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Showing results for "lessons learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850913/psn-pdf
    June 21, 2023 - Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … Understanding ultrarare adverse events - lessons learned from a twelve-year review of intraoperative … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative … https://psnet.ahrq.gov/issue/understanding-ultrarare-adverse-events-lessons-learned-twelve-year-review-intraoperative

  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837000/psn-pdf
    May 06, 2022 - Lessons Learned about Human Fallibility, System Design, and Justice in the Aftermath of a Fatal Medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath … This webinar highlighted lessons learned in the aftermath of a fatal medication error, and strategies … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication … https://psnet.ahrq.gov/issue/lessons-learned-about-human-fallibility-system-design-and-justice-aftermath-fatal-medication

  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74710/psn-pdf
    January 26, 2022 - The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … The evolution of the Anesthesia Patient Safety Movement in America: lessons learned and considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations … https://psnet.ahrq.gov/issue/evolution-anesthesia-patient-safety-movement-america-lessons-learned-and-considerations

  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/837069/psn-pdf
    January 01, 2024 - Usability of a human factors-based clinical decision support in the emergency department: lessons learned … Usability of a human factors-based clinical decision support in the emergency department: lessons learned … psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency- department-lessons-learned … //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned … //psnet.ahrq.gov/issue/usability-human-factors-based-clinical-decision-support-emergency-department-lessons-learned

  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/853065/psn-pdf
    August 30, 2023 - Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … Exploring the impact of safety culture on incident reporting: lessons learned from machine learning … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis … https://psnet.ahrq.gov/issue/exploring-impact-safety-culture-incident-reporting-lessons-learned-machine-learning-analysis

  6. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/medicaid-and-chip/case-study-collaborating-improve-quality-care-lessons-learned
    January 01, 2023 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency … Document Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama

  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/72848/psn-pdf
    March 17, 2021 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons learned … psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool- lessons-learned … //psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned … //psnet.ahrq.gov/issue/development-and-piloting-ambulatory-electronic-health-record-evaluation-tool-lessons-learned

  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35369/psn-pdf
    July 20, 2009 - Regulatory and policy barriers to effective clinical data exchange: lessons learned from MedsInfo-ED … Regulatory And Policy Barriers To Effective Clinical Data Exchange: Lessons Learned From MedsInfo-ED … learned-medsinfo-ed Using lessons learned from a pilot project, the authors share strategies for addressing … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed … https://psnet.ahrq.gov/issue/regulatory-and-policy-barriers-effective-clinical-data-exchange-lessons-learned-medsinfo-ed

  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36050/psn-pdf
    January 02, 2017 - Improving the safety of intravenous admixtures: lessons learned from a Pentostam® overdose. … Improving the safety of intravenous admixtures: lessons learned from a Pentostam overdose. … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr- overdose … The authors share lessons learned from reviewing an adverse event with a rarely used medication and … https://psnet.ahrq.gov/issue/improving-safety-intravenous-admixtures-lessons-learned-pentostamr-overdose

  10. What We Learned: Five Key Lessons | Agency for Healthcare Research and Quality

    www.ahrq.gov/hai/cusp/clabsi-final/clabsifinal4.html
    January 01, 2013 - Eliminating CLABSI, A National Patient Safety Imperative: Final Report What We Learned: Five Key Lessons … Report Executive Summary Report Organization Program Implementation Program Impact What We Learned … : Five Key Lessons Lessons on How To Improve Future National Collaboratives Conclusion Appendix … As the project progressed, the NPT learned to improve communication channels to ensure effective coordination … Adapt to Changing External Environment The NPT learned to be flexible in responding to the changing

  11. Lessons learned from a national initiative promoting publicly available standards-based clinical decision support. | Digital Healthcare Research

    digital.ahrq.gov/ahrq-funded-projects/patient-centered-outcomes-research-clinical-decision-support-current-state-and/citation/lessons
    January 01, 2023 - Lessons learned from a national initiative promoting publicly available standards-based clinical decision … Lessons learned from a national initiative promoting publicly available standards-based clinical decision

