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www.ahrq.gov/sites/default/files/wysiwyg/cpi/about/organization/nac/interim-pcortf-snac-report.pdf
October 01, 2022 - • Look for predictors of success or lessons learned from evaluations of prior AHRQ
work to promote … • Use lessons from prior efforts to improve healthcare quality that were led by other
Federal agencies … Learned from the Aligning Forces for Quality
Program (AF4Q, Robert Wood Johnson Foundation, 2005-2015 … )
https://www.ajmc.com/view/summative-evaluation-results-and-lessons-learned
Two Years After A Disappointing … health-systems-implementation-initiative
https://www.ajmc.com/view/summative-evaluation-results-and-lessons-learned
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - needed,
stages of implementation, training, challenges and barriers faced, evaluation procedures, and
lessons … learned. … These lessons include establishing the reality that the implementation team
owns and markets the project … One of the important “lessons learned” in St.
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www.ahrq.gov/action-alliance/engineering-safety-practice/index.html
September 01, 2025 - . * Engineering safer care coordination from hospital to home: Lessons from the USA .
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psnet.ahrq.gov/primer/high-reliability
January 29, 2020 - Hazards September 15, 2024
Editor's Picks
Building cultures of high reliability: lessons
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/pressure_ulcer_prevention/module1/module1_pu-whychange.docx
July 12, 2017 - Instead of the ice breaker above, you may ask participants to briefly share a hard lesson they have learned … Lessons learned from key pressure injury prevention initiatives show that support is needed from top-level
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psnet.ahrq.gov/node/865418/psn-pdf
March 27, 2024 - .10
Finally, it is critically important for the organization to debrief about the event, determine lessons … learned,
and develop a plan for carrying out action items.
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psnet.ahrq.gov/node/33705/psn-pdf
January 01, 2011 - We recommend that
organizations use the lessons from malpractice claims to improve systems of care. … The American Society of Anesthesiology Closed Claims Project: what have we learned,
how has it affected
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www.ahrq.gov/research/findings/factsheets/it/hitportfolio/index.html
January 01, 2020 - Accelerate the transfer of lessons learned from existing public and private sector initiatives, including
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www.ahrq.gov/research/findings/final-reports/iomracereport/reldataapg.html
May 01, 2018 - undertook a comprehensive assessment, review, and analysis of industry collection standards, practices, and lessons … learned as well as integrating notable work and contributions from the fields of public health, sociology
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-yount.pdf
January 01, 2023 - www.train.org/cdctrain/course/1081802/ (requires free account setup and login)
Th is guide provides ideas and lessons … learned to improve the well-being of the healthcare
workforce, including actions that individua ls,
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www.ahrq.gov/research/shuttered/toolkitchecklist/surgetkit1.html
July 01, 2018 - that a terrorist incident or disaster occurs, and the facility must be opened for surge use, valuable lessons … will be learned during operations.
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www.ahrq.gov/hai/quality/tools/cauti-ltc/modules/sustainability/guide.html
March 01, 2017 - sections on critical factors to successfully improve and sustain changes in health care organizations, and lessons … learned from LTC facilities that participated in the AHRQ Safety Program for Long-Term Care: HAIs/CAUTI
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar02/spcslides.html
July 01, 2013 - Slide 28 Point-of-Care Testing as an Influenza Surveillance Tool: Methodology and Lessons Learned from
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www.ahrq.gov/research/findings/final-reports/ptflow/section6.html
July 01, 2018 - A respondent from another hospital indicated that one of the lessons learned was that there "needs to
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psnet.ahrq.gov/node/33876/psn-pdf
August 01, 2018 - networks can communicate across their systems with relative ease, hopefully
sharing best practices and lessons … learned from within the system itself.
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psnet.ahrq.gov/node/865570/psn-pdf
April 10, 2024 - Anesthesia adverse events voluntarily reported in the
Veterans health administration and lessons learned
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psnet.ahrq.gov/perspective/wild-west-patient-safety-office-based-anesthesia
April 01, 2003 - January 12, 2011
Adverse event reporting: lessons learned from 4 years of Florida office
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psnet.ahrq.gov/web-mm/wrong-side-bedside-paravertebral-block-preventing-preventable
August 10, 2019 - Wrong-side thoracentesis: lessons learned from root cause analysis. JAMA Surg. 2014;149:774-779.
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psnet.ahrq.gov/web-mm/medication-overdose
September 01, 2011 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons … learned from a multisite qualitative study.
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psnet.ahrq.gov/node/837658/psn-pdf
July 08, 2022 - Root cause analyses of transfers of skilled nursing
facility patients to acute hospitals: lessons learned