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psnet.ahrq.gov/perspective/conversation-withdiane-rydrych-ma
February 26, 2025 - We asked her to speak with us about the Minnesota initiative and some of the broader lessons for state … So we feel like we're really able to focus on what's causing these events, what's being learned from … One thing that we've learned is that there are a lot of reasons why these events happen and why they … November 14, 2011
Public reporting of antibiotic timing in patients with pneumonia: lessons
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/tools/ts-exercise-instructions.pdf
June 02, 2025 - Teamwork Exercise: Discussing Rounds 1
and 2,” have trainees discuss their strategies for success and lessons … they learned about
effective teamwork. … Exercise: Discuss
Rebuilding Your Tower,” have participants discuss their strategies for success and lessons … learned about effective teamwork.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/situ/simulation.pptx
May 01, 2017 - care.3,11
Provides a structure for understanding the scenario
Helps ensure everyone takes away similar lessons … 20
AHRQ Safety Program for Perinatal Care
In Situ Simulations
Debriefing: Identify Lessons Learned … The final step is to look ahead to how the team members can generalize what they learned in the scenario
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm3a.html
October 01, 2014 - Lessons Learned: Health Assessments
Develop rapport with members. … Lessons Learned: Enrolling Members
Ensure enrollment strategy coincides with program design.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/vae/overview-ptsoffventilator-slides.pptx
January 01, 2017 - monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons … learned for implementing the ICU Pain, Agitation, and Delirium Guidelines. … monitoring/management, and early exercise/mobility bundle into everyday care: opportunities, challenges, and lessons … learned for implementing the ICU Pain, Agitation, and Delirium Guidelines.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/system/pfcasestudies/fillmore.pdf
August 01, 2014 - Healthcare Research
and Quality (AHRQ) Practice Facilitation Handbook.1
The program offers several lessons … Students submit weekly journal entries to the instructor in which they reflect on what they
learned … during the seminar and fieldwork and discuss how they will apply what they learned. … Lessons learned
A number of lessons emerge from the experiences of the Millard Fillmore College, the … The experience of the program provides an illustrative
model and practical lessons for those interested
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-profile-ok.html
April 01, 2015 - Lessons Learned and Implications for Others
Relationships are key for effective spread of the extension … population health management, getting the results of research into practice, and communicating the lessons
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module6/mod6-slides.html
March 01, 2017 - Describe lessons learned from examples of success across multiple settings. … Encourage your team leaders to discuss actual resident stories to drive home important lessons.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/cauti-ltc/modules/implementation/long-term-modules/module6/module-6-slides.pptx
March 01, 2017 - and spread
Develop a plan for sustainability
Discuss the steps needed to sustain efforts
Describe lessons … learned from examples of success across multiple settings
AHRQ Safety Program for Long-Term Care: HAIs … numbers cannot
Encourage your team leaders to discuss actual resident stories to drive home important lessons
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/cooperatives/evidencenow-executive-summary-southwest.pdf
November 01, 2017 - Disseminate the findings to key local, regional, and national stakeholders,
including sharing ongoing lessons … learned and resources. … address-social-determinants-of-health/
Presentations:
• Collective Efforts to Overcome Quality Measurement
Challenges: Lessons
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psnet.ahrq.gov/issue/counting-matters-lessons-root-cause-analysis-retained-surgical-item
January 02, 2017 - Commentary
Counting matters: lessons from the root cause analysis of a retained surgical … Counting matters: lessons from the root cause analysis of a retained surgical item. … Counting matters: lessons from the root cause analysis of a retained surgical item.
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psnet.ahrq.gov/node/45298/psn-pdf
April 22, 2017 - effectiveness-and-efficiency-root-cause-analysis-medicine
https://psnet.ahrq.gov/issue/mind-gap-between-recommendation-and-implementation-principles-and-lessons-aftermath-incident
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psnet.ahrq.gov/issue/restructuring-general-surgery-residency-program-epicenter-coronavirus-disease-2019-pandemic
September 02, 2020 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … October 28, 2020
"At home, with care": lessons from New York City home-based primary
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psnet.ahrq.gov/issue/practising-safely-foundation-years
February 04, 2015 - May 24, 2015
Building a safer foundation: the Lessons Learnt patient safety training … January 15, 2014
Improving patient safety: lessons from rock climbing.
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psnet.ahrq.gov/issue/sociotechnical-work-system-approach-occupational-fatigue
January 15, 2025 - September 13, 2023
Lessons for Work-Life Wellness in Academic Medicine: Parts 1-3. … 2022
Integrating principles of safety culture and just culture into nursing homes: lessons
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psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
January 09, 2018 - May 13, 2015
Findings and Lessons From the Improving Management of Individuals With Complex … October 2, 2013
Findings and Lessons From the Improving Quality Through Clinician Use
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hcup-us.ahrq.gov/reports/race/StandAloneR_EExecSum4_28forweb.pdf
March 11, 2011 - This document summarizes themes and lessons from eight states
identified as leaders in analysis and/ … This summary synthesizes themes and lessons from data-driven disparities documents
created by Colorado … Lessons Learned
After reviewing featured states’ documents and talking with officials from each of … these
states, several themes and lessons emerged … Their lessons can provide guidance for states that are
exploring ways to improve their health equity
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hcup-us.ahrq.gov/reports/race/CostsofDisparitiesIB.jsp
June 01, 2011 - and Quality (AHRQ) report authored by the National Academy for State Health Policy (NASHP) summarizes lessons … approaches, featured states have encountered a few challenges, devised strategies to cope with them, and learned … helpful lessons about measurement. … which OMHHE hopes will make the 2011 report even more appealing to local policy makers
General lessons … Lessons from these states and information from their disparities reports can serve as resources to other
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digital.ahrq.gov/ahrq-funded-projects/state-and-regional-demonstration-health-information-technology-tn
January 01, 2023 - Medication Management System
Understanding the impact of health information exchange technology: lessons … Understanding the impact of health information exchange technology: lessons from the MidSouth Ehealth … At some future point, the lessons learned from this effort may lead the MidSouth eHealth Alliance to
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effectivehealthcare.ahrq.gov/sites/default/files/technical-brief-34-health-worker-certification-comments.pdf
March 27, 2020 - Developing countries have had a longer and more robust experience with
CHW programs, and thus have lessons … While lessons may
be learned from CHW programs g,
there are also important differences
such as in … While lessons may
be learned from CHW programs
globally, there are also important
differences such