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effectivehealthcare.ahrq.gov/sites/default/files/analytic-frameworks.ppt
December 09, 2009 - Developing evidence-based clinical practice guidelines: lessons learned by the US Preventive Services … Developing evidence-based clinical practice guidelines: lessons learned by the US Preventive Services
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psnet.ahrq.gov/node/44219/psn-pdf
February 02, 2016 - https://psnet.ahrq.gov/primer/human-factors-engineering
https://psnet.ahrq.gov/issue/error-management-lessons-aviation … https://psnet.ahrq.gov/issue/error-management-lessons-aviation
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Drews_16.pdf
January 01, 2003 - Patient Monitors in Critical Care: Lessons for Improvement
Patient Monitors in Critical Care: Lessons … Thus, only careful application of lessons learned from other domains to health care in general
and patient
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www.ahrq.gov/research/findings/factsheets/minority/cbprbrief/index.html
April 01, 2020 - The lessons learned are of critical importance to health disparities researchers. (10/1/2007 to 10/31 … Patients, practices, and relationships: challenges and lessons learned from the Kentucky Ambulatory Network … Access, relevance, and control in the research process: lessons from Indian country.
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www.ahrq.gov/sites/default/files/publications/files/cbprbrief.pdf
January 01, 2014 - The
lessons learned are of critical
importance to health disparities
researchers. (10/1/2007 to 10/31 … Patients, practices, and
relationships: challenges and lessons
learned from the Kentucky Ambulatory
Network … Access, relevance, and control in the
research process: lessons from Indian
country.
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digital.ahrq.gov/sites/default/files/docs/page/forging-pathway-for-electronic-prescribing-of-controlled-substances.pdf
March 01, 2014 - Findings and Lessons Learned
Dr. … Findings
and lessons learned from the project can inform other
community and State initiatives implementing … The findings and lessons learned from this
research and demonstration project will inform other
community
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psnet.ahrq.gov/node/837143/psn-pdf
January 01, 2023 - Understanding the factors influencing implementation of
a new national patient safety policy in England: lessons … Understanding the factors influencing implementation of a new national
patient safety policy in England: lessons
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psnet.ahrq.gov/node/43943/psn-pdf
December 04, 2015 - Culture Change in the NHS: Applying the Lessons of the
Francis Inquiries. … https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
The Francis inquiry … https://psnet.ahrq.gov/issue/culture-change-nhs-applying-lessons-francis-inquiries
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/36067/psn-pdf
September 28, 2010 - describe a postoperative debriefing tool used by surgical teams at Johns Hopkins Hospital and
share lessons … learned since implementation.
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psnet.ahrq.gov/node/851870/psn-pdf
July 31, 2023 - Healthcare
facilities may share information and lessons learned within their own institutions and system … It could be a simple process where information is entered, there is an investigation, and a lesson
learned … While some healthcare
leaders and risk managers will share lessons learned and action steps internally … While many hospitals and health systems are very
transparent, many lessons learned remain behind closed
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cdsic.ahrq.gov/cdsic/stakeholder-center-quarterly-report-July-September%202022
October 01, 2022 - Related Resources
CDSiC 2022 Project Summary
October 31, 2023
Lessons Learned from a
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psnet.ahrq.gov/issue/how-will-we-know-patients-are-safer-organization-wide-approach-measuring-and-improving-safety
May 20, 2009 - do we harm patients, how often do patients receive the appropriate interventions, how do we know we learned … Related Resources From the Same Author(s)
Reducing health care hazards: lessons
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psnet.ahrq.gov/issue/impact-prescribing-safety-alerts-elderly-persons-electronic-medical-record-interrupted-time
July 10, 2008 - Related Resources
Exploring the impact of safety culture on incident reporting: lessons … learned from machine learning analysis of NHS England staff survey and incident data.
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psnet.ahrq.gov/issue/development-prescribing-indicators-related-opioid-related-harm-patients-chronic-pain-primary
April 12, 2019 - January 18, 2023
Lessons learned in implementing a chronic opioid therapy management
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - Learned
66
EPCS Project Collaborators
■ MA Department of Public Health, Drug Control Program … Learned (cont … Learned (cont … Learned
Lessons Learned (cont.) … Lessons Learned (cont.)
Next Steps
Contacts
Q & A
CME/CNE Credits
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psnet.ahrq.gov/issue/using-ahrq-patient-safety-indicators-detect-postdischarge-adverse-events-veterans-health
June 04, 2014 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … November 10, 2010
Quality improvement lessons learned from National Implementation of
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psnet.ahrq.gov/issue/systematic-review-patient-safety-measures-adult-primary-care
March 15, 2016 - Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons … learned from the field. … September 25, 2019
Quality improvement lessons learned from National Implementation of
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psnet.ahrq.gov/issue/effective-interventions-and-implementation-strategies-reduce-adverse-drug-events-veterans
January 02, 2017 - October 21, 2020
Sharing lessons learned to prevent adverse events in anesthesiology … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.
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psnet.ahrq.gov/issue/impact-vendor-computerized-physician-order-entry-community-hospitals
December 31, 2014 - July 31, 2013
Lessons learned from implementation of computerized provider order entry … February 12, 2014
Lessons learned from implementation of computerized provider order
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psnet.ahrq.gov/node/36421/psn-pdf
August 05, 2008 - //psnet.ahrq.gov/issue/what-pilots-can-teach-hospitals-about-patient-safety
This article discusses lessons … the airline industry has learned about communication, teamwork, and error
reporting and how they might