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Showing results for "lessons learned".

461. AHRQ Intensifies its Efforts to Strengthen Primary Care | Agency for Healthcare Research and Quality
     www.ahrq.gov/news/blog/ahrqviews/strengthen-primary-care.html
     October 01, 2024 - State-Based Infrastructure To Support Primary Care Quality Improvement , highlights effective approaches and lessons … learned from AHRQ initiatives designed to provide external quality improvement support for primary care

462. Available Comprehensive Quality Improvement Guides (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/qitoolkit/pdi/g1_pdi_availablecomprehensiveqiguides.pdf
     June 02, 2025 - The material has been influenced by lessons learned from hands-on field experience at Army MTFs that

463. 4. Observations About the Evaluation | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
     October 01, 2015 - developed and disseminated evaluation findings throughout the evaluation period, emphasizing emerging lessons … learned about program implementation at first and synthesizing findings about program outcomes and effects

464. Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Hoff.pdf
     January 01, 2003 - Implementing Safety Cultures in Medicine: What We Learned by Watching Physicians 15 Implementing … particular around how the near miss or mistake is being conceptualized by the individual and the larger lessons … to be learned from it. … to compare and contrast different mistake situations with each other, creating more generalizable lessons … On mistake management: lessons from aviation. BMJ 2000 March;320:781–5. 27.

465. How are CHIPRA Quality Demonstration States working to improve adolescent health care? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight03.html
     August 01, 2013 - Implications Based on lessons learned in the four States highlighted here, other States interested

466. Management Practices for Sustainability Module 4: Observation and Integration | Agency for Healthcare Research and Quality
     www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/observation-slides.html
     June 01, 2017 - out the specifications of your test Do: Conduct the test Study: Review how the test went and lessons … learned Act: Integrate your learning into your next test or into daily practice Image: PDSA Ramp

467. TransforMN Study | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/solberg.html
     April 01, 2015 - Lessons Learned and Implications for Others Findings indicated that there was not an abrupt change

468. The San Diego Center for Patient Safety: Creating a Research, Education, and Community Consortium (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Pratt.pdf
     March 01, 2004 - patient safety collaborative, delineates some obstacles to long-term success, and presents some of the lessons … we have learned from this endeavor. … we have learned from this endeavor. … Lessons learned Despite its limitations, the SDCPS has made substantial progress. … learned Conclusions Acknowledgments Author affiliations References Figure 1.

469. AHRQ Infrastructure for Maintaining Primary Care Transformation (IMPaCT) Grants Catalog of Tools | Agency for Healthcare Research and Quality
     www.ahrq.gov/ncepcr/reports/grants-impact/tools/index.html
     October 01, 2023 - include toolkits for building infrastructure and implementing health extension models, reports outlining lessons … learned, Webinars to share information and experiences, descriptions of the various models used, and … Select to view site   Building Infrastructure to Promote Primary Care Transformation: Lessons

470. VI. Summary and Conclusions | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/hotline/conclusios6.html
     May 01, 2016 - Challenges Identified and Lessons Learned VI. Summary and Conclusions References Appendix A. … We learned, however, that affording patients an opportunity to report their patient safety concerns in … We believe that one of the most important lessons learned from this experience is that it is possible

471. Evaluation Highlight No. 7: How are CHIPRA quality demonstration States designing and implementing caregiver peer support programs? (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
     September 08, 2015 - and feel more stress than other caregivers.2,3 Through peer support programs, caregivers who have learned … The strategies used by these States and the early lessons they have learned may be helpful for other … States have also learned that peer support caregivers themselves lead a complex life. … developing or expanding peer support programs for caregivers of CSHCN may want to consider the following lessons … learned by the CHIPRA quality demonstration States: • Carefully defining the peer support caregiver

472. Sustaining Antibiotic Stewardship Efforts – Slides
     www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/ambulatory-care/sustaining-antibiotic-slides.pptx
     September 01, 2022 - A framework for implementing antibiotic stewardship in ambulatory care: lessons learned from the Agency

473. Using-Health-It-To-Support-Qi (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/using-health-it-to-support-qi.pdf
     March 01, 2015 - LEARNED ............................................................................................ … learned and recommendations for primary care practices, health IT developers, and decisionmakers to … To make lessons learned available to more primary care practices and organizations that work with them … Foresight Family Physicians Lessons Learned Our targeted review of published reports and discussions … Learned Recommendations and Conclusions References

474. How are CHIPRA demonstration States approaching practice-level quality measurement and what are they learning? | Agency for Healthcare Research and Quality
     www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight01.html
     March 01, 2019 - Demonstration Grant Program. 1 In this Highlight , we discuss the early accomplishments, challenges, and lessons … learned from the following four States pursuing practice level quality measurement: Maine, Massachusetts … practice-level reporting, are available at https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned

475. Planning and Implementing the Patient Advocacy Reporting System in the Sanford Health System | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/pichert.html
     August 01, 2017 - Lessons learned and limitations are discussed. Conclusion . … The planners learned important lessons worth consideration before health care leaders launch PARS or … People-Related Lessons. … Process-Related Lessons. … Systems-Related Lessons.

476. Structure and Features of a Care Enhancement Model Implementing the Patient Safety and Quality Improvement Act (pdf file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Riley_59.pdf
     April 06, 2008 - The PSO assesses the information from these sources and feeds back lessons learned to those health care … Using these reports and lessons learned, the PSO will populate its own database, as well as a national … also allows the PSO to focus on assisting and engaging health care providers with information and lessons … Moreover, lessons from efforts focused on the Problem Statement can then be fed to other health care … What we have learned from aviation and its applications to medicine.

477. An Overview of the CANDOR Process
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/module4/module4-event-reporting-investigation-analysis.pptx
     September 10, 2015 - Medical liability carriers Mello et al: Communication-and-resolution programs: the challenges and lessons … learned from six early adopters6 Boothman and Hoyler: The University of Michigan's early disclosure … engage medical liability carriers include: Communication-and-resolution programs: the challenges and lessons … learned from six early adopters. … Communication-and-resolution programs: the challenges and lessons learned from six early adopters. 

478. Simulation Facguide (doc file)
     www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation_facguide.docx
     May 01, 2017 - provides a structure for understanding the scenario and helps ensure that everyone will take away similar lessons … the process, describing what happened, conducting an analysis of team performance, and identifying lessons … learned. … Slide 20 SAY: The final step in the debriefing process is to identify lessons learned and look ahead … to how the team can generalize what they learned in the scenario to their daily practice.

479. Patient Safety Culture and Medical Liability—Recommendations for Measurement, Analysis, and Interpretation: A Commentary | Agency for Healthcare Research and Quality
     www.ahrq.gov/patient-safety/reports/liability/waever.html
     August 01, 2017 - Safety Initiative Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study Transitional … Five years after To Err Is Human: what have we learned? JAMA 2005; 293:2384–90. 2. … Communication-and-resolution programs: The challenges and lessons learned from six early adopters. … Lessons from the AHRQ Hospital Survey on Patient Safety Culture.

480. | Agency for Healthcare Research and Quality
     www.ahrq.gov/es/programs/index.html?page=3
     This website features evidence, examples, and lessons learned from primary care practices that have transformed