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psnet.ahrq.gov/node/40608/psn-pdf
November 27, 2012 - Developing a 'critical' approach to patient and public
involvement in patient safety in the NHS: learning lessons … Developing a 'critical' approach to patient and public involvement in patient safety in
the NHS: learning lessons
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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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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Schiff.pdf
January 01, 2005 - Diagnosing Diagnosis Errors: Lessons from a Multi-institutional Collaborative Project
255
Diagnosing … Diagnosis Errors: Lessons from
a Multi-institutional Collaborative Project
Gordon D. … learned using four prototypical
cases. … In the second half of the article, we present lessons learned
through analysis of four prototypical … As
we review what we learned from a variety of approaches and cases, certain areas
stood out as ripe
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www.ahrq.gov/patient-safety/settings/hospital/candor/demo-program/grants/contributions.html
August 01, 2022 - Summary
Detailed Findings
Evaluation Issues
Contributions to Patient Safety and Medical Liability
Lessons … Learned From Implementation Challenges
Followup to the PSML Demonstration Projects
Recommendations … best way to understand what these seven demonstration projects actually did or to summarize what was learned
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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/policymakers/chipra/demoeval/what-we-learned/highlight02.html
May 01, 2013 - The experiences of the demonstration States provide important lessons for other medical home initiatives
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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/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/issue/learning-not-blaming
March 28, 2018 - July 25, 2018
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries
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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
-
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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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/lessons/lessons-performance-comparisons.pdf
October 01, 2019 - Lessons from the Field: Making Performance Comparisons
Lessons from the Field: Making Performance … .............................................................................................. 2
Lessons … SES Socio-Economic Status
TCD Transcranial Doppler
Performance Comparisons
3
Lessons … The remainder of this Lessons from the Field provides examples of how the
work of all six grantees specifically … from the Field: Making Performance Comparisons
Table of Contents
List of Acronyms
Lessons from the
-
www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section4.html
October 01, 2015 - developed and disseminated evaluation findings throughout the evaluation period, emphasizing emerging lessons … learned about program implementation at first and synthesizing findings about program outcomes and effects
-
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