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psnet.ahrq.gov/issue/implementation-peer-messengers-deliver-feedback-observational-study-promote-professionalism
October 28, 2020 - December 9, 2020
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
July 31, 2013 - August 20, 2018
Lessons learned from a systems approach to engaging patients and families
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstrations-health-information-technology/annual-summary/2010
January 01, 2010 - The lessons learned and work products are being applied across the State.
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psnet.ahrq.gov/issue/intravenous-infusion-administration-comparative-study-practices-and-errors-between-united
October 18, 2018 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - domains:
LEARNING: assess knowledge, attitudes, and behaviors
TRANSFER: assess application of learned … successful program implementation
□ Reports and publications will be generated to disseminate the
lessons … learned
Hospital AIM
Team
Leads
SPPC‐II
Key Considerations for the Analysis Plan
22
SCRIPT … successful program implementation
• Reports and publications will be generated to disseminate the lessons … learned
23
Hospital AIM
Team
Leads
SPPC‐II
Thank you!
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_8-program-evaluation-speaker-notes.pdf
July 01, 2023 - domains:
LEARNING: assess knowledge, attitudes, and behaviors
TRANSFER: assess application of learned … successful program implementation
□ Reports and publications will be generated to disseminate the
lessons … learned
22
SCRIPT
And finally, we want to share some key considerations for the analysis
plan … successful program implementation
• Reports and publications will be generated to disseminate the lessons … learned
23
Hospital AIM
Team
Leads
SPPC‐II
Thank you!
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight07.pdf
September 08, 2015 - and feel more
stress than other caregivers.2,3 Through
peer support programs, caregivers who
have learned … The strategies
used by these States and the early
lessons they have learned may be
helpful for other … States have
also learned that peer support caregivers
themselves lead a complex life. … developing or
expanding peer support programs
for caregivers of CSHCN may want
to consider the following lessons … learned by the CHIPRA quality
demonstration States:
• Carefully defining the peer support
caregiver
-
digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - Learned
66
EPCS Project Collaborators
■ MA Department of Public Health, Drug Control Program … Learned (cont … Learned (cont … Learned
Lessons Learned (cont.) … Lessons Learned (cont.)
Next Steps
Contacts
Q & A
CME/CNE Credits
-
digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
July 01, 2015 - Lessons Learned
We learned a number of important lessons related to using a community based health … Learned
Challenges
Table
Table 1. … learned, please visit http://healthit.ahrq.gov/stateandregionalhie. … Learned 13
Challenges 15
Table
Table 1. … Lessons Learned
We learned a number of important lessons related to using a community based health information
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psnet.ahrq.gov/issue/learning-not-blaming
March 28, 2018 - July 25, 2018
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries
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psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … November 10, 2010
Quality improvement lessons learned from National Implementation of
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … September 25, 2019
Quality improvement lessons learned from National Implementation of
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - October 21, 2020
Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.
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psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - July 31, 2013
Lessons learned from implementation of computerized provider order entry … February 12, 2014
Lessons learned from implementation of computerized provider order
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
August 01, 2022 - Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons … Learned From Implementation Challenges
Followup to the PSML Demonstration Projects
Recommendations … best way to understand what these seven demonstration projects actually did or to summarize what was learned
-
www.ahrq.gov/downloads/pub/advances/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing … Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. … learned using four prototypical
cases. … In the second half of the article, we present lessons learned
through analysis of four prototypical … As
we review what we learned from a variety of approaches and cases, certain areas
stood out as ripe
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing … Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. … learned using four prototypical
cases. … In the second half of the article, we present lessons learned
through analysis of four prototypical … As
we review what we learned from a variety of approaches and cases, certain areas
stood out as ripe
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - Furthermore, the diversity and multitude of projects made it more difficult to summarize the demonstration’s lessons
-
psnet.ahrq.gov/node/33594/psn-pdf
November 18, 2021 - reflection and learning10
7-step After-Action Review from the US Army: a method focused on identifying lessons … learned and
applying those lessons to future situations11
For those interested in developing skills … Explicitly summarizing lessons learned from the scenario or clinical event may help team
members to … recall and apply these lessons in the future. … Learner-centered debriefing for health care simulation
education: lessons for faculty development.
-
psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - //psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons … the airline industry has learned about communication, teamwork, and error
reporting and how they might