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psnet.ahrq.gov/issue/cps-annual-reports
March 25, 2009 - The material discusses reasons for these events, shares lessons learned, and points to resources to aid … January 16, 2013
Adverse Health Care Events Reporting System: What Have We Learned?
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psnet.ahrq.gov/issue/taking-national-action-prevent-and-eliminate-healthcare-associated-infections
May 06, 2015 - Articles cover efforts to approach the issue from a public health perspective, lessons learned from … May 6, 2015
Preventing Healthcare-Associated Infections: Results and Lessons Learned … May 13, 2020
Preventing Healthcare-Associated Infections: Results and Lessons Learned
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psnet.ahrq.gov/issue/rural-hospital-information-technology-implementation-safety-and-quality-improvement-lessons
April 24, 2018 - Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned … Rural hospital information technology implementation for safety and quality improvement: lessons learned
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psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top-20-us-news-and
May 19, 2021 - Study
Support opportunities for second victims lessons learned: a qualitative study … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News and
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psnet.ahrq.gov/issue/errors-upstream-and-downstream-universal-protocol-associated-wrong-surgery-events-veterans
November 21, 2012 - Download Citation
Related Resources From the Same Author(s)
Sharing lessons learned … 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. … May 12, 2021
Sharing lessons learned to prevent adverse events in anesthesiology nationwide … April 30, 2014
Sharing lessons learned to prevent incorrect surgery.
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psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
May 06, 2015 - or Theme Issue
Preventing Healthcare-Associated Infections: Results and Lessons Learned … Citation Text:
Preventing Healthcare-Associated Infections: Results and Lessons Learned from AHRQ's … Citation
Citation Text:
Preventing Healthcare-Associated Infections: Results and Lessons Learned
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psnet.ahrq.gov/issue/intravenous-medication-safety-and-smart-infusion-systems-lessons-learned-and-future
January 09, 2008 - Commentary
Intravenous medication safety and smart infusion systems: lessons learned … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. … Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.
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psnet.ahrq.gov/node/837146/psn-pdf
May 18, 2022 - psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned … https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
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psnet.ahrq.gov/node/46287/psn-pdf
April 12, 2019 - Anesthesia adverse events voluntarily reported in the
Veterans Health Administration and lessons learned … Anesthesia Adverse Events Voluntarily Reported in the Veterans
Health Administration and Lessons Learned
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psnet.ahrq.gov/node/74005/psn-pdf
October 27, 2021 - hemorrhage patient safety bundle
implementation at a single institution: successes,
failures, and lessons learned … hemorrhage patient safety bundle implementation at
a single institution: successes, failures, and lessons learned
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psnet.ahrq.gov/node/60947/psn-pdf
September 23, 2020 - issue/medwatch
https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states … https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united-states
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psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york
September 01, 2018 - Study
Implementing hospital-based communication-and-resolution programs: lessons learned … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City.
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psnet.ahrq.gov/issue/participating-multisite-study-exploring-operational-failures-encountered-frontline-nurses
July 05, 2017 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned … Participating in a Multisite Study Exploring Operational Failures Encountered by Frontline Nurses: Lessons Learned
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psnet.ahrq.gov/issue/adopting-electronic-medical-records-primary-care-lessons-learned-health-information-systems
January 07, 2015 - Review
Adopting electronic medical records in primary care: lessons learned from … Adopting electronic medical records in primary care: lessons learned from health information systems … Adopting electronic medical records in primary care: lessons learned from health information systems
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psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
May 19, 2013 - Study
Lessons learned: use of event reporting by nurses to improve patient safety … Lessons learned: use of event reporting by nurses to improve patient safety and quality. … Lessons learned: use of event reporting by nurses to improve patient safety and quality.
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psnet.ahrq.gov/issue/improving-safety-culture-results-rhode-island-icus-lessons-learned-development-action
September 17, 2010 - Study
Improving safety culture results in Rhode Island ICUs: lessons learned from … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented … Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented
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psnet.ahrq.gov/issue/transition-new-electronic-health-record-and-pediatric-medication-safety-lessons-learned
April 12, 2011 - Transition to a new electronic health record and pediatric medication safety: lessons learned … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics … Transition to a new electronic health record and pediatric medication safety: lessons learned in pediatrics
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psnet.ahrq.gov/issue/lessons-learned-reducing-negative-impact-adverse-events-patients-health-professionals-and
September 19, 2016 - Study
Lessons learned for reducing the negative impact of adverse events on patients … Lessons learned for reducing the negative impact of adverse events on patients, health professionals … Lessons learned for reducing the negative impact of adverse events on patients, health professionals
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psnet.ahrq.gov/issue/governing-patient-safety-lessons-learned-mixed-methods-evaluation-implementing-ward-level
June 25, 2014 - Study
Governing patient safety: lessons learned from a mixed methods evaluation of … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level … Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level
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psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
September 29, 2017 - Classic
Communication-and-resolution programs: the challenges and lessons learned … Communication-and-resolution programs: the challenges and lessons learned from six early adopters. … Communication-and-resolution programs: the challenges and lessons learned from six early adopters.