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Showing results for "lessons learned".

  1. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
    April 21, 2008 - To the extent that what is being learned in sensemaking is integrated with our reporting efforts, it … Defining and classifying medical error: Lessons for learning. … Defining and classifying medical error: Lessons from patient safety reporting systems.
  2. www.ahrq.gov/patient-safety/settings/hospital/resource/pressureinjury/workshop/guide1.html
    October 01, 2017 - Instead of the ice breaker above, you may ask participants to briefly share a hard lesson they have learnedLessons learned from key pressure injury prevention initiatives show that support is needed from top-level
  3. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Clair.pdf
    January 01, 2004 - As we near the end of this pilot project, we have learned many lessons from the adaptation process, … some of which were learned thanks to the strong resources available to us at WRAMC. … Using the lessons that we have learned we hope to adapt more nursing procedures, in a A New Model
  4. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-inthe_ED_transcript.docx
    June 02, 2015 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
  5. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-insertion-practices-ed-transcript.html
    December 01, 2017 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
  6. www.ahrq.gov/hai/cauti-tools/archived-webinars/aseptic-catheter-practices-ed-transcript.html
    December 01, 2017 - When you think about how you learned to insert a catheter way back in the day, it was probably in a very … You may have first learned on a mannequin. It was all very structured. … There is no resemblance whatsoever to how you learned how to do it. … but to actually talk with staff, engage with staff, also listen to staff and to take from the staff lessons … I hope that there's lessons here that you can use and take back to your facilities.
  7. www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/099-cusp-guide-why-choose-cusp-approach.docx
    October 01, 2024 - also improve the work settings of other similar areas in the facility facing similar issues when the lessonslearned are shared.
  8. www.ahrq.gov/ncepcr/reports/2025-annual-report/healthcare-systems.html
    August 01, 2025 - of  AHRQ’s EvidenceNOW: Building State Capacity grantees, the guide includes effective approaches, lessonslearned, and example materials.
  9. www.ahrq.gov/news/blog/ahrqviews/home-health-quality-improvement.html
    December 01, 2022 - This reflects a pandemic-era lesson we have learned more broadly.
  10. www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/doing-20-quick-pelvic-strengthening-exercises.pdf
    June 02, 2025 - Doing 20 "Quick" Pelvic Muscle Strengthening Exercises Transcribed by https://otter.ai - 1 - Doing 20 “Quick” Pelvic Muscle Strengthening Exercises Doing 20 “Quick” Pelvic Muscle Strengthening Exercises (4 minutes) 00:00 Welcome to pelvic floor muscle training. I am happy are taking the time to learn pelvic mu…
  11. www.ahrq.gov/sites/default/files/2024-03/small-report.pdf
    January 01, 2024 - selected for its generalizability, compelling theoretical framework, and strategy of translating lessons … February, Chicago, Illinois Training for the Unexpected: Leading Healthcare to a New Level of Safety: Lessons … Integration into an Organizational Safety Program The Roles of Leadership, Cultures of Safety, and Lessons
  12. www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
    September 01, 2025 - . * Engineering safer care coordination from hospital to home: Lessons from the USA .
  13. www.ahrq.gov/sites/default/files/2024-01/lannon2-report.pdf
    January 01, 2024 - Colletti RB, Margolis PA, Kappelman MD Development of process and outcome measures for improvement: lessonslearned in a quality improvement collaborative for pediatric inflammatory bowel disease Inflammatory … Iyer SB, Beekman RH, III, et al National pediatric cardiology quality improvement collaborative: Lessons
  14. www.ahrq.gov/chsp/events/coe-workshop1.html
    December 01, 2022 - Measure Harmonization The group shared lessons they have learned about measuring health system performance
  15. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - develop this resource guide on how to sustain and spread infection-prevention change initiatives, using lessons … These main drivers are based on the lessons of the hospital units that participated in the On the CUSP
  16. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - develop this resource guide on how to sustain and spread infection-prevention change initiatives, using lessons … These main drivers are based on the lessons of the hospital units that participated in the On the CUSP
  17. www.ahrq.gov/sites/default/files/2025-02/silver-report.pdf
    January 01, 2025 - • Based on lessons learned through intervention implementation, develop and disseminate toolkits that … It builds upon lessons learned in Module I.
  18. www.ahrq.gov/hai/cusp/toolkit/content-calls/nurse-empower/slides.html
    October 01, 2014 - Lessons for Your Hospital: Strategies That Promote Nurses & Leverage CUSP Slide 12. … Lessons for Your Hospital: Strategies That Promote Nurses with the Leverage of CUSP Slide 22. … Lessons for Your Hospital: Strategies That Promote Nurses & Leverage CUSP Frontline staff are an … Lessons for Your Hospital: Strategies That Promote Nurses with the Leverage of CUSP If nurses are
  19. www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal3.html
    January 01, 2013 - Report Executive Summary Report Organization Program Implementation Program Impact What We Learned … : Five Key Lessons Lessons on How To Improve Future National Collaboratives Conclusion Appendix
  20. Slide 1 (ppt file)

    www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/small_hospitals-slides/Small-and-Rural-Critical-Access-Hospitals-July-19-2011-508.ppt
    January 01, 2011 - Effort Add science of safety education to orientation Learn from one defect per quarter; share or post lessons … Center Lancaster, WI Agenda Why we joined the CLABSI & CAUTI projects Barriers and successes Key lessons … Hospital Dixon, IL Agenda Why we joined the CLABSI & CAUTI projects Barriers and successes Key lessons

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