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psnet.ahrq.gov/issue/diversion-threat-patient-safety-adopting-best-practices
April 20, 2022 - February 23, 2022
Lessons Learned about Human Fallibility, System Design, and Justice … October 5, 2022
Lessons Learned about Human Fallibility, System Design, and Justice in … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20160413/graham-bouldin.pdf
April 13, 2016 - seconds
• Less than 3% abandonment rate
• Currently 83% one-call resolution rate
Ideas and Lessons … Learned
• Review performance measures with entire customer
service team monthly
• Leadership buy-in … notes each person’s
best call volume and commend people who
exceeded goals
Ideas and Lessons … Learned
• Share company-wide stories of complex cases where
navigation and customer service were … Learned
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
January 01, 2018 - CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons … States: Oregon and West Virginia implemented similar
projects and met quarterly with Alaska to discuss lessons … learned. … • Alaska applied the lessons learned from the CHIPRA quality
demonstration to other State programs … /demoeval/what-we-learned/highlight11.html
https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned
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psnet.ahrq.gov/issue/how-hospitals-select-their-patient-safety-priorities-exploratory-study-four-veterans-health
March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … December 15, 2011
Quality improvement lessons learned from National Implementation of … November 25, 2020
Sharing lessons learned to prevent adverse events in anesthesiology
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/progress.html
October 01, 2024 - Prevention Beyond the Unit (DOCX, 397 KB) A guidance document on recognizing success and sharing the lessons … learned broadly. … It is a vital part of CUSP for organizations to share their lessons learned.
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psnet.ahrq.gov/issue/cost-quality-academic-health-centers-annual-costs-its-quality-and-patient-safety
October 14, 2020 - July 6, 2022
Lessons learned from a systems approach to engaging patients and families … February 15, 2023
Support opportunities for second victims lessons learned: a qualitative … January 29, 2018
Lessons learned for reducing the negative impact of adverse events on
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www.ahrq.gov/pqmp/implementation-qi/lessons.html
August 01, 2021 - Lessons from the Field Reports
The Pediatric Quality Measures Program (PQMP) was established … These grantee lessons are described in the following Lessons from the Field reports. … Each report offers a synthesis of the lessons learned and findings from the literature, key informants … Lessons from the Field: Making Performance Comparisons (PDF, 351 KB). … Lessons from the Field: Measuring Intermediate Progress (PDF, 517 KB).
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - February 18, 2014
Medication Safety During the COVID-19 Pandemic: What Have We Learned … May 24, 2015
Lessons Learned about Human Fallibility, System Design, and Justice in the … Related Resources
Fluorouracil error ends tragically, but application of lessons … learned will save lives.
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psnet.ahrq.gov/issue/patient-safety-culture-theory-methods-and-application
August 24, 2016 - industries , key concepts involved such as behavior change, measurement and assessment processes, and lessons … learned from application and practice. … July 19, 2024
Improving Healthcare Team Communication: Building on Lessons from Aviation … May 8, 2013
What have we learned about interventions to reduce medical errors?
