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www.ahrq.gov/policymakers/chipra/demoeval/demostates/wy.html
March 01, 2019 - State at a Glance: Wyoming
Learn more about the CHIPRA quality demonstration projects being implemented in Wyoming.
Wyoming is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 6 : How are CHIPRA quality demonstration States working together to improve the quality …
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www.ahrq.gov/policymakers/chipra/demoeval/demostates/fl.html
March 01, 2019 - State at a Glance: Florida
Learn more about the CHIPRA quality demonstration projects being implemented in Florida.
Florida is featured in the following reports from the National Evaluation:
Evaluation Highlight No. 2 : How are States and evaluators measuring medical homeness in the CHIPRA Quality Demonst…
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
Artificial Intelligence and Human Factors in Healthcare Quality & Safety
Description
Using a conference model, this study convenes a multidisciplinary group of experts to explore the integration of human factors engineering approaches in the implementa…
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psnet.ahrq.gov/issue/indicators-implementation-outcome-monitoring-reporting-and-learning-systems-hospitals
March 02, 2022 - Study
Indicators for implementation outcome monitoring of reporting and learning systems in hospitals: an underestimated need for patient safety.
Citation Text:
Kuske S, Willmeroth T, Schneider J, et al. Indicators for implementation outcome monitoring of reporting and learning systems i…
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digital.ahrq.gov/ahrq-funded-projects/research-centers-primary-care-practice-based-research-and-learning
January 01, 2023 - Research Centers in Primary Care Practice-Based Research and Learning
Project Final Report ( PDF , 190.53 KB) Disclaimer
Disclaimer
The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent th…
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psnet.ahrq.gov/issue/qualitative-content-analysis-retained-surgical-items-learning-root-cause-analysis
December 06, 2023 - Study
A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.
Citation Text:
Hibbert PD, Thomas MJW, Deakin A, et al. A qualitative content analysis of retained surgical items: learning from root cause analysis investigations. Int J Qu…
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psnet.ahrq.gov/issue/evaluating-incident-learning-systems-and-safety-culture-two-radiation-oncology-departments
June 30, 2021 - Study
Evaluating incident learning systems and safety culture in two radiation oncology departments.
Citation Text:
Adamson L, Beldham‐Collins R, Sykes J, et al. Evaluating incident learning systems and safety culture in two radiation oncology departments. J Med Radiat Sci. 2022;69(2):2…
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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
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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