  12. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)

    digital.ahrq.gov/sites/default/files/docs/medicaid/AL_case_study.pdf
    March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency … Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama … -0066-EF http://www.ahrq.gov/� Case Study: Collaborating to Improve the Quality of Care: Lessons … Learned from the Alabama Medicaid Agency Agency Overview The Alabama Medicaid Agency serves nearly … Learned from the Alabama Medicaid Agency Agency Overview Project Background Project Details Lessons

  13. Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency (pdf file)

    digital.ahrq.gov/sites/default/files/docs/page/AL_case_study_0.pdf
    March 01, 2010 - Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama Medicaid Agency … Case Study: Collaborating to Improve the Quality of Care: Lessons Learned from the Alabama … -0066-EF http://www.ahrq.gov/� Case Study: Collaborating to Improve the Quality of Care: Lessons … Learned from the Alabama Medicaid Agency Agency Overview The Alabama Medicaid Agency serves nearly … Learned from the Alabama Medicaid Agency Agency Overview Project Background Project Details Lessons

  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50792/psn-pdf
    January 15, 2020 - Lessons learned implementing a complex and innovative patient safety learning laboratory project in … Lessons learned implementing a complex and innovative patient safety learning laboratory project in … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory … https://psnet.ahrq.gov/issue/lessons-learned-implementing-complex-and-innovative-patient-safety-learning-laboratory

  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46981/psn-pdf
    May 04, 2019 - Lessons learned from implementing a principled approach to resolution following patient harm. … Lessons learned from implementing a principled approach to resolution following patient harm. … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following- … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm … https://psnet.ahrq.gov/issue/lessons-learned-implementing-principled-approach-resolution-following-patient-harm

  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/838249/psn-pdf
    October 05, 2022 - Rooting an error review process in just culture: lessons learned. … Rooting an error review process in just culture: lessons learned. … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned Shifting to a … Lessons learned highlight the importance of who performs error follow-up, skills for navigating difficult … https://psnet.ahrq.gov/issue/rooting-error-review-process-just-culture-lessons-learned https://psnet.ahrq.gov

  17. Medical University of South Carolina | Digital Healthcare Research

    digital.ahrq.gov/organization/medical-university-south-carolina
    January 01, 2023 - Learned Using Health Information Technology - 2012 Principal Investigator Nemeth, Lynne … Project Name Synthesizing Lessons Learned Using Health Information Technology … Learned Using Health Information Technology - 2011 Principal Investigator Nemeth, Lynne … Project Name Synthesizing Lessons Learned Using Health Information Technology … Project Name Synthesizing Lessons Learned Using Health Information Technology

  18. December 2021 CDS Connect Work Group Call (pdf file)

    cds.ahrq.gov/sites/default/files/workgroups/38971/CDS_Connect_Work_Group_December_2021.pdf
    January 01, 2021 - methods/best practices can better support patient involvement Lessons Learned from Patient Partnering … • Lessons learned: Collecting and carefully mixing patient, clinician user, and information technology … • Lessons learned: Patients prefer more complete and socially related information to be presented … learned discussed today, including how to share via CDS Connect • Send your lessons learned via the … format of template slide (Slide 14) 13 Patient Partnering Lessons Learned • Goal(s) of research

  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74267/psn-pdf
    January 19, 2022 - Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News … Support opportunities for second victims lessons learned: a qualitative study of the top 20 US News … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top … -20-us-news-and https://psnet.ahrq.gov/issue/support-opportunities-second-victims-lessons-learned-qualitative-study-top

  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42919/psn-pdf
    February 05, 2014 - Implementing hospital-based communication-and- resolution programs: lessons learned in New York City … Implementing hospital-based communication-and-resolution programs: lessons learned in New York City. … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs- lessons-learned-new-york … https://psnet.ahrq.gov/issue/implementing-hospital-based-communication-and-resolution-programs-lessons-learned-new-york … https://psnet.ahrq.gov/issue/communication-and-resolution-programs-challenges-and-lessons-learned-six-early-adopters
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