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psnet.ahrq.gov/node/33862/psn-pdf
July 01, 2018 - You've given us the micro
lessons. … What macro lessons from that failure have been important to you in your career? … One thing I learned is that everything takes pi plus 2x
longer than you think it's going to take. … One is posting a teaching case: "I saw this
really interesting case that I learned a lot from, and I'm
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www.ahrq.gov/es/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Answering key questions about the landscape, available data, lessons learned, and barriers and opportunities … Identify Lessons Learned
Many VTE prevention efforts fail because of a lack of standardized guidance … Are there any major lessons from previous or ongoing interventions to prevent VTE?
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www.ahrq.gov/patient-safety/settings/hospital/vtguide/guide1.html
February 01, 2016 - Answering key questions about the landscape, available data, lessons learned, and barriers and opportunities … Identify Lessons Learned
Many VTE prevention efforts fail because of a lack of standardized guidance … Are there any major lessons from previous or ongoing interventions to prevent VTE?
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psnet.ahrq.gov/issue/just-culture-guide
July 18, 2018 - 2023
Integrating principles of safety culture and just culture into nursing homes: lessons
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psnet.ahrq.gov/issue/continuous-improvement-patient-safety-case-change-nhs
December 20, 2023 - April 6, 2016
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries
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psnet.ahrq.gov/issue/working-knowledge-how-organizations-manage-what-they-know
May 24, 2016 - August 31, 2016
Improving Healthcare Team Communication: Building on Lessons from Aviation
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psnet.ahrq.gov/issue/exploring-potential-use-safety-cases-health-care
May 21, 2016 - August 2, 2016
Culture Change in the NHS: Applying the Lessons of the Francis Inquiries
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psnet.ahrq.gov/issue/how-professionals-make-decisions
July 06, 2011 - October 24, 2018
Improving Healthcare Team Communication: Building on Lessons from Aviation
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psnet.ahrq.gov/issue/hard-truths-journey-putting-patients-first
December 04, 2015 - Related Resources From the Same Author(s)
Culture Change in the NHS: Applying the Lessons
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - After several clinic implementations, the team learned that the manual was
overwhelming to the users … We learned during the pilot clinic’s training, that it was detrimental to their learning to have
the … Whether organizations are
implementing the same software as SBL or another vendor’s solution, our lessons … learned will be
valuable. … The recipe was enhanced as lessons were learned with each individual
implementation.
-
www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen4.html
April 01, 2018 - However, based on lessons learned from the study, the central entity found that it would have been helpful … The central entity learned from the pilot that the practices needed guidance in what they were expected … We learned that the central entity phone number and SEA form also provided patients with an opportunity … Based on the patient focus groups, however, we learned that many patients did not receive notification … However, we also learned that several practices had an EMR but the central entity was unable to use their
-
digital.ahrq.gov/sites/default/files/docs/page/09-0071-EF_1.pdf
June 01, 2009 - Liability Coverage for Regional Health
Information Organizations
Lessons from the AHRQ-Funded State … learned from AHRQ’s portfolio of Health IT projects. … The primary purpose of
this report is to share lessons learned from the field on the key considerations … LEARNED............................................................................................. … As a summary of the various lessons learned, the following key steps to acquiring an insurance
policy
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psnet.ahrq.gov/issue/developing-open-disclosure-strategies-medical-error-using-simulation-final-year-medical
September 29, 2018 - November 11, 2020
Results and lessons from a hospital-wide initiative incentivised by
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psnet.ahrq.gov/issue/towards-safer-healthcare-qualitative-insights-process-view-organisational-learning-failure
July 21, 2021 - 2022
Integrating principles of safety culture and just culture into nursing homes: lessons
-
digital.ahrq.gov/sites/default/files/docs/publication/developmentmethodskeyinformantinterviewsreport.pdf
July 10, 2012 - Improving Consumer Health IT Application Development: Lessons From Other Industries Findings from Key … Informant Interviews
Improving Consumer Health IT Application
Development: Lessons From Other … Improving Consumer Health IT Application Development: Lessons From Other
Industries, Findings from Key … available at
The purpose of this report, also a key deliverable for the task order, is to describe lessons … learned
from interviews with key informants (such as application developers, design managers, and
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psnet.ahrq.gov/issue/artificial-intelligence-health-care-benefits-and-challenges-machine-learning-technologies
October 12, 2022 - July 23, 2014
Findings and Lessons From the Improving Management of Individuals With
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psnet.ahrq.gov/issue/chronicle-pandemic-foretold-learning-covid-19-failure-next-outbreak-arrives
June 08, 2022 - November 16, 2022
Crisis management for surgical teams and their leaders, lessons from
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digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
March 30, 2011 - access to their PHR data most effectively,
especially how they might set varied security
settings
Lessons … Learned
• Consumers: computer training has proved
critical in engaging consumers in the project. … the Shared Care Plan
My Health Record login screen
Implementing the PHR
Privacy and Sharing
Lessons … Learned
Looking Ahead
Questions & Answers
Coming Soon!
-
psnet.ahrq.gov/node/33714/psn-pdf
July 01, 2011 - Are there
lessons learned at the national level that flow back to the individual PSOs? … we'd like
to be able to compare their performance and understand what other people are doing, share lessons … learned, and essentially participate in a larger learning community.
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www.ahrq.gov/patient-safety/settings/hospital/match/chapter-3.html
July 01, 2022 - Chapter 3 Lessons Learned
Lessons learned from staff of facilities that have implemented MATCH and