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Showing results for "lessons learned".

  1. 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 lessonslearned. … May 9, 2018 Sharing lessons learned to prevent incorrect surgery.
  2. Psn-Pdf (pdf file)

    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
  3. 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 LessonsLessons 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
  4. 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   Lessonslearned 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
  5. 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
  6. 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.
  7. 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 Lessonslearned – 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
  8. 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 lessonslearned. … 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
  9. 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?
  10. 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: lessonslearned 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
  11. 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.
  12. 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
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47059/psn-pdf
    May 16, 2018 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessonslearned. … Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: LessonsLearned. … participating-multisite-study-exploring-operational-failures-encountered- frontline-nurses Multisite collaboratives can yield data and improvement lessons
  14. 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: LessonsLearned 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
  15. 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: LessonsLearned 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
  16. 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 LessonsLearned Using the CAHPS Database
  17. 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: LESSONSLearned • 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 LESSONSLearned Contact Information
  18. 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: lessonslearned 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
  19. 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 "Lessonslearned 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
  20. 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