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psnet.ahrq.gov/issue/association-open-communication-and-emotional-and-behavioural-impact-medical-error-patients
February 16, 2022 - October 27, 2021
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/influence-professional-identity-how-receiver-receives-and-responds-speaking-message-cross
August 10, 2022 - January 11, 2023
Rooting an error review process in just culture: lessons learned.
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psnet.ahrq.gov/issue/design-and-implementation-analgesia-sedation-and-paralysis-order-set-enhance-compliance-pro
February 09, 2022 - February 2, 2022
Lessons learned from a systems approach to engaging patients and families
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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/effect-quality-improvement-intervention-daily-round-checklists-goal-setting-and-clinician
June 25, 2014 - January 19, 2014
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - The development and piloting of the Ambulatory Electronic Health Record Evaluation Tool: lessons … learned.
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psnet.ahrq.gov/issue/large-scale-implementation-i-pass-handover-system-academic-medical-centre
March 27, 2018 - April 29, 2020
Lessons learned from medical malpractice claims involving critical care
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psnet.ahrq.gov/issue/i-pass-handoff-program-use-campaign-effect-transformational-change
April 24, 2018 - Their successes and lessons learned may provide a roadmap for implementing other evidence-based safety
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psnet.ahrq.gov/issue/assessment-patient-retention-inpatient-care-information-post-hospitalization
June 01, 2022 - November 11, 2020
Lessons learned from a systems approach to engaging patients and families
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psnet.ahrq.gov/issue/triad-ix-can-patient-testimonial-safely-help-ensure-prehospital-appropriate-critical-versus
April 03, 2017 - May 18, 2022
Lessons learned in implementing a chronic opioid therapy management system
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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