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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - Lessons learned
Reporting systems such as MEDMARX can be valuable tools for collecting
and managing … Implementation
Perhaps the most important lessons to come out of this program have involved
the implementation … Introduction
The Department of Defense response
Centralized reporting
Results
Actions taken
Discussion
Lessons … learned
Conclusions
Acknowledgments
Author affiliations
References
Table 1.
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www.ahrq.gov/sites/default/files/wysiwyg/topics/IAWG-July-2024-meeting-notes.pdf
January 01, 2024 - DLS is also partnering with VA Hospital Systems Laboratories
and sharing best practices and lessons … learned.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Harper.pdf
March 01, 2004 - Reporting and preventing medical mishaps: Lessons from non-medical
near miss reporting systems. … were likely to have contributed to the increase in
reporting rates for ASRS during this period, the lessons … to be learned from the
example set by ASRS are clear: If you want an individual to voluntarily report … Reporting and preventing
medical mishaps: lessons from non-medical near miss
reporting systems.
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-9-appreciative-inquiry.pdf
September 01, 2015 - Ask pairs to report back to the large group what they learned from conducting the interview.
a. … What lessons did you learn about conducting an AI-focused interview?
b. What was comfortable?
c. … After all skits and drawings have been shared, ask each learner to share one lesson learned about
working … After completing the rounds, members return to their teams, discuss what they learned, talk
about the … own implementation plan, and discuss possible changes to
their plan to improve it based on what they learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/onboarding/onboarding_overview_impmodel_facnotes.docx
December 01, 2017 - SAY:
The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights
SAY:
It also builds on the lessons learned from National On the CUSP: Stop
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/overview-fac-notes.html
December 01, 2017 - Say:
The safety program for surgery builds on the lessons learned from previous successful statewide … And National-Level Highlights
Say:
It also builds on the lessons learned from National On the CUSP
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/contentcalls/framework-slides/CUSP-A-Framework-for-Success-Mar-7-2012-508.ppt
January 01, 2012 - Effort
Add science of safety education to orientation
Learn from one defect per quarter; share or post lessons
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_1-introduction.pptx
July 01, 2023 - Self-directed and self-paced
Mandatory in-person team facilitation sessions
Reinforce online module lessons … and demonstration-based training, we expect you to schedule in-person team facilitation sessions so lessons
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www.ahrq.gov/sites/default/files/publications/files/confidreportguide_1.pdf
March 01, 2016 - Performance improvement messaging for physicians: lessons from market
research* ................... … In cognitive testing, physicians are asked to tell, in their own words, what they learned from
different … As much can be learned from
implementation failures as from successes yet null findings on any topic … Data feedback efforts in quality improvement: lessons learned from US
hospitals. … Performance improvement messaging for physicians: lessons from market research*
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/mui/doing-20-slow-pelvic-strengthening-exercises.pdf
June 02, 2025 - Doing 20 "Slow" Pelvic Muscle Strengthening Exercises
- 1 -
Doing 20 “Slow” Pelvic Muscle Strengthening
Exercises
Doing 20 “Slow” Pelvic Muscle Strengthening Exercises (ten minutes)
00:00
Welcome to pelvic floor muscle training. I am happy are taking the time to learn pelvic muscle
exercises. Let's star…
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www.ahrq.gov/patient-safety/resources/learning-lab/acute-care-long-desc.html
June 01, 2020 - Drawing on lessons from this project, the PSLL developed a new “productized” version of Health-ITUES
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/implementation-guides/implementation-guide1/impguide1.pdf
September 08, 2015 - • Use what you learned from your environmental scan (see Task 1.4) to help
determine which stakeholders … including strategies for facilitating better engagement, methods for
building the necessary structure, and lessons … learned from existing stakeholder
engagement initiatives. … These parents and youth have reported back to others in the
groups and have used what they have learned
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www.ahrq.gov/sites/default/files/2024-01/jones2-report.pdf
January 01, 2024 - model
Textual data describing perceptions
of perceived progress, resources,
processes, outcomes, lessons … learned
Senior Leader Interview, hospital
level, n=14,
completed post-implementation
Guiding … learned, and plans for sustainment
*One hospital did not complete the CAPTURE Falls scorecard post-implementation … Lessons learned from defining and categorizing falls among adults in small
rural hospitals. … Challenges in defining and categorizing falls on diverse unit
types: Lessons from expansion of the NDNQI
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www.ahrq.gov/patient-safety/reports/engage/references.html
May 01, 2023 - Diagnostic errors in primary care: lessons learned. J Am Board Fam Med 2012;25(1):87-97. … Missed opportunities for diagnosis: lessons learned from diagnostic errors in primary care. … Bringing patients into the patient-centered medical home: lessons learned in a large primary care practice … Team-Based health care delivery: lessons from the field.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/sops-action-planning-tool.pdf
November 01, 2022 - Be sure to capture their lessons learned. … Look at your data and summarize what was learned. … • Act – Act on what was learned from the test and prepare for the next test or rollout on a
larger
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www.ahrq.gov/patient-safety/reports/liability/etchegaray.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 … safety culture may be more likely to foster opportunities for physicians to use knowledge and skills learned … This was a “train‑the‑trainer” approach in which the attendees learned about disclosure coaching and
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/partnering-executive-facilitator-guide.docx
June 01, 2021 - Lessons learned from this and the other four presentations focusing on adaptive skills will better equip
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/urinary-catheter-insertion-notes.docx
April 01, 2022 - The take-home point is that some of the lessons we learn about how to insert catheters aseptically do
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www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/virginia.html
March 01, 2021 - EvidenceNOW: Virginia Cooperative
EvidenceNOW: Advancing Heart Health in Primary Care is an initiative of the Agency for Healthcare Research and Quality (AHRQ) to transform health care delivery by building a critical infrastructure to help smaller primary care practices improve the heart health of their patien…
-
www.ahrq.gov/sites/default/files/2024-04/maraganore-report.pdf
January 01, 2024 - We are planning to write a
paper summarizing the experiences of the NPBRN, include pitfalls and lessons … learned, for publication in a
peer-reviewed journal. … Significance: We have identified pitfalls and lessons learned with respect to quality improvement and