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psnet.ahrq.gov/issue/candor-webinar-series
June 01, 2023 - 20, 2021
The evolution of the Anesthesia Patient Safety Movement in America: lessons learned … September 7, 2022
Lessons Learned about Human Fallibility, System Design, and Justice
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psnet.ahrq.gov/issue/lurking-danger-business-case-patient-safety
May 13, 2020 - August 26, 2020
Apology laws and malpractice liability: what have we learned? … September 18, 2019
Lessons learned from implementing a principled approach to resolution
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psnet.ahrq.gov/node/851869/psn-pdf
July 31, 2023 - organizations use high-reliability principles, develop feedback loops, and share
findings and lessons learned … Debriefing skills learned in simulation can also be applied to actual patient care. … CUSP) or Schwartz Rounds, can improve healthcare workers’ openness to reporting and sharing lessons
learned … interdisciplinary staff is key.3
Another challenge that organizations may face when sharing lessons learned
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
October 01, 2015 - and disseminated evaluation findings throughout the evaluation period, emphasizing emerging lessons learned
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psnet.ahrq.gov/issue/becoming-high-reliability-organization-through-shared-learning-safety-events
February 12, 2020 - December 19, 2012
Lessons learned from a death outside a hospital's doorstep. … March 22, 2023
Lessons learned from a systems approach to engaging patients and families
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cdsic.ahrq.gov/cdsic/year3-period-performance-report
September 30, 2024 - overview of CDSiC activities, outputs, and outcomes during the project's third year and summarize lessons learned … interested in learning about and tracking the CDSiC's key activities, accomplishments, and lessons learned
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psnet.ahrq.gov/node/35979/psn-pdf
September 17, 2010 - do we harm patients, how often do patients receive the appropriate interventions, how do we know
we learned … err-human-building-safer-health-system
https://psnet.ahrq.gov/issue/five-years-after-err-human-what-have-we-learned
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section3.html
October 01, 2015 - National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
3. Observations About the Structure of the Demonstration Grant Program
Previous Page Next Page
Table of Contents
National Evaluation of the CHIPRA Quality Demonstration Grant Program: Final Project Report
…
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psnet.ahrq.gov/issue/emergency-physicians-and-disclosure-medical-errors
October 19, 2022 - February 10, 2015
Communication-and-resolution programs: the challenges and lessons learned … July 23, 2010
What have we learned about interventions to reduce medical errors?
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psnet.ahrq.gov/issue/creating-communication-coaching-structure-and-support-your-crp-program
January 25, 2023 - October 19, 2022
View More
Related Resources
Lessons Learned about … June 26, 2019
A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing
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psnet.ahrq.gov/issue/smart-pumps-implications-nurse-leaders
February 02, 2022 - February 29, 2012
Intravenous medication safety and smart infusion systems: lessons learned … March 22, 2011
Intravenous medication safety and smart infusion systems: lessons learned
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digital.ahrq.gov/emerging-lessons
January 01, 2023 - Medication Adherence
Lessons learned from AHRQ-funded projects on whether presenting medication adherence … Medication Reconciliation
Lessons learned from AHRQ-funded projects, including some of the challenges
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digital.ahrq.gov/location/usa-sc-charleston
January 01, 2023 - HS022701
Principal Investigator(s)
Ornstein, Steven
Synthesizing Lessons Learned … Using Health Information Technology
Description
This project synthesized what was learned
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digital.ahrq.gov/principal-investigator/pohl-joanne
January 01, 2023 - Diabetes and hypertension quality measurement in four safety-net sites: lessons learned … Diabetes and hypertension quality measurement in four safety-net sites: lessons learned after implementation
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digital.ahrq.gov/ahrq-funded-projects/evaluating-impact-acpoecds-system-outcomes/annual-summary/2009
January 01, 2009 - electronic [e]-prescribing system) with basic clinical decision support (CDS) alerts and captured lessons learned … system in all practice sites within the integrated health care delivery system, documenting lessons learned … specifically, medication errors and associated ADEs. ( Achieved )
Impact and Findings:
Lessons Learned … Implementation steps, strategies used, and lessons learned that enabled successful adoption included … Implementing an ambulatory e-prescribing system: Strategies employed and lessons learned to minimize
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digital.ahrq.gov/featured-sessions
January 01, 2023 - exchanging information with members of your own and other health information networks, (2) "lessons learned … , 604.54 KB) Tuesday, June 6th, 2006 11:45 am - 12:45 pm
Room: 16
Wrap-up Session and Lessons Learned … information summarizing the content and key takeaways from their tracks highlighting insights, lessons learned
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psnet.ahrq.gov/issue/criminal-liability-nursing-and-medical-harm
August 10, 2022 - August 26, 2020
Support opportunities for second victims lessons learned: a qualitative … August 3, 2020
Apology laws and malpractice liability: what have we learned?
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psnet.ahrq.gov/node/43695/psn-pdf
August 02, 2015 - claims-errors-and-compensation-payments-medical-malpractice-litigation
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
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psnet.ahrq.gov/node/47008/psn-pdf
October 13, 2018 - alert-fatigue
https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned … https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
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hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUPfinalNov09BDiefenbach.pdf
November 01, 2009 - Identifiers Names and Codes (LOINC)
Mapping and Transmission of Data
Processes: Barriers and Lessons
Learned … mapping,
data transmission,
communication tools,
barriers encountered, resolutions, and the
lessons learned … for Health Care Administration
Florida Center for Health Information and Policy Analysis
Lessons Learned … Number 12
Issues Encountered By Hospitals: Staff
Issues Encountered By Hospitals: Technology
Lessons Learned