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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Whoever observes and studies the test records the lessons learned and suggested alternatives. … These lessons and alternatives are then shared at the next team meeting.
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide8.html
May 01, 2016 - Whoever observes and studies the test records the lessons learned and suggested alternatives. … These lessons and alternatives are then shared at the next team meeting.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simtool_guidance.docx
May 01, 2017 - reach consensus on what happened during the scenario, and helps ensure that everyone takes away similar lessons … Application/Generalization
This part of the debriefing can help the team assess what they learned in … Ask team members to discuss specific ways they can apply what they learned in the simulation exercise … It is helpful in this debrief phase to generate a list of lessons learned and action items—that is, what
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/perinatal-care-experience-slides.pdf
March 06, 2025 - Visit Urgent Care Visit
61% 73% 38% 48% 17% 15% 24% 16%
*
(*) Significant difference
*
*
46
Lessons … Learned
• Interventions targeting status-quo bias and inattention are likely particularly
important … -19 Pandemic and Children’s Health Insurance Enrollment
Value and Impact
Value and Impact
Lesson Learned … Secondary Outcomes
Results: Secondary Analyses
Results: Secondary Analysis
Results: Secondary Analysis
Lessons … Learned
Next Steps
Questions
Thank you
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-profile-nm.pdf
April 01, 2015 - Through consultations and a toolkit, the team disseminated
what they learned about how to create a statewide … Lessons Learned and Implications for Others
A “demand-driven” rather than “supply-driven” approach … Through trial and
error, the New Mexico IMPaCT team learned that practices were more open to participating … The University of New Mexico academic health center learned
that relationships with practices, especially
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-nm.html
April 01, 2015 - Through consultations and a toolkit, the team disseminated what they learned about how to create a statewide … Lessons Learned and Implications for Others
A "demand-driven" rather than "supply-driven" approach … Through trial and error, the New Mexico IMPaCT team learned that practices were more open to participating … The University of New Mexico academic health center learned that relationships with practices, especially
-
www.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
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/d8_pdi_projectevaluation.pdf
June 02, 2025 - • Recognition of lessons learned.
• Plans for future activities (if applicable).
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/webinars/webinar8_pu_sustainingpractices.pdf
April 01, 2011 - 2nd 1st 2nd 1st 2nd
1990 1991 1992 1993 1994 1995 1996 1997
Pe
rc
en
t
p =.01 for trend
10
Lessons … Learned
•
•
Changes can be sustained only with focused
effort. … Adjusted Rates of Pressure Ulcer Development at VA
New Pressure Ulcers at VA That Are Deep Stage 3 or 4
Lessons … Learned
Who Will Sustain Practices
Unit Champions
Sustainability Team Role
Sustainability Team Members
-
www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit1.html
April 01, 2018 - Therefore, this toolkit includes tools, process guidelines, tips (based on implementation lessons learned … Tips, based on lessons learned implementing the steps.
Each step's corresponding tools.
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/vt-spotlight.pdf
July 01, 2015 - July 2015
This brief highlights the major strategies, lessons learned,
and outcomes from Vermont’s … Partner State: Vermont and Maine implemented similar projects
and met regularly to discuss shared lessons … Practices reported that they learned new care
coordination strategies, though several are concerned
-
www.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
July 01, 2015 - CHIPRA Quality Demonstration Grant Program
July 2015
This brief highlights the major strategies, lessons … learned, and outcomes from Vermont’s experience during the first 5 years of the quality demonstration … Partner State: Vermont and Maine implemented similar projects and met regularly to discuss shared lessons … Practices reported that they learned new care coordination strategies, though several are concerned about
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-cooley.pdf
April 01, 2015 - Lessons Learned and Implications for Others
• Providers, family members, and staff participating in … Lessons Learned and Implications for Others
“Medical home is a process.
-
www.ahrq.gov/sites/default/files/wysiwyg/opioids/compendium/opioids-case-study-prescribe-opioids.pdf
June 02, 2025 - Lessons Learned from Mayo Rochester:
▶ Patient screening is important. … Improvement Tools Implemented
QI Metrics
Barriers to Implementation
Facilitators to Implementation
Lessons … Learned from Mayo Rochester
Next Steps
A New Resource for Primary Care Practice
-
www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/specific-pt-populations-slides.pdf
May 01, 2025 - PT) and
see a nurse within 5 days of discharge
• On average, 3 needs addressed per
participant
Lessons … Learned
• Stakeholder buy-in
& interdisciplinary
partnerships
• Need to be mindful
of potential … SMI)
Specific Aims
Methods
Initial Thrive Findings
SMI Pilot Findings
Needs Addressed by Thrive
Lessons … Learned
Value and Impact
Presentation 3
Background
Perinatal Continuum
Venn
Background: Opportunities
-
www.ahrq.gov/patient-safety/reports/advances-new-directions/index.html
July 01, 2022 - Obstetrics and Gynecology ( PDF , 109 KB )
Martin November, et al. .
26,000 Close Call Reports: Lessons … Challenges and Lessons Learned
Patient Safety Learning Pilot: Narratives from the Frontlines ( PDF … Harnessing the Potential of Healthcare Collaboratives: Lessons from the Keystone ICU Project ( PDF … Patient Monitors in Critical Care: Lessons for Improvement ( PDF , 122 KB )
Frank A. … Implementing an Ambulatory e-Prescribing System: Strategies Employed and Lessons Learned to Minimize
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www.ahrq.gov/patient-safety/settings/hospital/candor/modules.html
August 01, 2022 - Based on expert input and lessons learned from the Agency's $23 million Patient Safety and Medical Liability
-
www.ahrq.gov/research/findings/final-reports/diabetesnetwork/diabnet6.html
October 01, 2014 - Many lessons were learned relative to the Chronic Care Model and this goal-setting intervention that
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/supplhighlight01.pdf
January 01, 2012 - In the Highlight, we
discuss the early accomplishments, challenges, and lessons learned from four States … http://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight01
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www.ahrq.gov/cpi/about/otherwebsites/clinical-decision-support/index.html
November 01, 2024 - Matthew Samore, VA Salt Lake City Health Care Systems/ University of Utah Effective Decision Support: Lessons … Learned in Community-Oriented Care David Lobach, Duke University School of Medicine