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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen2.html
April 01, 2018 - We include the lessons we learned from implementing the intervention in the setting of the Lehigh Valley … In the accompanying toolkit, we turn our lessons learned into "tips" to end users who may be interested … Lessons Learned
Because five practices dropped out of the intervention before its start, the most … important lesson learned is to stay engaged with the practices between the time you recruit them and … Lessons Learned
During our pilot, we learned four key lessons regarding the academic detailing that
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm6.html
October 01, 2014 - Lessons Learned: Pilot Programs
Allow adequate time. … Lessons Learned: Data Systems
Ensure that data systems are compatible. … Summarize and reflect on lessons learned.
Step 4: Act. … Refine the change, based on what was learned from the test. … Lessons Learned: PDSA Cycles
Be innovative to make the test feasible.
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psnet.ahrq.gov/issue/retained-guidewires-veterans-health-administration-getting-root-problem
March 13, 2013 - Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … April 12, 2019
Sharing lessons learned to prevent adverse events in anesthesiology nationwide … November 18, 2009
Sharing lessons learned to prevent incorrect surgery.
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … 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.
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psnet.ahrq.gov/issue/safety-journal-lessons-learned-error-reporting-tool-stimulate-systems-thinking
January 21, 2019 - Study
The safety journal: lessons learned with an error reporting tool to stimulate
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ut-final-report.pdf
November 01, 2015 - UHIN)
For more information about these projects, including a cross-project summary of lessons
learned … ....................................................................................... 21
Lessons Learned … .............................................................................. 24
iv
Lessons Learned … ....................................................................................... 25
Lessons Learned … With respect to evaluation and research, a great deal has been learned in the course of this
project
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digital.ahrq.gov/sites/default/files/docs/page/2006ScamurraUnger_051711comp.pdf
June 05, 2006 - Guiding Principles
Workgroups
Accomplishments
Funding Requirements / Cost Savings
Lessons Learned … 40,000,000
50,000,000
6/30/2002 9/30/2003 12/31/2004 3/30/2006
Date
#
T
ra
ns
ac
ti
on
s
Lessons Learned … current Project
Combine with other
Projects
AHRQ Planning Grant
AHRQ Planning Grant
Lessons Learned … Requirements
Projected Cost Savings
Estimated Annual Cost Savings
Slide No. 15 (No title)
Lessons Learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-gabbay.pdf
April 01, 2015 - practices focused on improving the care of patients with diabetes,
with the goal of applying lessons learned … Lessons Learned and Implications for Others
• Supplemental financial support was critical to PCMH transformation … Location
Transformational Elements
Key Impacts of Transformation
Challenges to Transformation
Lessons Learned
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digital.ahrq.gov/principal-investigator/levick-donald
January 01, 2023 - The implementation of a perinatal continuum of care information system: lessons learned … The implementation of a perinatal continuum of care information system: lessons learned.
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digital.ahrq.gov/principal-investigator/doebbling-bradley
January 01, 2023 - Clinical Workflow
Reducing health care-associated infections (HAIs): lessons learned … Reducing health care-associated infections (HAIs): lessons learned from a national collaborative of regional
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psnet.ahrq.gov/node/33755/psn-pdf
September 01, 2013 - What We've Learned About Leveraging Leadership and
Culture to Affect Change and Improve Patient Safety … What We've Learned About Leveraging Leadership and Culture to Affect Change and Improve
Patient Safety … https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect- … A story
https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve … https://psnet.ahrq.gov/perspective/what-weve-learned-about-leveraging-leadership-and-culture-affect-change-and-improve
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psnet.ahrq.gov/issue/good-bad-and-ugly-patient-experiences-crps
February 28, 2024 - September 7, 2022
Lessons Learned about Human Fallibility, System Design, and Justice … June 26, 2019
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing
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psnet.ahrq.gov/issue/building-community-engagement-approach-patient-safety-improvement
April 01, 2010 - A recent AHRQ WebM&M perspective covered lessons learned throughout implementation of the program. … Download Citation
Related Resources From the Same Author(s)
What have we learned
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psnet.ahrq.gov/issue/root-cause-analysis-serious-adverse-events-among-older-patients-veterans-health
August 02, 2015 - Related Resources From the Same Author(s)
Wrong-side thoracentesis: lessons learned … July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
-
psnet.ahrq.gov/issue/root-cause-analysis-reports-help-identify-common-factors-delayed-diagnosis-and-treatment
October 24, 2018 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned … April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis.
-
digital.ahrq.gov/sites/default/files/docs/page/2006Adams_051311comp.pdf
June 05, 2006 - Built a greater understanding among participants of the big
picture vision for HIT in Rhode Island
Learned … and
created a baseline for measuring progress in the future
8
How EHR of RI Emerged
(cont.)
Learned … organizations
Developed a set of our own selection criteria and created our
“short list” of EHR vendors
Learned … clear vision at the state level along with a set of
principles that served as guideposts
The group learned
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psnet.ahrq.gov/issue/important-actions-community-pharmacists-need-take-now-reduce-potentially-harmful-dispensing
June 30, 2021 - March 6, 2024
Lessons Learned about Human Fallibility, System Design, and Justice in … November 4, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned
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psnet.ahrq.gov/issue/recognizing-unsafe-care-what-it-and-how-report-it
April 22, 2020 - June 21, 2023
Lessons Learned about Human Fallibility, System Design, and Justice in … May 8, 2017
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing
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psnet.ahrq.gov/issue/patient-medical-and-legal-perspectives-unsafe-care
July 20, 2021 - 1, 2021
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … September 7, 2022
Lessons Learned about Human Fallibility, System Design, and Justice
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psnet.ahrq.gov/issue/candor-webinar-series
June 01, 2023 - 20, 2021
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … September 7, 2022
Lessons Learned about Human Fallibility, System Design, and Justice