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/medicaid-and-chip/medicaid-and-chip-repository
January 01, 2023 - IT: Evaluation
Health Information Exchange
Medicaid and CHIP Case Studies
The most effective lessons … learned often come from agencies that are in the process of implementing cutting edge programs. … Oklahoma: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid ( … Learned from Florida Medicaid ( PDF , 188 KB)
Alabama: Collaborating to Improve the Quality of Care … : Lessons Learned from the Alabama Medicaid Agency ( PDF , 206 KB)
Georgia: Health Information Exchange
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digital.ahrq.gov/sites/default/files/docs/page/2006ScamurraUnger_051711comp.pdf
June 05, 2006 - Guiding Principles
Workgroups
Accomplishments
Funding Requirements / Cost Savings
Lessons Learned … 40,000,000
50,000,000
6/30/2002 9/30/2003 12/31/2004 3/30/2006
Date
#
T
ra
ns
ac
ti
on
s
Lessons … Learned
Always return to core motivations overarching objectives
Work for consensus, but vote if … Learned
• Each HIT project is unique
• Unique on-going process for each
• Keep vision and goals in … Learned
Next Steps
AHRQ Planning Grant
Model Used for AHRQ Planning Grant
AHRQ Planning Grant
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cds.ahrq.gov/sites/default/files/workgroups/27826/CDS_Connect_WG_Slides_July_2021.pdf
January 01, 2021 - Michelle Lenox (MITRE)
• 3:02 - 3:05 • Review of the Agenda, Maria Michaels (CDC)
• 3:05 - 3:50 • Lessons … Learned with CDS Connect: CDS for Asthma Management Guidelines (NHLBI
and Elimu Informatics
• 3:50 … and adjourn
2
Objectives
• Share new features and resources available for CDS Connect
• Share lessons … learned in the development of CDS for asthma
management guidelines
• Discuss topics of interest to … members relating to opportunities
for CDS Connect
3
LESSONS LEARNED WITH CDS CONNECT:
CDS FOR
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psnet.ahrq.gov/print/pdf/node/848754
January 01, 2025 - Implementing hospital-based communication-and-resolution programs: lessons learned in New York
City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … Implementing hospital-based communication-and-resolution programs: lessons learned in New York
City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
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psnet.ahrq.gov/issue/surgical-programs-veterans-health-administration-maintain-briefing-and-debriefing-following
October 24, 2018 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned. … March 25, 2020
Wrong-side thoracentesis: lessons learned from root cause analysis.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/20150317/stacia_cohen.pdf
March 17, 2015 - Excelling on CAHPS: Lessons from Top-Performing Medicaid and CHIP Health Plans
Confidential and proprietary … WHAT WE’VE LEARNED
•Not serving Commercial & Medicaid products the same –
rigorous attention to understanding … scores
“Environmental” Impacts on CAHPS scores
Overcoming barriers
Sustaining the gains
What we’ve learned
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/news-and-events/events/webinars/cahps-lessons-ahrq-program.pdf
November 01, 2006 - Lessons From Healthcare Organizations on Improving Patient Experience webcast-Ginsberg
AHRQ’S CAHPS … by AHRQ; all surveys must adhere to
CAHPS design principles to earn the trademark.
10
What We Learned … Evaluating the use of a modified CAHPS® survey
to support improvements in patient-centred care:
lessons … Evaluating the Use of a Modified CAHPS Survey
to Support Improvements in Patient-Centered Care: Lessons
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cds.ahrq.gov/sites/default/files/workgroups/1266/CDS_Connect_April2021_WG_Meeting_%20Summary.pdf
April 15, 2021 - learned around the Person-First
Safe Living in a Pandemic initiative. … The discussion concluded with ways the CDS Work Group might apply some of the lessons learned
from this … Sharing Lessons Learned with CDS: Person-First Safe Living in a Pandemic
Dr. … Marcial and Mr. van Leeuwen presented on lessons learned around understanding how people find
relevant … Learned with CDS: Person-First Safe Living in a Pandemic
Discussion
What’s New with CDS Connect
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psnet.ahrq.gov/issue/curriculum-development-and-implementation-national-interprofessional-fellowship-patient
November 18, 2016 - November 18, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … A guide to evaluation of quality improvement and patient safety educational programs: lessons … November 5, 2014
Case-based learning for patient safety: the Lessons Learnt program for
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psnet.ahrq.gov/issue/all-one-and-one-all-how-patient-safety-starts-healthcare-workers
August 24, 2022 - June 21, 2023
Lessons Learned about Human Fallibility, System Design, and Justice in … September 14, 2018
A Hospital Accident: Lessons Learned – A Death, A Conviction, and
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digital.ahrq.gov/document-type/project-sunset-review
January 01, 2023 - Project Sunset Review
Lessons Learned, Successes, and Barriers … Description
A project/sunset review summarizes the challenges, solutions, and lessons of a recently