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digital.ahrq.gov/sites/default/files/docs/citation/pghd-practical-guide.pdf
December 01, 2021 - relationships with colleagues from
other practices who have done this type of work, bringing back lessons
learned … • Study the data with your team to interpret the impact of the change.
• Identify what you have learned
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hcup-us.ahrq.gov/db/nation/nis/nischecklist.jsp
September 01, 2025 - Checklist for Working with the NIS
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Update…
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hcup-us.ahrq.gov/db/nation/neds/nedschecklist.jsp
November 01, 2024 - Checklist for Working with the NEDS
An official website of the Department of Health & Human Services
Search All AHRQ Websites
Careers
Contact Us
Espanol
FAQs
Email Updat…
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - Pharmacist Role in Patient Safety
February 21, 2020
Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
Background: The Evolving Role of the Pharmacist
Medication errors are highly pervasive across all settings of care,[1] w…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Woolever.pdf
January 01, 2001 - Air
Force hospital closely associated with aviation, this program draws heavily from
the lessons learned … Medical Team Management has
incorporated many of the lessons learned from Crew Resource Management.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Thomadsen.pdf
December 23, 2004 - required for the work: skill-based, rule-based, or
knowledge-based (SRK).8 Skill-based actions are well learned … What can be learned from human error
reports? In: Duncan KD, Gruneberg MM, Wallis D,
editors.
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm1.html
October 01, 2014 - √ Build on lessons learned from other States by attending national meetings and networking with … Build on Lessons Learned from Other States
State staff can learn from successes and "productive failures
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www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm2.html
October 01, 2014 - The two programs can potentially share lessons learned. … Lessons Learned: Communicating with the State Legislature
Coordinate and communicate with legislators
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www.ahrq.gov/sites/default/files/2024-01/scott-report.pdf
January 01, 2024 - From a logistical standpoint, we clearly learned that, in comparison
to our bench simulations, team … CONCLUSIONS, SIGNIFICANCE, IMPLICATIONS
Over the course of this 2-year study, our team of investigators learned
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/webinars/workforce-pcr.pptx
August 01, 2024 - left) and after-hours visits (right), relative to the month before practices hired an NP.
21
Lesson Learned … causal direction) and in no teamlet/team category.
35
35
Lessons Learned
Teamlets were common in
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www.ahrq.gov/patient-safety/reports/liability/sands.html
August 01, 2017 - Initiative
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons Learned … root cause analysis processes; transparent compensation formulas; and mechanisms for sharing “lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Faltz_56.pdf
March 27, 2008 - Lessons learned: Wrong
site surgery; Oakbrook Terrace, IL: The Joint
Commission; 1998 Aug 28. … Flink, E, Chevalier, EC, Ruperto, A, et al., Lessons
learned from the evolution of mandatory adverse
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psnet.ahrq.gov/web-mm/falling-through-crack-bedrails
February 19, 2020 - We learned from existing research that anticipated physiological falls can be prevented by following … July 29, 2020
Lessons learned implementing a complex and innovative patient safety learning
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psnet.ahrq.gov/web-mm/multiple-levels-involved-prescribing-wrong-medication
December 23, 2020 - would have been to ask open-ended questions, utilize the teach-back method or ‘repeat what you have learned … the medication and verify you are receiving a medication for that indication Repeat what you have learned
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024274-alcantara-final-report-2024.pdf
January 01, 2024 - However, important lessons can be learned and insights can be gleaned from
these preliminary results … Recruitment
Challenges, Opportunities, and Lessons Learned from a Digital Therapeutics Behavioral
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - Lessons learned can be
generalized because Centricity and MDLink are vendor-supplied products that can … information about our successes in creating an HIE,
improving quality thru decision support, and lessons learned
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022689-fiks-final-report-2015.pdf
January 01, 2015 - Recruitment
Participant reported how they learned about the portal. … Jan, 2015 "Spurring Adoption of Patient Portals to Collect Patient-Reported
Outcomes: Lessons Learned
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psnet.ahrq.gov/perspective/conversation-karl-bilimoria-md-ms-0
December 01, 2017 - drawing and trying to explain their point of how they would do this differently or some other trick they learned … We should have learned from experience never to do this.… The [other] guilty party is the chief resident
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psnet.ahrq.gov/innovation/transition-coachesr-reduce-readmissions-medicare-patients-complex-postdischarge-needs
March 27, 2024 - Lessons learned from the Care Transitions Intervention. Open Longevity Science 2010;(4):43-50. … Implementation of the Care Transitions Intervention: Sustainability and lessons learned.
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psnet.ahrq.gov/perspective/conversation-ann-gaffey-rn-msn-cphrm-and-bruce-spurlock-md
March 30, 2020 - SH: What is the area of the report that you personally learned the most from, either from reviewing or … drug events, and others. [5] This edition of the report also includes contextual factors and lessons learned