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www.ahrq.gov/patient-safety/reports/hotline.html
May 01, 2016 - Challenges Identified and Lessons Learned
VI. Summary and Conclusions
References
Appendix A. … Challenges Identified and Lessons Learned
Challenges
Lessons Learned
VI.
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUPfinalNov09BDiefenbach.pdf
November 01, 2009 - Observation
Identifiers Names and Codes (LOINC)
Mapping and Transmission of Data
Processes: Barriers and Lessons … Learned
Agency for Health Care Administration
Florida Center for Health Information and Policy … learned. … Learned and Lessons to Learn
Coordinate early and often. … Learned and Lessons to Learn
Slide Number 16
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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/ncepcr/research-transform-primary-care/transform/impactgrants/impact-co-success-story.html
April 01, 2015 - Colorado incorporated lessons from these IMPaCT model States into new statewide partnerships, resulting … unprecedented statewide effort was aided by Colorado’s involvement as an IMPaCT partner State and the lessons … learned from model State Oklahoma, as well as New Mexico. … “It was very useful to hear the lessons learned across the board, and in particular, to talk with the … Dickinson learned more about how Oklahoma and New Mexico developed their partnerships with community
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-co-success-story_0.pdf
April 01, 2015 - • Colorado incorporated lessons from these IMPaCT model States into new statewide partnerships,
resulting … unprecedented statewide effort was aided by Colorado’s involvement as an IMPaCT partner State and
the lessons … learned from model State Oklahoma, as well as New Mexico. … “It was very useful to hear the lessons learned across the board, and in
particular, to talk with the … “Every State is unique in its dynamics and the partners that are available,
and we learned a lot of
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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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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/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary3.html
September 01, 2015 - Key Lessons from the National Evaluation of the CHIPRA Quality Demonstration Grant Program
Transforming … delivery to promote quality of care
Previous Page Next Page
Table of Contents
Key Lessons … Lessons learned
To make progress in transforming service delivery systems, States will need a combination
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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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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/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/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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psnet.ahrq.gov/node/41988/psn-pdf
January 23, 2013 - What a new doctor learned about medical mistakes from
her Mom's death.
January 23, 2013
Allen M. …
https://psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
This … article reveals lessons a medical student learned about patient safety while dealing with errors that … https://psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
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www.ahrq.gov/ncepcr/reports/grants-impact/index.html
February 01, 2017 - Methods
Model State Enhancement Efforts
Spreading the Model to Partner States
External Context
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
References
Prepared … Planning
Alignment With Existing Entities
Geography
PCMH Recognition
Funding
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
Research Gaps
Key Questions
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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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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
-
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