-
www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/findings.html
August 01, 2022 - in the development of an SDM train-the-trainer toolkit that integrates the processes developed and lessons … learned. … Observations
As a group, these grantees learned that the beliefs, preferences, and behaviors of physicians … Observations
These grantees learned that engaging diverse stakeholders to assess the strengths and
-
psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Lessons learned from the Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention: Sustainability and lessons learned. … a2d4c12d120088066df4638da356cf65/51_Implementation-of-the-Care-Transitions-Intervention-Sustainability-and-Lessons-Learned.pdf
-
www.ahrq.gov/patient-safety/settings/hospital/resource/qitool/webinar080116/index.html
December 01, 2017 - hospitals to improve performance on selected indicators
Presents pre/post data showing impact
Shares lessons … learned
Slide 32
B. … (Lower percentages are better)
Slide 73
Harborview's Story
What lessons or advice would you offer … Slide 74
Lessons Learned by Harborview
Leadership Support
Physician champions
Patient Centered
-
effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-report-translation-c-diff-treatment-clinical-pathway.pdf
November 01, 2019 - Several lessons learned emerged from this project. … learned and implications for future work from this process.
2. … Below, we outline 4 lessons learned for other health systems seeking to develop or adapt
CDS artifacts … Lessons Learned
Lesson 1: Publicly Available Software for Translating Guideline
Recommendations Into … Encode Recommendations Using CQL
Summary of Final Work Products
Discussion
Lessons Learned
Lesson
-
psnet.ahrq.gov/node/38863/psn-pdf
August 12, 2009 - handoffs-and-signouts
https://psnet.ahrq.gov/issue/handoff-strategies-settings-high-consequences-failure-lessons-health-care-operations
-
psnet.ahrq.gov/issue/comprehensive-overview-medical-error-hospitals-using-incident-reporting-systems-patient
October 16, 2013 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons
-
psnet.ahrq.gov/issue/does-learning-mistakes-have-be-painful-analysis-5-years-experience-leeds-radiology
April 05, 2013 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons
-
psnet.ahrq.gov/issue/discussion-medical-errors-morbidity-and-mortality-conferences
August 04, 2015 - suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons
-
psnet.ahrq.gov/issue/changes-perceptions-antibiotic-stewardship-among-neonatal-intensive-care-unit-providers-over
September 29, 2021 - June 15, 2016
Applying lessons from social psychology to transform the culture of error
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016162-richards-final-report-2009.pdf
January 01, 2009 - This report focuses on the lessons learned that are most likely to
be useful to others carrying out … We learned that there were
significant information gaps. … These sections relate to key lessons learned from the interventions
we applied through our project. … A major component of the HIE and lesson learned
is the cost of managing patient identities. … Lessons Learned.
-
www.ahrq.gov/sites/default/files/2024-07/richards-report.pdf
January 01, 2024 - This report focuses on the lessons learned that are most likely to be
useful to others carrying out … We learned that there were significant information gaps. … These sections relate to key lessons learned from the interventions we applied through
our project. … A major component of the HIE and lesson learned is the cost of managing
patient identities. … We received 285 labs in the past 12 months
of our study through our interface.13
Lessons Learned:
•
-
www.ahrq.gov/practiceimprovement/systemdesign/leancasestudies/lean-exhibit2-2.html
November 01, 2014 - Potential Lean adopters can learn lessons in several areas from the hospital's experience:
Alignment
-
psnet.ahrq.gov/issue/swiss-cheese-model
March 27, 2005 - March 27, 2005
"At home, with care": lessons from New York City home-based primary care
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
March 01, 2012 - What are the key lessons from Maine’s experience that would be useful for other States?
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mdstateataglance.pdf
March 01, 2012 - What are the key lessons from Maryland’s experience that would be useful for other States?
-
www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-promote-report.doc
December 26, 2018 - Learn about Applying the Lessons of Social Marketing to a Quality Report.
· Your promotional messages
-
psnet.ahrq.gov/issue/patient-surgeon-and-health-care-worker-safety-during-covid-19-pandemic
August 25, 2021 - Restructuring of a general surgery residency program in an epicenter of the coronavirus disease 2019 pandemic: lessons … Lessons from aviation for returning to non-urgent surgery following COVID-19.
-
psnet.ahrq.gov/issue/raising-awareness-cognitive-biases-during-diagnostic-reasoning
February 03, 2021 - Missed acute coronary syndrome during telephone triage at out-of-hours primary care: lessons … February 23, 2011
Lessons learnt from incidents reported by postgraduate trainees in
-
psnet.ahrq.gov/issue/addressing-systemic-racism-nursing-homes-time-action
November 18, 2020 - 2021
Integrating principles of safety culture and just culture into nursing homes: lessons … 21, 2012
View More
Related Resources
The Lancet Commission on lessons
-
digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-10192022.pdf
October 19, 2022 - adherence, making it difficult to measure change
for these outcomes
Challenges
57
Topic Area Lessons … from frequent users
• Ongoing collaboration (daily/weekly) between technical and clinical teams
Lessons … Learned
58
Thank You! … Cluster Randomized Trial Outcomes
First Patient Impressions
Clinician Engagement
Challenges
Lessons … Learned
Thank You!