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psnet.ahrq.gov/node/33710/psn-pdf
May 01, 2011 - I think understanding what happened and what could have
been done, or the lessons that might be learned
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psnet.ahrq.gov/perspective/conversation-withthomas-j-nasca-md
February 01, 2010 - I've been fortunate to have been a member of the LCME as well and to have learned that accreditation
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/pbrn/pbrn_technical_expert_panel_report_2025.pdf
January 01, 2025 - highlighting the connections and
support they received from the group, with one member stating that she learned
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psnet.ahrq.gov/perspective/artificial-intelligence-and-patient-safety-promise-and-challenges
March 27, 2024 - Artificial Intelligence and Patient Safety: Promise and Challenges
Patrick Tighe, MD, MS; Bryan M. Gale, MA; Sarah E. Mossburg, RN, PhD | March 27, 2024
Also Read the Conversation
View more articles from the same authors.
Citation Text:
Tighe P, Mossburg S, Gal…
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psnet.ahrq.gov/perspective/conversation-withpatrick-tighe-about-artificial-intelligence
March 27, 2024 - In Conversation with...Patrick Tighe about Artificial Intelligence
Patrick Tighe, MD, MS
| March 27, 2024
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View more articles from the same authors.
Citation Text:
Tighe P. In Conversation with..Patrick Tighe about Artificial Intelligence …
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integrationacademy.ahrq.gov/products/playbooks/opioid-use-disorder/implement-mat-for-oud/service-models
January 01, 2019 - Plan Option (PDF—400 KB) evaluates health homes in general and includes a discussion of what has been learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/sustainability/sustainability_sustspreading.pptx
December 01, 2017 - For example, the Daily Goals Checklist is a communication tool to share information learned during handoffs
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Quinn.pdf
January 01, 2004 - This paper highlights the lessons learned while implementing a clinical guideline
and working to promote … In this paper, we will describe the lessons learned from
the implementation of a clinical guideline … Reviewing patients with intermediate or high risk factors who received
perioperative beta-blocker, we learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - Carolyn Wong
Abstract
The objective of this report is to describe the methods used in and lessons learned … Lessons learned are summarized. … Addressed are the developments of research methods;
decisions made to streamline the methods; and lessons learned
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www.ahrq.gov/pqmp/implementation-qi/toolkit/antipsychotic/qi-strategies.html
July 01, 2021 - References to case study examples are provided when applicable and notable lessons learned specific to … References to case study examples are provided when applicable and notable lessons learned specific to … References to case study examples are provided when applicable and notable lessons learned specific to
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www.ahrq.gov/sites/default/files/wysiwyg/evidencenow/tools-and-materials/chcanys-qi-primer.pdf
August 01, 2017 - rapidly testing a change - by planning it, trying it, observing the
results, and acting on what is learned … Study – In this phase, your team will analyze the test cycle and reflect on what you have
learned … ______
HealthyHearts NYC Participation Guide 17
Step 4: ACT – Document and summarize what was learned
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www.ahrq.gov/hai/tools/surgery/modules/implementation/opt-briefings-fac-notes.html
December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … Slide 44: Lessons Learned
Say:
Reshaping safety culture takes time, commitment, energy, and focus
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/modules/implementation/imp_opt_briefings_facnotes.docx
December 01, 2017 - Here we will address the many aspects of briefings and debriefings: the fundamentals, the lessons learned … This module will review the evidence and lessons learned, and will provide tips for maximizing the briefing … Slide 43
Lessons Learned
SAY:
Reshaping safety culture takes time, commitment, energy, and focus.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_7-implementation-speaker-notes.pdf
July 01, 2023 - including yourself, and
whether or not you might want to invite more folks to your team based on
what you learned … Summarize the tools and strategies the staff learned in the online component of
training as a brief … them share recent examples from their own experience where using
one of the tool/strategies they have learned
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_7-implementation-speaker-notes.pdf
July 01, 2023 - including yourself, and
whether or not you might want to invite more folks to your team based on what
you learned … Summarize the tools and strategies the staff learned in the online component of
training as a brief … them share recent examples from their own experience where using
one of the tool/strategies they have learned
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Meyer_41.pdf
March 03, 2008 - systems adoption and meeting
specific quality and safety goals, as well as the generalizable lessons learned … suggest a more firm specification beyond “enough.”25 In reviewing the program with our
physicians, we learned … incorporate
ill
e have
own that collaborative design and implementation guided by the lessons learned
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs025443-abraham-final-report-2020.pdf
January 01, 2020 - In this final report, we summarize the background, methodology, results, and lessons learned … program)
Wrong Encounter
CPOE-CDS level • Label encounters to be more noticeable on display
Lessons Learned … Factors
Organizational Risk Factors
Clinician-Reported Strategies for Mitigating Errors
Lessons Learned
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Lessons learned from dental patient safety care reports. … One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the … Lessons learned from dental patient safety care reports.