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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Campbell_94.pdf
March 30, 2008 - The Patient Safety program manager and invited presenters then share stories and discuss lessons
learned … Learned in Patient Safety.”
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Facilitate learning. … Learned in Patient Safety.” … These sessions are intended to promote
open discussion and sharing of lessons learned from near misses … Five years after to err is human:
What have we learned? JAMA 2005; 293: 2384-2390.
4.
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www.ahrq.gov/research/findings/final-reports/crctoolkit/crctoolkit2.html
April 01, 2018 - Transferability to Other Systems/Settings
Based on assessment findings and lessons learned, CNA believes … Furthermore, CNA extracted a set of "lessons learned" from their implementation experience that could … These lessons learned are presented as tips in the toolkit.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/synthesis-report/refs.html
October 01, 2015 - Lessons learned from the study of primary care transformation. … A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center. … Contrasting trajectories of change in primary care clinics: lessons from New Orleans safety net.
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www.ahrq.gov/ncepcr/reports/grants-transform/references.html
March 01, 2017 - Lessons learned from the study of primary care transformation. … A Study of the Patient-Centered Medical Home: Lessons From a New York State Community Health Center. … Contrasting trajectories of change in primary care clinics: lessons from New Orleans safety net.
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapc.html
May 01, 2018 - National Healthcare Quality Repor t (NHQR) and National Healthcare Disparities Report (NHDR)
11:05 Lessons … Learned in Developing NHQR and NHDR
Earnest Moy, MD, MPH, Team Lead, NHQR & NHDR, Center … Subcommittee Chair and Moderator .
1:05 Rationale for Expanded Race/Ethnicity Data Collection and Lessons … Lessons from Healthcare Cost and Utilization Project
Irene Fraser, PhD, Director Center
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www.ahrq.gov/ncepcr/tools/confid-report/refs.html
March 01, 2016 - Performance improvement messaging for physicians: lessons from market research*
Agency … Data feedback efforts in quality improvement: lessons learned from US hospitals. … Providing performance feedback to individual physicians: current practice and emerging lessons.
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www.ahrq.gov/research/findings/final-reports/ssi/ssi6.html
April 01, 2018 - Return to Contents
Lessons Learned and Recommendations for Next Steps
There are several lessons … to be learned from this work, summarized in the following bullet points:
Task 1:
In-person meetings
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on Colorado
July 2015
This brief highlights the major strategies, lessons learned … information on the MHI revised short form, visit http://
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned … Early-and-Periodic-Screening-Diagnostic-and-Treatment.html
http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned … /mhi-rsf.pdf
http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
http://www.ahrq.gov … /policymakers/chipra/demoeval/what-we-learned/mhi-rsf.pdf
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www.ahrq.gov/sites/default/files/publications/files/clabsifinal.pdf
October 01, 2012 - This final report summarizes project
outcomes and lessons learned. … learned about how to implement a large, national quality
improvement project:
1. … Evolve project strategies and emphases over time
The lessons learned contributed to the project’s success … The NPT learned several lessons in doing this work, both through its own experience working
over … : FIVE KEY LESSONS
LESSONS ON HOW TO IMPROVE FUTURE NATIONAL COLLABORATIVES
CONCLUSION
APPENDIX A:
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www.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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www.ahrq.gov/patient-safety/reports/hotline/eval4.html
May 01, 2016 - Challenges Identified and Lessons Learned
VI. Summary and Conclusions
References
Appendix A. … Lessons learned from the implementation of the prototype will help to identify needs for further refinement … learned and next steps. … Lessons Learned
The research team and the two participating health care delivery organizations held … an evaluation webinar in May 2015 for a final discussion of lessons learned.
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/spread.html
October 01, 2015 - Methods
Model State Enhancement Efforts
Spreading the Model to Partner States
External Context
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
References
Each model … The partner States learned as much or more from sharing their experiences with each other as they did … from the lessons learned from Pennsylvania as the model State.
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www.ahrq.gov/ncepcr/reports/grants-impact/spreading-model.html
February 01, 2017 - Methods
Model State Enhancement Efforts
Spreading the Model to Partner States
External Context
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
References
Each model … The partner States learned as much or more from sharing their experiences with each other as they did … from the lessons learned from Pennsylvania as the model State.
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www.ahrq.gov/sites/default/files/2024-07/gallagher5-report.pdf
January 01, 2024 - learned. … present in submitted cases
• Proportion of applications certified
• Number of quality/safety and CRP lessons … Indeed, the community for sharing best practices and lessons learned
that was built through this program … Another key criticism of the current program was the lack of sharing lessons learned
through the CRP … • To ensure broader dissemination of clinical and CRP lessons learned through submitted
cases, we are
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter4.html
December 01, 2017 - Lessons Learned and Suggestions for Data
Chapter 9.
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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/problem-solving-slides.html
June 01, 2017 - Study: Review how the test went and lessons learned.
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit5-2.html
November 01, 2014 - From the experiences of Heights Hospital, several lessons learned for potential Lean adopters are:
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www.ahrq.gov/research/shuttered/acfselection/chapter1.html
July 01, 2018 - The refinement of this tool is of particular interest based on lessons learned during hurricanes Katrina
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www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit4-2.html
November 01, 2014 - Potential Lean adopters can benefit from some lessons learned from the experiences at Suntown.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/edgman-levitan-intro.pdf
April 13, 2016 - • Specific improvement strategies implemented
• Barriers addressed
• Results achieved
• Key lessons … learned
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www.cahps.ahrq.gov
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