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psnet.ahrq.gov/issue/application-human-factors-improve-usability-clinical-decision-support-diagnostic-decision
May 11, 2022 - Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation. … November 11, 2020
Lessons learned from a systems approach to engaging patients and families … Usability of a human factors-based clinical decision support in the emergency department: lessons … learned for design and implementation.
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www.ahrq.gov/takeheart/index.html
Community Webinars
Assessing TAKEheart
Through our assessment of TAKEheart, we learned … many lessons that will help guide future work in this area. … These documents describe lessons learned, key findings, and recommendations for future similar efforts
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psnet.ahrq.gov/node/44979/psn-pdf
April 06, 2016 - wrong-site-wrong-procedure-and-wrong-patient-surgery
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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www.ahrq.gov/action-alliance/webinars/workforce-safety-well-being.html
October 01, 2024 - Real-world examples from hospitals illustrated the effectiveness of this method, providing valuable lessons … learned and measurable results that other organizations can replicate. … of how this practice has been successfully integrated into primary care settings, including detailed lessons … learned from the field and the positive outcomes associated with reduced burnout and enhanced staff
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digital.ahrq.gov/sites/default/files/docs/page/2006StromPepper_051211comp.pdf
June 16, 2021 - to quantify problem, intervene,
and observe change in rate of problem
CCEB
Other Observations/Lessons … Learned-1
• h/o yrs of delay in easy safety IT recs
• Major problems in data quality--answers
differed … review and research
• IRB concerns re: evaluations of IT
interventions
CCEB
Other Observations/Lessons … Learned-2
• Inadequate programming staff to
implement many patient safety initiatives
• All interventions … Learned-1
Other Observations/Lessons Learned-2
Evaluate Interventions
Slide No. 21 (No title)
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psnet.ahrq.gov/node/35693/psn-pdf
May 03, 2017 - Learning and sharing safety lessons to improve patient
care.
May 3, 2017
Woodward S. … Learning and sharing safety lessons to improve patient care. Nursing Standard. 2016;20(18). … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
The author describes … learned. … https://psnet.ahrq.gov/issue/learning-and-sharing-safety-lessons-improve-patient-care
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/video/huddle-emergency-dept-guide.pdf
June 02, 2025 - Lessons Learned
A huddle helps teams improve performance and enhance safety when preparing for an event … Objective
TeamSTEPPS Tool or Concept
Brief Video Description
Discussion Questions
Discussion Answers
Lessons … Learned
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psnet.ahrq.gov/node/45706/psn-pdf
September 01, 2018 - improving-communication-and-resolution-following-adverse-events-using-patient-created
https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … liability-claims-and-costs-and-after-implementation-medical-error-disclosure-program
https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary5.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Applying … information technologies (IT) for QI
Previous Page Next Page
Table of Contents
Key Lessons … Lessons learned
Implementing health IT applications to support QI for children typically takes far
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psnet.ahrq.gov/issue/using-smart-iv-infusion-pumps-outside-patient-rooms
September 23, 2020 - Challenges, facilitators, and lessons learned are discussed. … February 24, 2021
Intravenous medication safety and smart infusion systems: lessons learned … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/fullerton-c-et-al
January 01, 2023 - Fullerton C et al. 2006 "Lessons learned from pilot site implementation of an ambulatory electronic health … Lessons learned from pilot site implementation of an ambulatory electronic health record.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/tpc-profile-rittenhouse.pdf
April 01, 2015 - Transforming Primary Care Practice: Lessons From the New Orleans Safety Net
Transforming Primary … Care Practice: Lessons From the New Orleans
Safety Net
Principal Investigator: Diane Rittenhouse, … Lessons Learned and Implications for Others
• Four factors appeared to be of key
importance for successful … No. 15-0038-5-EF
April 2015
Transforming Primary Care Practice: Lessons From the New Orleans … Learned and Implications for Others
Number and Type of Practices
Location
Transformational Elements
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Reporting … Child Core Set of quality measures
Previous Page Next Page
Table of Contents
Key Lessons … Lessons learned
States can substantially improve their capacity to report quality measures for children
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digital.ahrq.gov/sites/default/files/docs/page/2006Glab_051711comp.pdf
June 16, 2021 - Learned…
Burden of care increasingly lies with patients/families
User input essential
Track … Community review resulted in shared meaning, new
possibilities and authentic collaboration
More Lessons … Learned…
Build relationships and “buy-in” on the process
Explain that materials are from nationally … Design…
Features of Educational Product…
Education Deliverables
ISO 9001 Principles in Action
Lessons … Learned…
More Lessons Learned…
Metrics to Measure the Effectiveness of Patient Education Intervention
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/index.html
March 01, 2021 - single investment in primary care research, provides an opportunity to share approaches, resources and lessons … learned for the benefit of other primary care researchers. … regional and national evaluations, the methods, measures and data collection instruments used, and lessons … learned for recruiting practices and other aspects of research administration.
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psnet.ahrq.gov/issue/chief-resident-quality-improvement-and-patient-safety-description
July 02, 2014 - , this commentary relates how two organizations implemented this strategy along with challenges and lessons … learned. … July 2, 2014
Building a safer foundation: the Lessons Learnt patient safety training … January 15, 2014
Developing a quality and safety curriculum for fellows: lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-utah-state-snapshot.pdf
January 01, 2018 - CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons … learned,
and outcomes from Utah’s experience from February
2010 to February 2016 with the quality … Utah and UPIQ
staff used their experiences and lessons learned to
mentor Idaho CHIPRA demonstration … Partner States: Utah and Idaho implemented similar projects
and met regularly to discuss shared lessons … /chipra/demoeval/what-we-learned/highlight13.html
http://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned
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psnet.ahrq.gov/issue/department-veterans-affairs-chief-resident-quality-and-patient-safety-program-model-spread
September 05, 2018 - September 5, 2018
Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supln-slides.html
January 01, 2016 - Learned through Maine's Improving Health Outcomes for Children CHIPRA Quality Demonstration Grant … Learned from the CHIPRA Quality Demonstration Grant Program
How are Demonstration States Using the … Slide 24
Evaluation Findings and Lessons Learned from the CHIPRA Quality Demonstration Grant Program … Slide 55
Lessons Learned
Practice performance drives state performance
TA and QI tools needed … Slide 79
Lessons Learned
Child health measures need to be actionable and available at the practice-level
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
September 01, 2021 - https://www.ahrq.gov/evidencenow/about/evidencenow-model.html
C
S
S
EvidenceNOW Lessons Learned … EvidenceNOW model can deliver more gains to primary care
practices by filling gaps in research based on lessons … learned. … Model for Heart Health and Beyond
The Problem
AHRQ’s Solution—EvidenceNOW
Results
EvidenceNOW Lessons … Learned
Future Research
The Next Big Step