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psnet.ahrq.gov/node/46981/psn-pdf
May 04, 2019 - Lessons learned from implementing a principled
approach to resolution following patient harm. … Lessons learned from implementing a principled approach to
resolution following patient harm. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following- … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm
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psnet.ahrq.gov/node/50792/psn-pdf
January 15, 2020 - Lessons learned implementing a complex and innovative
patient safety learning laboratory project in … Lessons learned implementing a complex and innovative
patient safety learning laboratory project in … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
January 01, 2018 - Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned … highlight01.pdf
https://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned … highlight01.pdf
https://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned … /highlight06.pdf
https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
https … /chipra/demoeval/what-we-learned/highlight13.html
https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned
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psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error
February 12, 2020 - Commentary
Shaping systems for better behavioral choices: lessons learned from a … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Shaping systems for better behavioral choices: lessons learned from a fatal medication error. … Download Citation
Related Resources From the Same Author(s)
Lessons learned … April 30, 2014
Interdisciplinary team training: five lessons learned.
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psnet.ahrq.gov/node/74267/psn-pdf
January 19, 2022 - Support opportunities for second victims lessons
learned: a qualitative study of the top 20 US News … Support opportunities for second victims lessons learned: a qualitative
study of the top 20 US News … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … -20-us-news-and
https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top
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cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
January 01, 2021 - 5
“One More Step” Campaign
Objective
• During this CDS Connect project year, gather lessons
learned … lifecycle on how standards/
methods/best practices can better support
patient involvement
Lessons Learned … • Lessons learned: Collecting and carefully mixing patient, clinician
user, and information technology … • Lessons learned: Patients prefer more complete and socially
related information to be presented … discussed today, including how to share
via CDS Connect
• Send your lessons learned via the format
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psnet.ahrq.gov/issue/adverse-health-care-events-reporting-system-what-have-we-learned
February 28, 2015 - Book/Report
Adverse Health Care Events Reporting System: What Have We Learned? … Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned? St. … Citation
Citation Text:
Adverse Health Care Events Reporting System: What Have We Learned … U.S. compounding pharmacy-related outbreaks, 2001--2013: public health and patient safety lessons learned
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psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
April 20, 2022 - Book/Report
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … Citation Text:
Lessons Learned from the COVID-19 Pandemic to Improve Diagnosis. … Copy URL
Cite
Citation
Citation Text:
Lessons Learned … August 5, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-south-carolina-state-snapshot.pdf
January 01, 2018 - Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons learned … Practices
learned how to use patient chart data to track CMS’s
Core Set of Children’s Health Care Quality … Measures
for Medicaid and CHIP (Child Core Set).1 They also
learned how to implement Plan-Do-Study-Act … Index, visit http://
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/
demoeval/what-we-learned … highlight02.pdf
http://www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned
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psnet.ahrq.gov/node/60663/psn-pdf
January 01, 2021 - Apology laws and malpractice liability: what have we
learned? … Apology laws and malpractice liability: what have we learned? … https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
This article … https://psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
https://psnet.ahrq.gov
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www.ahrq.gov/hai/cauti-tools/cauti-icu/facil-guide/mod4.html
February 01, 2023 - In Module 1, you learned that hospital-acquired urinary tract infections impact almost 560,000 people … You also learned in Module 1 that very clear, evidence-based guidelines exist about catheter use. … In addition, you learned about the influence of unit culture on practice change and the importance of … You also learned about the power of teachable moments related to catheter use. … : Evidence-Based Guidelines and CAUTI Prevention 1
Narration:
In the first three modules, you learned
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psnet.ahrq.gov/node/48054/psn-pdf
June 26, 2019 - Lessons learned from a death outside a hospital's
doorstep.
June 26, 2019
Palmer J. … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
Organizations must learn … Reporting on lessons to be
learned from the cascade of failures connected with the preventable death … https://psnet.ahrq.gov/issue/lessons-learned-death-outside-hospitals-doorstep
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/837075/psn-pdf
May 11, 2022 - Lessons Learned from the COVID-19 Pandemic to
Improve Diagnosis. … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-
workshop-brief … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief … https://psnet.ahrq.gov/issue/lessons-learned-covid-19-pandemic-improve-diagnosis-proceedings-workshop-brief
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psnet.ahrq.gov/node/60758/psn-pdf
August 05, 2020 - Lessons learned from medical malpractice claims
involving critical care nurses. … Lessons learned from medical malpractice claims involving critical care nurses. … https://psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses … https://psnet.ahrq.gov/issue/lessons-learned-medical-malpractice-claims-involving-critical-care-nurses
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psnet.ahrq.gov/node/60589/psn-pdf
June 23, 2020 - Medication Safety During the COVID-19 Pandemic: What
Have We Learned in the United States. … https://psnet.ahrq.gov/issue/medication-safety-during-covid-19-pandemic-what-have-we-learned-united- … 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/node/36050/psn-pdf
January 02, 2017 - Improving the safety of intravenous admixtures: lessons
learned from a Pentostam® overdose. … Improving the safety of intravenous admixtures: lessons learned
from a Pentostam overdose. … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-
overdose … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose
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psnet.ahrq.gov/node/35369/psn-pdf
July 20, 2009 - Regulatory and policy barriers to effective clinical data
exchange: lessons learned from MedsInfo-ED … Regulatory And Policy Barriers To Effective Clinical Data Exchange:
Lessons Learned From MedsInfo-ED … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-
learned-medsinfo-ed … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
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psnet.ahrq.gov/issue/hospital-accident-lessons-learned-death-conviction-and-healing
March 06, 2005 - Audiovisual Presentation
A Hospital Accident: Lessons Learned – A Death, A Conviction … Citation Text:
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing. … Cite
Citation
Citation Text:
A Hospital Accident: Lessons Learned … September 7, 2022
Lessons Learned about Human Fallibility, System Design, and Justice … August 19, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned
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psnet.ahrq.gov/node/841764/psn-pdf
December 21, 2022 - Lessons learned in implementing a chronic opioid
therapy management system. … Lessons learned in implementing a chronic opioid therapy
management system. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
The … https://psnet.ahrq.gov/issue/lessons-learned-implementing-chronic-opioid-therapy-management-system
https
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psnet.ahrq.gov/issue/medication-administration-process-assessment-applying-lessons-learned-commercial-aviation
May 25, 2011 - Commentary
Medication administration process assessment: applying lessons learned … Medication administration process assessment: applying lessons learned from commercial aviation. … Medication administration process assessment: applying lessons learned from commercial aviation.