorrect surgery.

262. Spotlight on Wyoming -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-wyoming-state-snapshot.pdf
     January 01, 2018 - Quality Demonstration Grant Program January 2018 This brief highlights the major strategies, lessons learned … The State adapted its CME model to reflect lessons learned from the pilot before implementing the model … policymakers/chipra/demoeval/demostates/wy.html http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned … implementation-guides/implementation-guide2/index.html http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned … highlight06.pdf http://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned

263. Prologue: Culture and Redesign for Improved Patient Safety (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Prologue_Battles_Vol2.pdf
     June 02, 2025 - volume describe the use of standard cultural assessment instruments and discuss the results and lessons learned … It is in the commonality of implementation issues that major lessons can be learned about the nature … There are lessons to be learned from the rich experiences expressed in each of these case studies.

264. State and Regional Demonstration Projects (2004-2011) | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects
     January 01, 2023 - Synthesis of Lessons Learned in the First 5 Years of State and Regional Demonstration Health Information … Indiana, Rhode Island, Tennessee, and Utah) and provides a synthesis of their experiences and lessons learned … Policy Issues Lessons in Health Information Exchange from the AHRQ Health IT Portfolio  Lessons Learned

265. Opportunities for Digital Healthcare: Lessons Learned from the COVID-19 Pandemic | Digital Healthcare Research
     digital.ahrq.gov/national-webinars/opportunities-digital-healthcare-lessons-learned-covid-19-pandemic
     January 01, 2023 - Opportunities for Digital Healthcare: Lessons Learned from the COVID-19 Pandemic Event

266. IHA Bundled Payment Demonstration Appendix (pdf file)
     www.ahrq.gov/sites/default/files/publications/files/ihabundled_appendix.pdf
     June 02, 2025 - required changes in internal processes, expected and unexpected barriers to implementation, and lessons learned … unexpected barriers to implementation, anticipated and actual benefits of implementation, and  lessons learned

267. IHA Bundled Payment Demonstration Appendix (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/system/delivery-system-initiative/bozicstudysnapshot/ihabundled_appendix.pdf
     June 02, 2025 - required changes in internal processes, expected and unexpected barriers to implementation, and lessons learned … unexpected barriers to implementation, anticipated and actual benefits of implementation, and  lessons learned

268. Rural hospital information technology implementation for safety and quality improvement: lessons learned. | PSNet
     psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
     April 24, 2018 - Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned

269. National Action Alliance Webinar: Leadership Strategies That Improve Workforce Safety and Well-Being | Agency for Healthcare Research and Quality
     www.ahrq.gov/action-alliance/webinars/workforce-safety-well-being.html
     October 01, 2024 - Real-world examples from hospitals illustrated the effectiveness of this method, providing valuable lessons learned … this practice has been successfully integrated into primary care settings, including detailed lessons learned

270. Introduction | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/intro.html
     October 01, 2015 - However, a review of the findings and lessons learned across the 14 studies revealed a number of common … began summarizing the common themes across the grants at the end of funding in a paper titled “Lessons learned … the study of primary care transformation.” 1 The paper highlighted the following five key lessons learned

271. Improving Care and Proving It! | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/cmsqualconf0615.html
     March 01, 2019 - Improving Care and Proving It! Second Annual CMS Quality Conference The National Evaluation of the CHIPRA Quality Demonstration Grant Program Presentation to the Demonstration States at the CMS Medicaid and CHIP Quality Conference, Friday, June 15, 2012 National Evaluation of the CHIPRA Quality Demonstr…

272. Supplements to Evaluation Highlight No. 2 | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight02.html
     May 01, 2013 - Supplements to Evaluation Highlight No. 2 How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonstration Grant Program? Evaluation Highlight No. 2 is the second in a series of reports that present descriptive and analytic findings from the national evaluation of the Children’s H…

273. Executive Summary | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalsum.html
     January 01, 2013 - Report Executive Summary Report Organization Program Implementation Program Impact What We Learned … This final report summarizes project outcomes and lessons learned. … the On the CUSP: Stop BSI national project team and the State leaders identified five key lessons learned … The lessons learned contributed to the project's success and can be applied to future large scale interventions

274. Evaluating a CAHPS Report | Agency for Healthcare Research and Quality
     www.ahrq.gov/cahps/consumer-reporting/guidelines/evaluation/index.html
     March 01, 2016 - In reality, the lessons learned from an evaluation can be critical to designing a meaningful report and … dedicated budget are not possible, report card designers should at least document the lessons that they learned … done during the reporting cycle or very soon after the cycle is complete to ensure that key lessons learned … The long-term payback of even very simple notes on what was learned in the reporting process can be significant

275. Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's HAI Program. | PSNet
     psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
     May 06, 2015 - or Theme Issue Preventing Healthcare-Associated Infections: Results and Lessons Learned … Citation Text: Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's … Citation Citation Text: Preventing Healthcare-Associated Infections: Results and Lessons Learned

276. TeamSTEPPS Video Debrief Guide: Huddle in Emergency Department (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
     June 02, 2025 - Lessons Learned A huddle helps teams improve performance and enhance safety when preparing for an event … TeamSTEPPS Tool or Concept Brief Video Description Discussion Questions Discussion Answers Lessons Learned

277. TAKEHeart | Agency for Healthcare Research and Quality
     www.ahrq.gov/takeheart/index.html
     Community Webinars Assessing TAKEheart Through our assessment of TAKEheart, we learned … These documents describe lessons learned, key findings, and recommendations for future similar efforts

278. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)
     digital.ahrq.gov/sites/default/files/docs/medicaid/AL_case_study.pdf
     March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency … Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama … http://www.ahrq.gov/� Case Study: Collaborating to Improve the Quality of Care: Lessons Learned … Medicaid-SCHIP-HIT@ahrq.hhs.gov� Cover Case Study: Collaborating to Improve the Quality of Care: Lessons Learned

279. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
     March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency … Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama … http://www.ahrq.gov/� Case Study: Collaborating to Improve the Quality of Care: Lessons Learned … Medicaid-SCHIP-HIT@ahrq.hhs.gov� Cover Case Study: Collaborating to Improve the Quality of Care: Lessons Learned

280. How did CHIPRA quality demonstration States employ learning collaboratives to improve children's health quality? Evaluation Highlight #13 (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight13.pdf
     September 08, 2015 - This Highlight focuses on lessons learned from nine States—Alaska, Florida, Idaho, Maine, Massachusetts … Many practices learned how to conduct small tests of change, often using the Plan-Do-Study-Act (PDSA … States learned that practice facilitation is most successful when facilitators undergo training in … http://www.ahrq.gov/chipra/demoeval http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/ … /chipra/demoeval/what-we-learned/highlight01.html http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned