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psnet.ahrq.gov/issue/gossypiboma-tales-lost-sponges-and-lessons-learned
March 24, 2021 - Study
Gossypiboma: tales of lost sponges and lessons learned. … March 24, 2021
Patterns of errors contributing to trauma mortality: lessons learned from
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psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication
August 17, 2022 - Webinar
Lessons Learned about Human Fallibility, System Design, and Justice in the … Citation Text:
Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath … This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies … October 10, 2012
Medication Safety During the COVID-19 Pandemic: What Have We Learned … July 20, 2021
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/case-study-developing-state-medicaid-health-it-plan-smhp
January 01, 2023 - Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma Medicaid … Case Study Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From Oklahoma … Document
Case Study: Developing a State Medicaid Health IT Plan (SMHP): Lessons Learned From
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digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/case-study-developing-electronic-prescribing-incentive
January 01, 2023 - Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned from New York Medicaid … Case Study Developing an Electronic Prescribing Incentive Pr ogram: Lessons Learned From … Department
Document
Case Study: Developing an Electronic Prescribing Incentive Program: Lessons Learned
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digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/case-study-leveraging-existing-leadership-support-health-it
January 01, 2023 - Case Study: Leveraging Existing Leadership to Support Health IT and HIE: Lessons Learned from Minnesota … Program
Case Study Leveraging Existing Leadership to Support Health IT and HIE: Lessons Learned … Quality
Document
Case Study: Leveraging Existing Leadership to Support HIT and HIE: Lessons Learned
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psnet.ahrq.gov/issue/sharing-lessons-learned-prevent-adverse-events-anesthesiology-nationwide
April 12, 2019 - Study
Sharing lessons learned to prevent adverse events in anesthesiology nationwide … Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. … understand their perceptions of the Veterans Health Administration efforts surrounding the lessons learned … Sharing Lessons Learned to Prevent Adverse Events in Anesthesiology Nationwide. … July 16, 2015
Sharing lessons learned to prevent incorrect surgery.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/citation/lessons
January 01, 2023 - Lessons learned from implementation of a computerized application for pending tests at hospital discharge … Lessons learned from implementation of a computerized application for pending tests at hospital discharge … Lessons learned from implementation of a c…
Principal Investigator
Bates, David
Project
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/lessons.html
August 01, 2022 - Demonstration Grants Final Evaluation Report
Lessons Learned From Implementation Challenges … Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons Learned
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psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned
April 20, 2022 - Commentary
Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … Lessons learned highlight the importance of who performs error follow-up, skills for navigating difficult … Rooting an error review process in just culture: lessons learned. … March 1, 2023
Lessons learned from the RaDonda Vaught ruling.
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psnet.ahrq.gov/issue/achieving-zero-inequity-lessons-learned-patient-safety
February 21, 2018 - Commentary
Achieving zero inequity: lessons learned from patient safety. … Citation Text:
Achieving zero inequity: lessons learned from patient safety. Gandhi TK. … Cite
Citation
Citation Text:
Achieving zero inequity: lessons learned
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psnet.ahrq.gov/issue/trends-anesthesia-related-liability-and-lessons-learned
August 22, 2018 - Review
Trends in anesthesia-related liability and lessons learned. … Trends in Anesthesia-Related Liability and Lessons Learned. … Trends in Anesthesia-Related Liability and Lessons Learned.
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psnet.ahrq.gov/perspective/what-have-we-learned-about-safe-inpatient-handovers
March 01, 2011 - What Have We Learned About Safe Inpatient Handovers? … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet]. … RW: Over the last several years, what have we learned about handoffs? … What Have We Learned About Safe Inpatient Handovers?. PSNet [internet].
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psnet.ahrq.gov/issue/what-new-doctor-learned-about-medical-mistakes-her-moms-death
March 03, 2021 - Newspaper/Magazine Article
What a new doctor learned about medical mistakes from … Citation Text:
What a new doctor learned about medical mistakes from her Mom's death. Allen M. … This article reveals lessons a medical student learned about patient safety while dealing with errors … Copy URL
Cite
Citation
Citation Text:
What a new doctor learned
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018830-nemeth-final-report-2013.pdf
January 01, 2013 - Synthesizing Lessons Learned Using Health Information Technology - Final Report
Grant Final Report … Grant ID: R03HS018830
Synthesizing Lessons Learned Using Health
Information Technology … Synthesizing Lessons Learned Using Health Information Technology to Improve
Quality (Lynne S. … One of the specific components of the 2011 meeting included a presentation of
“Lessons Learned from … In this study we learned that by using HIT
tools, practice teams can reach out to patients to provide
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psnet.ahrq.gov/issue/apology-laws-and-malpractice-liability-what-have-we-learned
March 18, 2020 - Commentary
Apology laws and malpractice liability: what have we learned? … Apology laws and malpractice liability: what have we learned? … Apology laws and malpractice liability: what have we learned?
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psnet.ahrq.gov/issue/safetynet-lessons-learned-close-calls-or
October 28, 2020 - Special or Theme Issue
SafetyNet: Lessons Learned from Close Calls in the OR. … Citation Text:
SafetyNet: Lessons Learned from Close Calls in the OR. … URL
Cite
Citation
Citation Text:
SafetyNet: Lessons Learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Flink.pdf
April 09, 2004 - Lessons Learned from the Evolution of Mandatory Adverse Event Reporting Systems
135
Lessons Learned … adverse event reporting system is complex, creates many
challenges, and provides several lessons learned … Lessons learned
from the system’s evolution and implementation will be shared. … Lessons learned
The experience of developing adverse event incident reporting systems in
New York … State resulted in several lessons learned that might help shape the
design of future systems.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Wideman.pdf
April 20, 2004 - Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation
437 … Barcode Medication Administration:
Lessons Learned from an Intensive
Care Unit Implementation
Mary … This article explores some of the lessons learned during the BCMA
implementation in the ICU. … This article is intended to explore a few of the key lessons learned during the
implementation of a … We learned a similar communication lesson during the BCMA
reimplementation while attempting to solve
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Connelly.pdf
January 01, 2003 - On-line Patient Safety Climate Survey: Tool Development and Lessons Learned
415
On-line Patient Safety … Climate Survey:
Tool Development and Lessons Learned
Lynne M. … been devoted to objective outcome analyses, high-
risk process redesigns, and the communication of learned … Lessons learned
The importance of working with a computer programmer possessed of the
right level … Survey development and psychometrics
Survey administration
Findings of baseline assessment
Lessons learned
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psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed
October 19, 2022 - Commentary
Regulatory and policy barriers to effective clinical data exchange: lessons learned … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED. … Using lessons learned from a pilot project, the authors share strategies for addressing barriers to clinical … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED.