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psnet.ahrq.gov/issue/code-debriefing-department-veterans-affairs-va-medical-team-training-program-improves
August 18, 2010 - The authors share the practical development of the tool, its application, and lessons learned from implementation … August 18, 2010
Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … May 9, 2018
Sharing lessons learned to prevent incorrect surgery.
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psnet.ahrq.gov/node/44207/psn-pdf
August 21, 2018 - U.S. compounding pharmacy-related outbreaks, 2001--
2013: public health and patient safety lessons learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public
health and patient safety lessons learned … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-
patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons … psnet.ahrq.gov/issue/us-compounding-pharmacy-related-outbreaks-2001-2013-public-health-and-patient-safety-lessons
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary6.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Building … improve quality of children’s health care
Previous Page Next Page
Table of Contents
Key Lessons … Lessons learned
The multi-State partnerships created for this grant program led to substantial transfer … Apply lessons learned from each other to avoid repeating mistakes and improve the quality of their projects
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www.ahrq.gov/patient-safety/resources/simulation-issue-brief5.html
July 01, 2024 - actively participate in simulations and add valuable perspectives and insights during debriefings. 25,26 Lessons … learned from simulations can and should be shared beyond the direct participants. … Lessons learned were shared with multiple units so that solutions could be spread more quickly, and processes … Organizations should ensure that lessons learned from simulation are tracked, trended, and reported at
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Articles cover efforts to approach the issue from a public health perspective, lessons learned from … May 6, 2015
Preventing Healthcare-Associated Infections: Results and Lessons Learned … 29, 2014
From Science to Implementation: AHRQ's Program to Prevent HAIs—Results and Lessons … May 13, 2020
Preventing Healthcare-Associated Infections: Results and Lessons Learned
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jarvis-selinger-s-et-al
January 01, 2023 - Jarvis-Selinger S et al. 2008 "Clinical telehealth across the disciplines: lessons learned." … Clinical telehealth across the disciplines: lessons learned.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/qde-mmd-webinar-on_quality-measure-use.pdf
September 24, 2015 - Putting Quality Measures to Work:
Presentation for the Association of Medicaid
Medical Directors
Lessons … learned
– Joe Zickafoose, M.D., M.S., Senior Researcher, Mathematica Policy Research
• South Carolina … Learned
Joe Zickafoose
5 5
Demonstration Grantees* and Partnering States
6 6
States’ … Source: Survey of child-serving physicians.
36 36
Lessons Learned
• Providers pursued a range … Learned
Lessons Learned
Slide Number 38
National Evaluation Website
For More Information
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/index.html
September 01, 2015 - The following materials have been developed to share the results and lessons learned from this initiative … efforts that were studied, summaries of the key impacts and challenges of those efforts, and the main lessons … learned. … learned across the 14 grants, and a joint article about the importance of context in primary care … A summary report ( PDF , 827 KB) synthesizing the findings and lessons learned across the 14 grants
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
June 02, 2025 - What Lessons Were Learned?
Enter lessons learned
Why Did This Defect Occur?
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psnet.ahrq.gov/issue/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
March 04, 2015 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study. … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned
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www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Discussion of lessons learned and how the team can alter the plan for future cases. … Establishment of a method to formally change the existing plan to incorporate lessons learned. … The team leader should then summarize lessons learned and set goals for improvement.
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www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkitapa.html
March 01, 2014 - The community partner began spending a lot of time onsite, but quickly learned that being there every … Lessons learned:
Do not provide the practice with too much information. … Lessons learned:
One motivated, informed practice champion can make all the difference. … Lessons learned:
Even in the absence of practice-wide buy-in, one motivated and committed provider … Lessons learned:
Busy, well-functioning practices may prioritize existing relationships and projects
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psnet.ahrq.gov/node/47059/psn-pdf
May 16, 2018 - Participating in a multisite study exploring operational
failures encountered by frontline nurses: lessons … learned. … Participating in a Multisite Study Exploring Operational Failures
Encountered by Frontline Nurses: Lessons … Learned. … participating-multisite-study-exploring-operational-failures-encountered-
frontline-nurses
Multisite collaboratives can yield data and improvement lessons
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digital.ahrq.gov/sites/default/files/docs/medicaid/MN_CaseStudy.pdf
January 01, 2011 - Case Study: Leveraging Existing Leadership to Support Health IT and HIE: Lessons Learned from Minnesota … Assistance Program
Case Study
Leveraging Existing Leadership to Support
Health IT and HIE: Lessons … Learned From
Minnesota’s Medical Assistance Program
Prepared for:
Agency for Healthcare … Learned From Minnesota’s Medical
Assistance Program
Agency Overview
Minnesota’s Medicaid program … Learned From Minnesota’s Medical Assistance Program
Agency Overview
Introduction
Project Details
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digital.ahrq.gov/sites/default/files/docs/page/MN_CaseStudy_0.pdf
January 01, 2011 - Case Study: Leveraging Existing Leadership to Support Health IT and HIE: Lessons Learned from Minnesota … Assistance Program
Case Study
Leveraging Existing Leadership to Support
Health IT and HIE: Lessons … Learned From
Minnesota’s Medical Assistance Program
Prepared for:
Agency for Healthcare … Learned From Minnesota’s Medical
Assistance Program
Agency Overview
Minnesota’s Medicaid program … Learned From Minnesota’s Medical Assistance Program
Agency Overview
Introduction
Project Details
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20140115_DB/5_Francis_Fullam_slide_45-52.pdf
June 02, 2025 - Using the CAHPS Database to Compare, Report, and Improve Organizational Performance
®
Lessons Learned … 87.31% 87.61% 0.30% 40th percentile
®
Lessons Learned
• At the time, academic medical centers … Learned from 2010 Pilot
UHC Results Compared to National
UHC Results—Doctor Communication … Results – Follow-up on Test Results and Staff
UHC Results – Access
UHC Results – Global Ratings
Lessons … Learned
Using the CAHPS Database
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-improving-patient-experience.pdf
July 01, 2021 - Lessons From Healthcare Organizations on Improving Patient Experience webcast - Quigley
AltaMed’s Shadow … Efforts to
Improve Patient-Provider Interactions
Using the Clinician and Group CAHPS® Survey:
LESSONS … Learned
• CAHPS data is effective for benchmarking, measuring
change, counseling and evaluating providers … Health Policy Researcher
quigley@rand.org
310-393-0411, ext. 7549
41
mailto:quigley@rand.org
LESSONS … Learned
Contact Information
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Study
Transition to a new electronic health record and pediatric medication safety: lessons … learned in pediatrics within a large academic health system. … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics
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www.ahrq.gov/ncepcr/reports/grants-transform/introduction.html
October 01, 2023 - However, a review of the findings and lessons learned across the 14 studies revealed a number of common … colleagues began summarizing the common themes across the grants at the end of funding in a paper titled "Lessons … learned from the study of primary care transformation." 1 The paper highlighted the following five … key lessons learned: 1) a strong foundation is needed for successful redesign; 2) the process of transformation
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www.ahrq.gov/hai/cusp/clabsi-final/clabsifinalsum.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 … This final report summarizes project outcomes and lessons learned. … learned about how to implement a large, national quality improvement project:
Have well-defined, … The lessons learned contributed to the project's success and can be applied to future large scale interventions