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psnet.ahrq.gov/perspective/diagnostic-errors
December 01, 2013 - I have learned from them, and at the same time I've been able to contribute to their mission to improve … Over time though, I have found common threads between the breadth of topics I studied, and I often learned … I have learned a lot of useful concepts for diagnostic error from this collaboration.
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psnet.ahrq.gov/perspective/role-patient-facing-technologies-empower-patients-and-improve-safety
November 01, 2017 - Wanda Pratt : A lot of my work brings in material that we have learned from the field of human–computer … Yet the patient has been dealing with it for a long time, read about it on their own, and learned a … February 15, 2023
Lessons learned implementing a complex and innovative patient safety
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/methods-disseminating-findings_0.pdf
October 01, 2018 - • Lessons Learned for EPC Program: The nature of the evidence report and decision used
in this pilot … Lessons Learned and Applicability for Other EPC Reports
The strength of this project – targeting specific … Description
Evaluation Results
Discussion
Utility and Applicability for Other Health Systems
Lessons Learned
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hcup-us.ahrq.gov/tech_assist/sampledesign/508_compliance/index508_2018.jsp
January 01, 2018 - Return to Contents
NIS Summary
In this section you have learned the following information about … Return to Contents
NEDS Summary
In this section you have learned the following information about … Return to Contents
KID Summary
In this section, you have learned the following information about
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psnet.ahrq.gov/node/60362/psn-pdf
April 13, 2018 - its 17 years in operation, the High-Risk Pregnancy Program has gained a number of valuable lessons
learned … The following lessons learned offer guidance in launching and sustaining this
innovation:
Identify … Adoption Considerations Lessons Learned
Because of the program's value and potential for replication
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psnet.ahrq.gov/perspective/conversation-anna-legreid-dopp-pharm-d
June 29, 2020 - seeking interactions with colleagues to raise questions associated with COVID care and share lessons learned … available for both members and non-members to raise questions associated with COVID care and share lessons learned … June 24, 2020
Medication Safety During the COVID-19 Pandemic: What Have We Learned in
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psnet.ahrq.gov/node/40426/psn-pdf
May 04, 2011 - Doctors could learn something about medical handoffs
from the Navy.
May 4, 2011
Parikh R. Los Angeles Times. April 18, 2011.
https://psnet.ahrq.gov/issue/doctors-could-learn-something-about-medical-handoffs-navy
This newspaper article describes how structured communication techniques borrowed from other fields
co…
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psnet.ahrq.gov/node/35591/psn-pdf
December 21, 2005 - WHO Draft Guidelines for Adverse Event Reporting and
Learning Systems.
December 21, 2005
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2005.
https://psnet.ahrq.gov/issue/who-draft-guidelines-adverse-event-reporting-and-learning-systems
These guidelines present background on the…
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www.ahrq.gov/hai/cauti-tools/archived-webinars/leveraging-cultural-change-slides.html
December 01, 2017 - Slide 37
Lessons Learned
We all own this: Infection Control, Nursing, Physicians …..
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www.ahrq.gov/nursing-home/resources/emotional-organizational-support.html
August 01, 2022 - Emotional and Organizational Support for Staff Learning Module Series
Resource: Emotional and Organizational Support for Staff Learning Module Series
This series of three learning modules features strategies to help nursing home teams recognize and manage stress, work together to tackle common challenges, a…
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www.uspreventiveservicestaskforce.org/home/getfilebytoken/dHBxfHscnw-SSdmjgNQYC3
July 01, 2015 - The final recommendation statement summarizes
what the Task Force learned about the potential
benefits
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023785-lavallee-final-report-2021.pdf
January 01, 2021 - Guidelines for Integrating Electronic Patient-Reported Outcomes Into Health Systems - Final Report
Title: Guidelines for Integrating Electronic Patient-Reported Outcomes Into Health Systems
Principal…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/026-why-choose-cusp.pptx
April 01, 2025 - What is learned by one CUSP team should be shared broadly so that others can benefit.
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digital.ahrq.gov/ahrq-funded-projects/learning-primary-care-meaningful-use-exemplars/citation/learning-primary-care
January 01, 2023 - Learning from primary care meaningful use exemplars.
Citation
Ornstein SM, Nemeth LS, Nietert PJ, et al. Learning from primary care meaningful use exemplars. J Am Board Fam Med 2015;28(3):360-70. PMID: 25957369.
Link
https://www.ncbi.nlm.nih.gov/pubmed/25957369
Principal Investigator
…
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psnet.ahrq.gov/node/37285/psn-pdf
December 24, 2007 - Safer Care for the Acutely Ill Patient: Learning from
Serious Incidents.
December 24, 2007
Thomson R, Luettel D, Healey F, Scobie S. London, England: National Patient Safety Agency; 2007. ISBN
9780955634055.
https://psnet.ahrq.gov/issue/safer-care-acutely-ill-patient-learning-serious-incidents
In analyzing inform…
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www.ahrq.gov/patient-safety/settings/ambulatory/promis-lab-tools.html
September 01, 2025 - Tools from the Partnership in Resilience for Medication Safety Learning Lab (PROMIS Lab)
Preventable medication-related harms in ambulatory and community settings threaten patient safety. The Partnership in Resilience for Medication Safety Learning Lab (PROMIS Lab) uses a systems-engineering approach to redesig…
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psnet.ahrq.gov/node/73240/psn-pdf
May 12, 2021 - Comparison of methods to reduce bias from clinical
prediction models of postpartum depression.
May 12, 2021
Park Y, Hu J, Singh M, et al. Comparison of methods to reduce bias from clinical prediction models of
postpartum depression. JAMA Netw Open. 2021;4(4):e213909. doi:10.1001/jamanetworkopen.2021.3909.
https://…
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psnet.ahrq.gov/node/50458/psn-pdf
October 09, 2019 - Success of a resident-led safety council: a model for
satisfying CLER Pathways to Excellence patient safety
goals.
October 9, 2019
Cohen SP, Pelletier JH, Ladd JM, et al. Success of a resident-led safety council: a model for satisfying
CLER Pathways to Excellence patient safety goals. J Gen Intern Med. 2019;11(2):…
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digital.ahrq.gov/medical-condition/bacterial-infection
January 01, 2023 - Bacterial Infection
Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning - Final Report
Citation
Sherwin R. Enhancing an EMR-Based Real-Time Sepsis Alert System Performance Through Machine Learning - Final Report. (Prepared by Wayne State U…
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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