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psnet.ahrq.gov/issue/recent-evidence-health-it-improves-patient-safety-issue-brief
June 29, 2016 - October 2, 2013
Findings and Lessons From the Improving Quality Through Clinician Use
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psnet.ahrq.gov/issue/opportunities-and-recommendations-state-federal-coordination-improve-health-system
November 29, 2009 - Understanding the factors influencing implementation of a new national patient safety policy in England: lessons
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psnet.ahrq.gov/issue/science-based-training-patient-safety-and-quality
May 06, 2009 - December 22, 2010
Reducing health care hazards: lessons from the Commercial Aviation
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psnet.ahrq.gov/issue/audit-handover-ent-unit
October 28, 2020 - Lessons from a series of research on teamwork, leadership and team training.
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psnet.ahrq.gov/node/50614/psn-pdf
October 30, 2019 - RW: What are some of the lessons you've learned about evidence to practice? … discussions at
Michigan, but I'll say that most of the times, there is genuine surprise regarding what is learned … Much of what I've learned about PICCs, about vascular catheters, I have learned from that group. … the right place, about number of lumens, about catheter-to-vein ratios, things that you and I
never learned
-
digital.ahrq.gov/sites/default/files/docs/citation/ecare-plan-final-report.pdf
November 01, 2022 - Results and Lessons Learned
During the project and the testing period, our multimethod analysis yielded … important
lessons learned for each phase of the project, outlined in Table ES-1. … Lessons Learned by Project Phase
CFIR Construct Lesson Learned
Patient-
centeredness
User-centered … Learned (EQ5)
Important lessons learned from this work are outlined for each phase of the work. … Conclusion
5.1 Factors
5.2 Limitations
5.3 Key Lessons Learned (EQ5)
5.3.1 Design
5.3.2 Development
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www.ahrq.gov/patient-safety/reports/liability/mincer.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 … Lessons learned and processes developed during this project were incorporated into an SDM “Train-the … Group Health’s participation in a shared decision-making demonstration yielded lessons, such as role … Group Health’s participation in a shared decision-making demonstration yielded lessons, such as role
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digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
February 01, 2012 - , the grantees completed surveys and
participated in qualitative interviews designed to elicit key lessons … learned during their planning and
implementation processes. … These key lessons included identifying significant barriers and facilitators
to health IT implementation
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www.ahrq.gov/evidencenow/projects/urinary/interviews.html
November 01, 2024 - The interviews below describe unique lessons from each team’s interventions.
-
hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUP11182009CSullivanFinal.jsp
April 01, 2011 - Children's
12,060
10,397
0.9
5.1
All Children's
5,947
316,479
53.2
6.3
Lessons … Learned and Lessons to Learn
Never underestimate the complexity of your data
Never overestimate
-
psnet.ahrq.gov/node/852699/psn-pdf
August 30, 2023 - Organizations can move forward and commit to reestablishing patient safety as their purpose
through lessons … learned during the pandemic. … National-Steering-Committee-Patient-Safety/Pages/National-Action-Plan-to-Advance-Patient-Safety.aspx
https://psnet.ahrq.gov/issue/lessons-health-care-leaders-rethinking-and-reinvesting-patient-safety
-
www.ahrq.gov/research/findings/final-reports/ssi/ssiapu.html
September 01, 2018 - Slide 17
Lessons Learned
Common electronic data markers of infection are not informative enough … Slide 32
Lessons
Larger datasets (NHSN) more appropriate for this
Mandatory field entry important
-
psnet.ahrq.gov/node/836939/psn-pdf
April 27, 2022 - Lessons from other countries and
early reports from the United States showed that staff at sites treating … Provider burnout and fatigue during the
COVID-19 pandemic: lessons learned from a high-volume intensive
-
digital.ahrq.gov/sites/default/files/docs/page/2006LeonhardtPagel_052411comp.pdf
June 01, 2006 - IS
taking them
13.2% 23.4%
Walworth County
Patient Safety Council
• Lessons from the field: PATIENT … Walworth County
Patient Safety Council
• Lessons from the field: PROVIDER comments
– “Patients don
-
psnet.ahrq.gov/node/33632/psn-pdf
April 01, 2006 - Can you share some of the lessons that you have learned
through your work that are relevant to other
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/preventive/chipra-204-fullreport.pdf
January 01, 2014 - Implementing developmental screening and referrals:
lessons learned from a national project. … Implementing developmental screening and referrals:
lessons learned from a national project. … Implementing developmental screening and referrals: lessons
learned from a national project. … Implementing developmental screening and referrals:
lessons learned from a national project. … Implementing developmental screening and referrals:
lessons learned from a national project.
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/sustainability-plan.pdf
June 01, 2021 - The goal of this guide is to help your facility continue to apply what health care providers have learned … ensure new personnel have access to the educational toolkit and learn how to incorporate the
principles learned … understand the
importance of periodically reviewing
the educational toolkit to refresh the
concepts learned … Quality collaboratives: lessons from research. Qual Saf Health
Care. 2002 Dec;11(4):345-51.
-
www.ahrq.gov/policymakers/chipra/demoeval/demostates/me.html
March 01, 2019 - What are the key lessons from Maine's experience that would be useful for other States?
-
www.ahrq.gov/evidencenow/projects/urinary/it2-interview.html
November 01, 2024 - What has been your biggest lesson learned to-date?
-
www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mastateataglance.pdf
March 01, 2012 - What are the key lessons from Massachusetts’s experience that would be useful for other
States?