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psnet.ahrq.gov/issue/patient-led-training-patient-safety-pilot-study-test-feasibility-and-acceptability
April 24, 2017 - May 24, 2015
Building a safer foundation: the Lessons Learnt patient safety training
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psnet.ahrq.gov/issue/assessment-impact-just-culture-quality-and-safety-us-hospitals
April 13, 2017 - 2022
Integrating principles of safety culture and just culture into nursing homes: lessons
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psnet.ahrq.gov/issue/are-temporary-staff-associated-more-severe-emergency-department-medication-errors
June 29, 2011 - January 2, 2017
Reducing health care hazards: lessons from the Commercial Aviation Safety
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psnet.ahrq.gov/issue/health-care-quality-and-safety-correctional-system-creating-goals-and-performance-measures
May 18, 2022 - November 16, 2022
The Lancet Commission on lessons for the future from the COVID-19 pandemic
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psnet.ahrq.gov/issue/human-factors-and-ergonomics-time-crises-italian-experience-coping-covid19
December 09, 2020 - Lessons from aviation for returning to non-urgent surgery following COVID-19.
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/clabsi-cauti-icu/cusp-icu-slides.pptx
April 01, 2022 - Share information regularly with peers and mentors
Issues and concerns
Lessons learned
Best practices
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psnet.ahrq.gov/node/33790/psn-pdf
August 01, 2015 - implementations, we believe that health care systems and
vendors would be well served by a library of lessons … learned and use cases that they can draw upon to
design and install their systems.
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www.ahrq.gov/news/newsletters/e-newsletter/913.html
May 01, 2024 - Patients' perspectives on quality and patient safety failures: lessons learned from an inquiry into transvaginal
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter7.html
December 01, 2017 - Lessons Learned and Suggestions for Data
Chapter 9.
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www.ahrq.gov/policymakers/chipra/statesummaries/co-spotlight.html
July 01, 2015 - CHIPRA Quality Demonstration Grant Program
July 2015
This brief highlights the major strategies, lessons … learned, and outcomes from Colorado’s experience in the quality demonstration funded by the Centers
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/forming-cuspteam-slides.pptx
January 01, 2017 - for CUSP
Provides safety culture survey support for teams
Gathers trending data for the unit
Shares lessons … learned
Coordinates and leverages senior leadership, patient safety initiatives, and external resources
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar02/spc_slides.pptx
June 04, 2013 - test-confirmed influenza
Point-of-Care Testing as an Influenza Surveillance Tool: Methodology and Lessons … Learned from Implementation
Lisa H.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/data-into-action-slides.html
December 01, 2017 - Improving safety culture results in Rhode Island ICUs: lessons learned from the development of action-oriented
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www.ahrq.gov/hai/cauti-tools/archived-webinars/breaking-down-barriers-slides.html
December 01, 2017 - Slide 40
Learning & Sustaining
Lessons Learned:
Basics do need to be assessed and addressed
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www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-19-kickoff-meetings.pdf
September 01, 2015 - Have each triad report to the entire group about “lessons learned” from the mock kickoff
session.
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www.ahrq.gov/patient-safety/reports/liability/silence.html
August 01, 2017 - Safety Initiative
Implementing Near-Miss Reporting and Improvement Tracking in Primary Care Practices: Lessons … Learned
Implementing Shared Decision-Making: Barriers and Solutions—An Orthopedic Case Study
Transitional
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digital.ahrq.gov/sites/default/files/docs/page/2006PattersonGeisWears_051611comp.pdf
March 01, 2006 - teamwork behaviors can
prevent or mitigate adverse events
Crew resource management in aviation: can
lessons … learned be adapted to health care?
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digital.ahrq.gov/ahrq-funded-projects/using-mhealth-and-patient-reported-outcomes-deliver-evidence-based-asthma-care
January 01, 2023 - Opportunities for Digital Healthcare: Lessons Learned from the COVID-19 Pandemic AHRQ hosted a Web conference
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psnet.ahrq.gov/primer/second-victims-support-clinicians-involved-errors-and-adverse-events
December 15, 2024 - February 18, 2015
Clinician support: five years of lessons learned.
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digital.ahrq.gov/ahrq-funded-projects/santa-cruz-county-diabetes-mellitus-registry
January 01, 2023 - Lessons learned regarding the challenges of registry development, adoption and sustainability led to