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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
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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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cdsic.ahrq.gov/cdsic/2024-annual-meeting-viewpoint
September 18, 2024 - CDSiC’s Four Workgroups
February 3, 2023
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Lessons Learned
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psnet.ahrq.gov/node/33640/psn-pdf
September 01, 2006 - While providers and policy makers grapple with these questions, there
are lessons to be learned from
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www.ahrq.gov/diagnostic-safety/ideas-project/calibrate-dx.html
July 01, 2025 - Calibrate Dx: A Resource To Improve Diagnostic Decisions – Enrollment open through September 2025
As part of the Implementing Diagnostic Excellence Across Systems (IDEAS) project, RAND is recruiting sites with at least four to six clinicians who can commit to using a resource to improve diagnostic safety. (Ru…
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digital.ahrq.gov/population/administrator
January 01, 2024 - Administrator
Facilitators and barriers to integrating patient-generated blood pressure data into primary care EHR workflows.
Citation
Canfield SM, Koopman RJ. Facilitators and barriers to integrating patient-generated blood pressure data into primary care EHR workflows. Appl …
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www.ahrq.gov/evidencenow/tools/keydrivers/nuture-leadership.html
November 01, 2018 - Key Driver 6: Nurture Leadership and Create A Culture of Continuous Learning and Evidence-Based Practice
Print this page to PDF
A maxim of organizational change theory is that leaders’ support for change is crucial. When it comes to making fundamental changes in a practice, however, more than support alone is…
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psnet.ahrq.gov/node/40988/psn-pdf
August 16, 2016 - Situational Awareness and Patient Safety: A Learning
Package.
August 16, 2016
Parush A, Campbell C, Hunter A, et al. Ottawa, Ontario: The Royal College of Physicians and Surgeons of
Canada; 2011. ISBN: 9781926588100.
https://psnet.ahrq.gov/issue/situational-awareness-and-patient-safety-learning-package
This publi…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/esrd/using-checklists/checklistandauditslides.pptx
September 03, 2014 - Now, let’s discuss leveraging data and how to use what you’ve learned to your advantage.
8
Collect
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psnet.ahrq.gov/node/39633/psn-pdf
June 23, 2010 - Patient safety: what can medicine learn from aviation?
June 23, 2010
O'Reilly KB. American Medical News. June 14, 2010.
https://psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation
This news piece discusses how the health care industry can apply aviation safety methodologies to guide
improvement.
…
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www.ahrq.gov/teamstepps-program/welcome-guides/experienced-trainers.html
July 01, 2023 - Welcome Guide for Experienced Trainers
Welcome to the TeamSTEPPS ® 3.0 curriculum.
TeamSTEPPS (Team Strategies & Tools to Enhance Performance & Patient Safety) supports many users with various levels of TeamSTEPPS knowledge. This Welcome Guide calls attention to information of particular interest to experien…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/learn-about-cusp-slides.html
July 01, 2023 - Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Learn About the Comprehensive Unit-based Safety Program for Perinatal Safety
Slide 2: CUSP and Perinatal Safety
Image: A chart is shown …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/understand-sci-fac-guide.html
July 01, 2023 - Understand the Science of Safety for Perinatal Safety: Facilitator Guide
AHRQ Safety Program for Perinatal Care
Slide 1: Understand the Science of Safety for Perinatal Safety
Say:
The Understand the Science of Safety module of the AHRQ Safety Program for Perinatal Care discusses the importance of unders…
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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