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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/instructor/essentials/igessentials.pdf
March 11, 2014 - • Analysis of why the event occurred, what worked, and what
did not work;
• Discussion of lessons … next time; and
• Establishment of a method to formally change the existing
plan to incorporate lessons … learned. … The team leader should then
summarize lessons learned and set goals for improvement. … • Frame problems in terms of personal experience and lessons
learned.
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preventiveservices.ahrq.gov/topics/central-line-associated-bloodstream-infections-clabsi.html
CLABSI, A National Patient Safety Imperative: Final Report
This report summarizes the results and lessons … learned from an AHRQ-funded national effort to prevent CLABSI.
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/index.html
April 01, 2023 - RED Toolkit Leads to Lower Readmissions, Better Care Transitions in Two Texas Hospitals
Read about lessons … learned from implementing RED in ten hospitals across the country in, " How Hospitals Reengineer Their … Holmes, MBA, from the Boston University School of Public Health for conducting interviews and compiling lessons … learned.
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preventiveservices.ahrq.gov/antibiotic-use/index.html
October 01, 2022 - Tools, resources, and lessons learned by the facilities that participated in this 5-year project were
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preventiveservices.ahrq.gov/cahps/news-and-events/events/webinar-041316.html
February 01, 2017 - specific improvement strategies they implemented, barriers they addressed, results they achieved, and key lessons … they learned.
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preventiveservices.ahrq.gov/talkingquality/assess/evaluation-plan.html
January 01, 2023 - Evaluate a Quality Report
What You Can Evaluate
Evaluation Plan Elements
Applying Lessons … Learned
Recommended Reading on Evaluation
Resources
About TalkingQuality … Reporting Evaluation Findings
Over the years, evaluators have learned that how, when, and to whom they … Why Evaluate a Quality Report
What You Can Evaluate
Elements of an Evaluation Plan
Applying Lessons … Learned
Recommended Reading on Evaluation
Page last reviewed January
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preventiveservices.ahrq.gov/evidencenow/projects/urinary/index.html
February 01, 2024 - funded a contractor to design and share resources to support grantees’ success, to share resources and lessons … learned through creation of a learning community for peer-to-peer learning, and to evaluate the program
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preventiveservices.ahrq.gov/evidencenow/projects/alcohol/index.html
November 01, 2023 - Webinar on Primary Care Research Challenges during COVID-19 , which focuses on lessons learned about
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preventiveservices.ahrq.gov/teamstepps-program/curriculum/mutual/tools/desc.html
July 01, 2023 - Frame problems in terms of personal experience and lessons learned.
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preventiveservices.ahrq.gov/cpi/centers/od/david-meyers-memoriam.html
August 01, 2023 - Comprehensive Primary Care: a Mixed-Method Exploration of Staffing for Four Types of Primary Care Practices
Lessons … learned from the study of primary care transformation
The patient-centered medical home: putting the
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preventiveservices.ahrq.gov/cpi/about/organization/nac/mort.html
July 01, 2023 - She conducts research and presents her research and lessons learned from her leadership roles nationally
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preventiveservices.ahrq.gov/patient-safety/reports/safer-together.html
November 01, 2022 - resulting recommendations in these four areas build on the substantial body of experience, evidence, and lessons … learned that the NSC has gathered and will test and implement together to allow for future refinements
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preventiveservices.ahrq.gov/teamstepps/about-teamstepps/leadershipbriefing.html
April 01, 2017 - Evidence-Based Teamwork System
TeamSTEPPS is a teamwork system based on 20 years of experience and lessons … This is important because teamwork is not innate; it must be learned. … Lessons from the cockpit: how team training can reduce errors on L&D. … We’ll also be able to modify the process based on lessons learned along the way. … We’ll start with a small unit using one teamwork tool then expand beyond that using lessons learned.
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preventiveservices.ahrq.gov/news/newsroom/case-studies/202201.html
January 01, 2022 - The group used lessons learned about improving patient safety based on PSO data analysis, then customized
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preventiveservices.ahrq.gov/teamstepps/evidence-base/primary-care.html
May 01, 2017 - Integrating TeamSTEPPS ® into ambulatory reproductive health care: Early successes and lessons learned
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preventiveservices.ahrq.gov/workingforquality/events/webinar-2013-annual-progress-report-update.html
November 01, 2016 - I'll now turn the conversation over to Neal to discuss some lessons learned over this past year. … DHCS Quality Strategy Lessons Learned [Slide 18]
Dr. Kohatsu: Thank you, Desiree. … To continue our discussion of our lessons learned, I'll turn it back over to Dr. Backman.
Dr. … We learned that involvement leads to commitment. … learned and solve problems as a group.
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preventiveservices.ahrq.gov/news/blog/ahrqviews/lhs-scientist-training.html
January 01, 2024 - The new awards will support building on lessons learned from that 2018 effort.
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/resources/tools/cauti-surveillance/review-form.docx
March 01, 2017 - ☐ ☐
Number of days of therapy: _________ Catheter removed / replaced / N/A
Lessons Learned
1.
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preventiveservices.ahrq.gov/hai/tools/ambulatory-care/safe-transitions.html
December 01, 2017 - implemented, the effectiveness of support materials, barriers to and facilitators of implementation, and lessons … learned from implementation.
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preventiveservices.ahrq.gov/news/newsletters/e-newsletter/814.html
May 01, 2022 - appointed AHRQ Director Robert Otto Valdez, Ph.D., M.H.S.A., endorses the agency’s mission and asserts that lessons … learned from the COVID-19 pandemic should guide agency efforts to improve the safety and quality of … Central venous catheter guidewire retention: lessons from England's never event database .