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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/cauti-sustainability.pptx
December 01, 2015 - the problem
- Standardize, simplify
- Decrease reliance on individual decision-making
Lessons … Learned = Sustaining the Gain
Recognize that change takes time
Lessons Learned = Sustaining the … v=wl_aZto-K8Q
Lessons Learned = Sustaining the Gain
11
Continue to work on staff competency (insertion … and foley care techniques)
Hard wire Foley education into all new employee education
Lessons … Continue to engage the nay-sayers
Lessons Learned = Sustaining the Gain
13
Treat a “CAUTI with
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www.ahrq.gov/downloads/pub/advances2/vol1/Advances-Ruddick_61.pdf
March 09, 2008 - Throughout the collaborative project we conducted monthly conference calls to discuss “best
practices” and “lessons … learned” with the health care facilities. … Some of the “lessons learned” aided in the RCA discovery process. … learning sessions
also provide an opportunity for similar facilities to discuss best practices and lessons … learned, in
addition to any problems or concerns encountered during the RCA process.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/data-analysis-webcast-examples-3.pdf
March 03, 2021 - 3478 Hospitals with Star Ratings (includes VA data) Patient discharged from Oct 2018 to Sept 2019
LESSONS … LEARNED
Leadership and employee engagement is key
Foundational goal of the organization
Patient experience … Nurses
SHEP HCAHPS Star Rating -Care Transition
SHEP HCAHPS Star Rating -Overall Rating of Hospital
LESSONS … LEARNED
Contact Information
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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/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/patient-safety/reports/hotline/summary.html
May 01, 2016 - Challenges Identified and Lessons Learned
VI. Summary and Conclusions
References
Appendix A. … Challenges and Lessons Learned
This project highlighted several challenges inherent in involving consumers … the protocols for data collection, data processing, and data sharing; the findings, challenges, and lessons … learned during all stages of the project; and conclusions and recommendations for AHRQ’s next steps.
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen5.html
April 01, 2018 - intervention, we will provide tools, guidelines, and tips for implementing SATIS-PHI/CRC based on the lessons … learned reported here and on what we found effective and useful in our implementation efforts. … learned from our implementation experience, including pitfalls to avoid and how to avoid them. … of the Web seminars, they included the content and findings from our study's intervention, such as lessons … learned from the practice survey and focus groups in the Lehigh Valley, and tools to help increase CRC
-
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/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/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
-
www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/action-alliance-webinar-august-2024.pdf
January 01, 2024 - Support Healthcare Workforce by Strengthening Safety
Competencies
• Identify lessons learned and potential … to Data
Data to Knowledge
Knowledge
to
Performance
Perform
Environmental
Scan
Implement
Lessons … Learned
Measure
Outcomes
18
Speaker Welcome
Lillee Gelinas, DNP, RN, CPPS, FNAP, FAAN
Assistant … ”
• "I learned a lot about issues and ways that I can contribute as an individual to hopefully
prevent … Based on what you have learned today, which safety
competencies would you most like to develop or reinforce
-
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).
-
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
-
www.ahrq.gov/talkingquality/assess/recommended-reading.html
May 01, 2019 - Evaluate Your Reporting Project
What You Can Evaluate
Elements of an Evaluation Plan
Applying Lessons … Learned
Recommended Reading on Evaluation
-
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/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/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.