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psnet.ahrq.gov/issue/presence-and-potential-impact-psychological-safety-healthcare-setting-evidence-synthesis
October 20, 2021 - June 23, 2021
Support opportunities for second victims lessons learned: a qualitative
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psnet.ahrq.gov/issue/patients-and-relatives-auditors-safe-practices-oncology-and-hematology-day-hospitals
April 22, 2020 - November 17, 2021
Support opportunities for second victims lessons learned: a qualitative
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psnet.ahrq.gov/issue/effectiveness-and-safety-pulse-oximetry-remote-patient-monitoring-patients-covid-19
October 05, 2022 - May 25, 2022
Rooting an error review process in just culture: lessons learned.
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psnet.ahrq.gov/issue/qualitative-study-about-experiences-colleagues-health-professionals-involved-adverse-event
September 19, 2016 - September 19, 2016
Lessons learned for reducing the negative impact of adverse events
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psnet.ahrq.gov/issue/how-can-task-shifting-put-patient-safety-risk-qualitative-study-experiences-among-general
December 14, 2022 - October 11, 2023
Lessons learned in implementing a chronic opioid therapy management
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psnet.ahrq.gov/issue/hospitalization-due-adverse-drug-events-older-adults-cancer-retrospective-analysis
May 17, 2017 - March 2, 2022
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/reliability-and-usability-7-minute-chart-review-tool-identify-pediatric-prehospital-adverse
March 30, 2022 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.
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psnet.ahrq.gov/issue/patient-clinician-diagnostic-concordance-upon-hospital-admission
October 16, 2024 - August 3, 2022
Lessons learned implementing a complex and innovative patient safety learning
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psnet.ahrq.gov/issue/effects-communication-and-resolution-program-hospitals-malpractice-claims-and-costs
October 11, 2017 - July 7, 2021
Lessons learned from a death outside a hospital's doorstep.
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psnet.ahrq.gov/issue/informatics-tools-deprescribing-and-medication-optimization-older-adults-development-and
February 05, 2020 - September 27, 2023
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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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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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/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/issue/return-investment-vendor-computerized-physician-order-entry-four-community-hospitals
November 26, 2014 - December 31, 2014
Lessons learned from implementation of computerized provider order … February 12, 2014
Lessons learned from implementation of computerized provider order
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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/medical-team-training-and-coaching-veterans-health-administration-assessment-and-impact-first
December 21, 2014 - October 11, 2010
Sharing lessons learned to prevent adverse events in anesthesiology … July 16, 2015
Sharing lessons learned to prevent incorrect surgery.
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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/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/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