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Showing results for "lessons learned".

1001. Plan Complete Checklist (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-plan-report.doc
      December 26, 2018 - FORMCHECKBOX How will you share the lessons you have learned with your partners?

1002. Sustainability Module: Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/training-tools/fac-notes.html
      October 01, 2020 - Several critical success factors are required to sustain the interventions learned and continued gains … Encourage team leaders to discuss actual patient stories to drive home important lessons. … The following examples will provide “lessons learned” to assist in sustainability in your facility.

1003. Final Progress Report: Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture (pdf file)
      www.ahrq.gov/sites/default/files/2024-01/gallagher2-report.pdf
      January 01, 2024 - debriefing interview by a member of the research team, exploring the realism of the simulation and lessons … learned by the participants. … of debriefings At the end of each simulation, the participants were interviewed to identify overall lessons … learned, attitudes about team disclosure, and their response to the disclosure coaching. … learned.

1004. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-King_1.pdf
      April 07, 2008 - It is based on lessons learned, DoD experience, the literature of quality and patient safety, and culture … A sharing of success stories and lessons learned related to implementation strategies occurs during … these early adaptors implement, test, and refine the program, there is anticipation that much will be learned

1005. Improving the Measurement of Surgical Site Infection Risk Stratification and Outcome Detection
      www.ahrq.gov/sites/default/files/wysiwyg/research/findings/final-reports/ssi/ssiapu.pptx
      September 18, 2011 - have prevented a false negative was in clinical notes HHSA-290-2006-00020 ACTION task order #8 Lessons … Learned Common electronic data markers of infection are not informative enough Variation in practice … of Procedures; Postop Admission; Preop Hematocrit HHSA-290-2006-00020 ACTION task order #8 Lessons

1006. CAUTI Sustainability: Embedding CAUTI Policies, Using Data to Monitor Proress and Hardwiring CUSP Principles | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/cauti-sustainability-transcript.html
      December 01, 2017 - Our learning objective for today are to examine the key lessons learned at sustaining the gain. … Other lessons learned. Ensure administration is aware of your efforts and your results. … That's not the way I learned. That's not how we ought to be doing that. … Study, you compare the data and summarize what is learned. … Even our assistant staff, the nurse tech and patient care assistant learned the maintenance bundle care

1007. Issue Brief 26: Exploration of Foundational Terminology and Paradigms for Improving Diagnosis (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/diagnostic/resources/issue-briefs/dxsafety-terminology.pdf
      April 01, 2025 - align to create vulnerable moments of risk. 6 At their onset, patient safety efforts took lessons … We have learned a lot from pioneering work on patient surveys and interviews.44-47 Rather than speak … Investigators have learned that patient experience is best understood using narrative and open- ended … Diagnosing diagnosis errors: lessons from a multi-institutional collaborative project. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care.

1008. Additional TeamSTEPPS Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/evidence-base/additional.html
      June 01, 2023 - Communication science lessons for patient safety and quality care.

1009. EvidenceNow Executive Summary - Virginia Cooperative (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-va.pdf
      November 01, 2017 - EvidenceNow Executive Summary - Virginia Cooperative Virginia Cooperative Virginia EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary ca…

1010. EvidenceNOW Publications | Agency for Healthcare Research and Quality
      www.ahrq.gov/evidencenow/projects/heart-health/research-results/results/publications.html
      May 01, 2024 - Reveals Sizable Data Inaccuracies in Small Primary Care Practices The Midwest Cooperative reflected on lessons … learned from EvidenceNOW using interviews from practice leaders and practice facilitators from practices … Lessons learned from this project will guide future strategies for D&I of evidence-based practices in … The role of health extension in practice transformation and community health improvement: Lessons from … learned from EvidenceNOW.

1011. Patient Safety Organizations: A Summary of 2014 Profiles (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/npsd/npsd-portfolios-summary-profile-2014.pdf
      January 01, 2014 - Lessons learned from the analysis of collected event reports by PSOs can be used to educate members

1012. Two-Day Training Content | Agency for Healthcare Research and Quality
      www.ahrq.gov/teamstepps-program/curriculum/intro/teach/two-day.html
      January 01, 2024 - Today, TeamSTEPPS is part of the ongoing patient safety movement and the training builds on lessons and

1013. AHRQ Practice Facilitation Training Modules: Additional Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/modules/resources.html
      July 01, 2022 - Practice Feedback Interventions: 15 Suggestions for Optimizing Effectiveness summarizes lessons from

1014. Final Progress Report: Creating Safe Ambulatory Care: The Path to Resilience (pdf file)
      www.ahrq.gov/sites/default/files/2025-04/nemeth-report.pdf
      January 01, 2025 - Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. … Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace. … Improving Healthcare Team Communication: Building on Lessons from Aviation and Aerospace.

1015. Hospital Expands Use of AHRQ’s QI Toolkit To Improve Patient Safety Measures Prioritized by Medicare (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/combined/standalone_psi_casestudy.pdf
      June 02, 2025 - Robinson has several key lessons to share with new users to facilitate their quality improvement journey

1016. Leveraging Cultural Change to Reduce Urinary Catheter Use (August 12, 2014) | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.html
      December 01, 2017 - second and talk about clinical culture as I go on, but one of the things that we find out, and I'd learned … But what I've learned particularly through this work and some of my other CUSP work is those cultural … While there are some clear lessons about culture, this is an article from AJIC, “Reducing health care-associated … infections: lessons learned from a national collaborative.” … But the lessons we certainly have learned here at TMC was this cannot be just the one department.

1017. Paul Tedrick (doc file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/leveraging-cultural-change-transcript.doc
      August 12, 2014 - second and talk about clinical culture as I go on, but one of the things that we find out, and I’d learned … But what I’ve learned particularly through this work and some of my other CUSP work is those cultural … While there are some clear lessons about culture, this is an article from AJIC, “Reducing health care-associated … infections: lessons learned from a national collaborative.” … But the lessons we certainly have learned here at TMC was this cannot be just the one department.

1018. Strategies for Improving Clinician Psychological Safety in Reporting and Discussing Diagnostic Error (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/topics/dxsafety-psychological-safety.pdf
      September 01, 2023 - Transitioning to peer learning: lessons learned.

1019. Final Progress Report: Creation and validation of a training toolkit to ensure safe and proficient use of EHR by medical scribes (pdf file)
      www.ahrq.gov/sites/default/files/2024-05/gold-report.pdf
      January 01, 2024 - The third sweep was calibrated to identify lessons learned about barriers and facilitators. … Once defined, TRLOs will be utilized to build both dedicated Web-based EHR Learning Lessons (WELLs)

1020. Measure Dx: A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/MeasureDx-guide.pdf
      July 01, 2022 - The Mayo Clinic team published their lessons learned from their 7,500 consecutive case reviews in … Feed lessons learned back to the provider and the system.30 Measure Dx | 22 What To Do Step 1 … Certain lessons should also be distributed more widely across the institution. … while still learning from missed opportunities � Focus on the learning opportunities and expand the lessons … learned to other clinicians Review and monitor diagnostic errors � Categorize diagnostic errors in