-
digital.ahrq.gov/organization/medical-university-south-carolina
January 01, 2023 - Principal Investigator(s)
Cartmell, Kathleen Buford
Synthesizing Lessons Learned … 2012
Principal Investigator
Nemeth, Lynne
Project Name
Synthesizing Lessons Learned … HS022701
Principal Investigator(s)
Ornstein, Steven
Synthesizing Lessons Learned … 2011
Principal Investigator
Nemeth, Lynne
Project Name
Synthesizing Lessons Learned
-
psnet.ahrq.gov/node/39267/psn-pdf
April 01, 2010 - What have we learned about interventions to reduce
medical errors? … What have we learned about interventions to reduce medical
errors? … https://psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
This narrative … https://psnet.ahrq.gov/issue/what-have-we-learned-about-interventions-reduce-medical-errors
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/41843/psn-pdf
November 21, 2012 - Sharing lessons learned to prevent incorrect surgery. … Sharing lessons learned to prevent incorrect surgery. Am Surg.
2012;78(11):1276-1280. … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
The Veterans Affairs … https://psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-incorrect-surgery
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/40377/psn-pdf
April 20, 2011 - 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. … https://psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality … https://psnet.ahrq.gov/issue/lessons-learned-use-event-reporting-nurses-improve-patient-safety-and-quality
-
psnet.ahrq.gov/node/43415/psn-pdf
September 10, 2014 - Project BOOST implementation: lessons learned. … Project BOOST implementation: lessons learned. … https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
This qualitative study of … https://psnet.ahrq.gov/issue/project-boost-implementation-lessons-learned
https://psnet.ahrq.gov/issue
-
www.ahrq.gov/ncepcr/tools/obesity-kit/obtoolkitapa.html
March 01, 2014 - The community partner began spending a lot of time onsite, but quickly learned that being there every … Lessons learned:
Do not provide the practice with too much information. … Lessons learned:
One motivated, informed practice champion can make all the difference. … Lessons learned:
Even in the absence of practice-wide buy-in, one motivated and committed provider … Lessons learned:
Busy, well-functioning practices may prioritize existing relationships and projects
-
psnet.ahrq.gov/node/45682/psn-pdf
November 01, 2017 - Changing smart pump vendors: lessons learned. … Changing Smart Pump Vendors: Lessons Learned. Hosp Pharm.
2016;51(9):782-789. … https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
Changes in processes, devices … https://psnet.ahrq.gov/issue/changing-smart-pump-vendors-lessons-learned
https://psnet.ahrq.gov/issue
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa/148-investigating-defect-lfd-worksheet.docx
June 02, 2025 - What Lessons Were Learned?
Enter lessons learned
Why Did This Defect Occur?
-
psnet.ahrq.gov/node/42868/psn-pdf
October 31, 2014 - 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. … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
-
psnet.ahrq.gov/node/43616/psn-pdf
October 29, 2014 - Preventing Healthcare-Associated Infections: Results and
Lessons Learned from AHRQ's HAI Program. … https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned- … https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program … https://psnet.ahrq.gov/issue/preventing-healthcare-associated-infections-results-and-lessons-learned-ahrqs-hai-program
-
psnet.ahrq.gov/node/44739/psn-pdf
January 13, 2016 - Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care. … Missed opportunities for diagnosis: lessons learned from
diagnostic errors in primary care. … https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care … https://psnet.ahrq.gov/issue/missed-opportunities-diagnosis-lessons-learned-diagnostic-errors-primary-care
-
www.ahrq.gov/ncepcr/research-transform-primary-care/transform/impactgrants/impact-co-success-story.html
April 01, 2015 - “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 helpful … Dickinson learned more about how Oklahoma and New Mexico developed their partnerships with community … He also learned more about New Mexico’s approach to building community partnerships and working on social … Drawing from what he and his team learned from working with Oklahoma and New Mexico, they were able to
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/tpc/impact-co-success-story_0.pdf
April 01, 2015 - “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 … Dickinson learned more about how Oklahoma and
New Mexico developed their partnerships with community … He also learned more about New Mexico’s approach to building community partnerships and working
on social … Drawing from what he and his team learned from working with Oklahoma and New
Mexico, they were able
-
www.ahrq.gov/hai/cauti-tools/guides/sustainability-guideapa.html
October 01, 2015 - For each section B, record your best practices, lessons learned, or initial reactions to identify what … Section B: Best Practices, Lessons Learned, Initial Reactions (What’s Working):
Step … Section B: Best Practices, Lessons Learned, Initial Reactions (What’s Working):
Step … Section B: Best Practices, Lessons Learned, Initial Reactions (What’s Working):
Step … Then for section B, record your best practices, lessons learned or initial reactions to identify what
-
psnet.ahrq.gov/node/47568/psn-pdf
March 06, 2019 - Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
Closed claim analysis … https://psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
https://psnet.ahrq.gov
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/nashp-webinar-slides.html
January 01, 2016 - Overview of states' strategies and lessons learned
Grace Anglin, MPH, Researcher, Mathematica Policy … Slide 4
Overview of States' Strategies and Lessons Learned
Slide 5
CHIPRA Quality Demonstration … Slide 11
Aligning QI Priorities
Lessons learned
Familiarizing stakeholders with the measures … Slide 13
Supporting Provider Improvement
Lessons learned
Disappointing initial results were … Slide 24
Lessons Learned
Measures to assess practice QI activities were selected based on:
-
psnet.ahrq.gov/issue/adverse-event-reporting-lessons-learned-4-years-florida-office-data
November 16, 2022 - Study
Adverse event reporting: lessons learned from 4 years of Florida office data … Adverse event reporting: lessons learned from 4 years of Florida office data. … Adverse event reporting: lessons learned from 4 years of Florida office data.
-
psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis
February 21, 2024 - Study
Exploring the impact of safety culture on incident reporting: lessons learned … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning analysis
-
www.ahrq.gov/teamstepps-program/curriculum/team/tools/debrief.html
December 01, 2023 - Discussion of lessons learned and how the team can alter the plan for future cases. … Establishment of a method to formally change the existing plan to incorporate lessons learned. … The team leader should then summarize lessons learned and set goals for improvement.
-
psnet.ahrq.gov/node/39389/psn-pdf
January 03, 2017 - 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. … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error … https://psnet.ahrq.gov/issue/shaping-systems-better-behavioral-choices-lessons-learned-fatal-medication-error