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www.ahrq.gov/sites/default/files/2024-03/bruzzese2-report.pdf
January 01, 2024 - Reporting on Health
Barbara Feder
Ostrov
10 things I learned at AHCJ 2010 Reporting on Health William … Lessons learned from a year of H1N1
2‐2:45 p.m. Visit the exhibitors
2:45‐5:30
p.m. … Prepared by Leonard J Bruzzese 573.884.5606 bruzzesel@missouri.edu 16
10 Things I Learned at AHCJ … The group also
learned more about the Veterans Health Information Systems and Technology Architecture
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www.ahrq.gov/patient-safety/reports/liability/pichert.html
August 01, 2017 - Initiative
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned … Lessons learned and limitations are discussed.
Conclusion . … The planners learned important lessons worth consideration before health care leaders launch PARS or … SHS and CPPA learned a great deal from this project, and we conclude that the experience can generalize
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psnet.ahrq.gov/perspective/conversation-david-blumenthal-md-mpp
July 01, 2012 - DB : What I learned was that whenever a lot of money is made available by our government for anything … So there were a whole series of things that I learned in Washington that are applicable even in this … equals patient safety, and more health IT equals more patient safety .( 7 ) Paradoxically, we've learned … H.I.T. or Miss: Lessons Learned from Health Information Technology Implementations.
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psnet.ahrq.gov/perspective/new-insights-safety-and-health-it
August 01, 2015 - implementations, we believe that health care systems and vendors would be well served by a library of lessons learned … RW : I learned something from each interview, and it made it an incredibly rich experience. … Finishing perhaps on a more personal note, how has the experience of writing the book and what you learned … Perspective
Assessing the Safety of Electronic Health Records: What Have We Learned
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digital.ahrq.gov/sites/default/files/docs/data-visualization-slides-10192022.pdf
October 19, 2022 - frequent users
• Ongoing collaboration (daily/weekly) between technical and clinical teams
Lessons Learned … Provider Evaluation
• Logical
• Efficient 4.32 out of 5
• Effective
• Easy to use
• Enjoyed using
• Learned … 0.5) 4.4 (0.9) .83 4.8 (0.4) 3.2 (1.5) .04
Enjoyed the experience 4.7 (0.5) 4.8 (0.4) .55 NA
Learned … Randomized Trial Outcomes
First Patient Impressions
Clinician Engagement
Challenges
Lessons Learned
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www.ahrq.gov/research/findings/final-reports/index.html?page=0
September 01, 2024 - Grantee Final Reports: Patient Safety
Final reports from research grants administered since 2000 on a variety of patient safety topics, such as measure development, medication safety, and diagnostic safety.
The Agency for Healthcare Research and Quality Center for Quality Improvement and Patient Safety subdivis…
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www.ahrq.gov/pqmp/implementation-qi/toolkit/asthma/qi-strategies.html
July 01, 2021 - Pediatric Asthma Emergency Department Use Toolkit
Quality Improvement Strategies
Previous Page
Table of Contents
Pediatric Asthma Emergency Department Use Toolkit
Introduction
Overview
About the Measure
Key Driver Diagram
Quality Improvement Strategies
This section of the…
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psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons the airline industry has learned
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psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and
share lessons learned
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons learned … February 2, 2011
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/issue/liability-impact-hospitalist-model-care
July 09, 2018 - July 9, 2018
Apology laws and malpractice liability: what have we learned? … July 14, 2010
Hospitalists as Emerging Leaders in Patient Safety: lessons learned and
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/adverse-events-hospitals-patients-point-view
December 29, 2014 - April 12, 2019
Lessons learned for reducing the negative impact of adverse events on … December 29, 2014
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/predictors-successful-implementation-preoperative-briefings-and-postoperative-debriefings
December 21, 2014 - July 16, 2015
Sharing lessons learned to prevent incorrect surgery. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
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psnet.ahrq.gov/issue/patient-safety-objective-structured-clinical-examination
October 06, 2011 - Citation
Related Resources From the Same Author(s)
The safety journal: lessons learned … November 2, 2011
The safety journal: lessons learned with an error reporting tool to
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned
-
psnet.ahrq.gov/issue/medical-professional-liability-insurance-and-its-relation-medical-error-and-healthcare-risk
December 21, 2014 - December 4, 2019
What have we learned about interventions to reduce medical errors? … November 13, 2019
Lessons learned from implementing a principled approach to resolution
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psnet.ahrq.gov/issue/clinical-alarms-improving-efficiency-and-effectiveness
February 22, 2010 - November 3, 2021
Intravenous medication safety and smart infusion systems: lessons learned … October 19, 2022
View More
Related Resources
Lessons learned from
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psnet.ahrq.gov/issue/national-efforts-improve-health-information-system-safety-canada-united-states-america-and
July 14, 2009 - March 9, 2011
What have we learned about interventions to reduce medical errors? … April 1, 2010
Adopting electronic medical records in primary care: lessons learned from
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psnet.ahrq.gov/node/35932/psn-pdf
October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons
learned