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www.ahrq.gov/hai/cusp/toolkit/content-calls/framework.html
April 01, 2013 - The third step of CUSP is to share what we've learned and to prioritize what we’re seeing. … education to orientation, committing to learning to one defect a quarter, sharing what those learning lessons … Everybody learned the same information. We also did the urinary cath insertion competency. … So what we did when we learned from these defects is that we executed a new plan. … And then I think Mary Jo has given us some very practical lessons on how to go ahead and how her unit
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/administration.html
March 01, 2021 - The following tipsheet describes some of these insights and lessons.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings.pptx
December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … SAY:
Others are in more mature stages and can offer strong lessons in how to achieve success with briefings … local defects is a powerful and visible strategy to gain staff buy-in and encourage participation.
43
Lessons … Learned
Briefings and debriefings–
Reshape safety culture with time and commitment
Foster safety culture
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/chipra-16-p001-2-ef.pdf
April 01, 2016 - Implementing developmental screening and referrals: lessons learned from a national
project.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/module-3-situation-monitoring-facilitator-guide.pdf
June 02, 2025 - base by email soon to
share the key takeaways we heard today and ask you to think about what today’s lessons … optional)
After the session, you may want to follow up with the participants to reinforce what they learned … I trust that you have been able to use some of the strategies we learned in the training session.
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www.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/index.html
January 01, 2020 - You can learn from your experiences and then use those lessons to shift strategy and try new interventions … implementing one or more interventions on a small scale first, and then expanding to broader actions based on lessons … Some health plans, for example, have learned how to improve their call center operations by sending staff
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/ambulatory-surgery/sections/sustainability/management/huddles/daily-huddles.pptx
May 01, 2017 - Lay out the specifications of your test
Do: Conduct the test
Study: Review how the test went and what lessons … were learned
Act: Integrate learning into your next test or into daily practice
Module 2: Daily
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/facilitator-notes.docx
March 01, 2017 - spread
· Develop a plan for sustainability
· Discuss the steps needed to sustain efforts
· Describe lessons … learned from examples of success across multiple settings
SLIDE 2
SAY:
What is sustainability in … Encourage team leaders to discuss actual resident stories to drive home important lessons.
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www.ahrq.gov/ncepcr/tools/confid-report/foreword.html
February 01, 2016 - Performance improvement messaging for physicians: lessons from market research*
Confidential
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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.
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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.
-
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.
-
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
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www.ahrq.gov/evidencenow/projects/urinary/optima-interview.html
November 01, 2024 - To help primary care providers put into practice what they learned, we developed a pocket guide with … What has been your biggest lesson learned to-date?
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/023-ss-cusp-learning-from-defects-fg.docx
April 01, 2025 - Reflect
SAY:
Around 3 months later, the CUSP team reflected on whether the interventions worked and what lessons … were learned with the Investigating a Defect Worksheet.
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www.ahrq.gov/sites/default/files/2024-02/crane-report.pdf
January 01, 2024 - Committee (QCC) reviewed patient safety resources and consulted with experts to
identify applicable lessons … In addition, key patient safety issues and lessons identified
through the conference program were disseminated … Lessons
from ambulatory, ED, inpatient, and radiology settings were incorporated.
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www.ahrq.gov/sites/default/files/wysiwyg/action-alliance/naa-october-2024-webinar-slides.pdf
January 01, 2024 - Leonard Berry
Management Lessons from Mayo Clinic
Framework for high reliability healthcare
Management … Based on what you have learned today,
What would you like to do differently or better
to improve the
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www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
October 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
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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
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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