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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/decision/research-centers/vu_physician_patient_harms.pdf
June 02, 2025 - From our one-on-one physician interviews, we learned that:
Physicians consider several factors when … -Lead Physician
From our clinician surveys, we learned that:
90% reported that clinical evidence … From our case studies interviews with primary care physicians and their patients, we learned that:
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www.ahrq.gov/evidencenow/projects/heart-health/research-results/research/index.html
March 01, 2021 - investment in primary care research, provides an opportunity to share approaches, resources and lessons learned … regional and national evaluations, the methods, measures and data collection instruments used, 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/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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www.ahrq.gov/hai/tools/ambulatory-surgery/sections/sustainability/management/pdsa-form.html
June 01, 2017 - Act : PLAN for our next cycle based on what we learned. … What decisions do we make based on what we learned?
… Act : PLAN for our next cycle based on what we learned. … What decisions do we make based on what we learned?
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
September 01, 2021 - https://www.ahrq.gov/evidencenow/about/evidencenow-model.html
C
S
S
EvidenceNOW Lessons Learned … model can deliver more gains to primary care
practices by filling gaps in research based on lessons learned … Heart Health and Beyond
The Problem
AHRQ’s Solution—EvidenceNOW
Results
EvidenceNOW Lessons Learned
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psnet.ahrq.gov/issue/2012-ismp-international-medication-safety-self-assessment-oncology
January 26, 2023 - February 18, 2014
Medication Safety During the COVID-19 Pandemic: What Have We Learned … May 24, 2015
Lessons Learned about Human Fallibility, System Design, and Justice in the … Related Resources
Fluorouracil error ends tragically, but application of lessons learned
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www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/progress.html
October 01, 2024 - Beyond the Unit (DOCX, 397 KB) A guidance document on recognizing success and sharing the lessons learned … It is a vital part of CUSP for organizations to share their lessons learned.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary3.html
September 01, 2015 - Lessons learned
To make progress in transforming service delivery systems, States will need a combination
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
September 01, 2015 - Lessons learned
States can substantially improve their capacity to report quality measures for children
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psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
September 24, 2018 - Study
Eight CT lessons that we learned the hard way: an analysis of current patterns … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error … Eight CT lessons that we learned the hard way: an analysis of current patterns of radiological error
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psnet.ahrq.gov/issue/analysis-23364-patient-generated-physician-reviewed-malpractice-claims-non-tort-blame-free
December 18, 2017 - physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned … physician-reviewed malpractice claims from a non-tort, blame-free, national patient insurance system: lessons learned
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psnet.ahrq.gov/issue/simulation-executive-suite-lessons-learned-building-patient-safety-leadership
July 21, 2017 - Study
Simulation in the executive suite: lessons learned for building patient safety … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership. … Simulation in the Executive Suite: Lessons Learned for Building Patient Safety Leadership.
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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/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/expanding-role-antimicrobial-stewardship-programs-hospitals-united-states-lessons-learned
March 04, 2015 - The expanding role of antimicrobial stewardship programs in hospitals in the United States: lessons learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned … The Expanding Role of Antimicrobial Stewardship Programs in Hospitals in the United States: Lessons Learned
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psnet.ahrq.gov/node/764403/psn-pdf
March 02, 2022 - Radiologist errors by modality, anatomic region, and
pathology for 1.6 million exams: what we have learned … Radiologist errors by modality, anatomic region, and pathology
for 1.6 million exams: what we have learned
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www.ahrq.gov/patient-safety/reports/hotline.html
May 01, 2016 - Challenges Identified and Lessons Learned
VI. Summary and Conclusions
References
Appendix A. … Challenges Identified and Lessons Learned
Challenges
Lessons Learned
VI.
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psnet.ahrq.gov/issue/improvements-safety-patient-care-can-help-end-medical-malpractice-crisis-united-states
July 17, 2019 - May 24, 2006
Lessons learned implementing a complex and innovative patient safety learning … July 29, 2020
Apology laws and malpractice liability: what have we learned? … July 22, 2011
What have we learned about interventions to reduce medical errors?
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
October 01, 2015 - Evaluation Highlight 11 identified lessons learned about measure-based strategies that additional States … Two of our Evaluation Highlights (1 and 5) describe lessons learned about facilitators and barriers … Our first and fifth Evaluation Highlights included lessons learned about facilitators and barriers … To supports practices’ QI efforts, States learned that it was important to use a judicious number of … Project staff in several States also learned how to leverage data and analysis generated through the