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psnet.ahrq.gov/issue/addressing-electronic-health-record-contributions-diagnostic-error
July 29, 2009 - January 2, 2017
Intravenous medication safety and smart infusion systems: lessons learned … August 26, 2020
Lessons learned implementing a complex and innovative patient safety
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psnet.ahrq.gov/issue/development-standardized-citywide-process-managing-smart-pump-drug-libraries
June 07, 2017 - June 7, 2017
Changing smart pump vendors: lessons learned. … June 16, 2019
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
December 06, 2017 - Technology as a Tool for Improving Patient Safety
March 29, 2023
Lessons … learned implementing a complex and innovative patient safety learning laboratory project in a large … academic medical center
January 15, 2020
Changing smart pump vendors: lessons learned
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psnet.ahrq.gov/issue/how-policy-makers-can-smooth-way-communication-and-resolution-programs
December 19, 2018 - December 19, 2018
Communication-and-resolution programs: the challenges and lessons learned … January 7, 2015
Communication-and-resolution programs: the challenges and lessons learned
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psnet.ahrq.gov/issue/putting-patient-patient-safety-qualitative-study-consumer-experiences
October 12, 2011 - November 16, 2022
Project BOOST implementation: lessons learned. … November 23, 2016
Communication-and-resolution programs: the challenges and lessons learned
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight06.pdf
September 08, 2015 - For instance, they
can draw on a wider pool of resources and expertise and apply lessons learned
from … They intentionally delayed
Idaho’s implementation so that it could
leverage the lessons learned from … learned … learned. … Collaborating with
these other States has saved us
years and years of lessons learned.
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www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/supplhighlight13.html
June 01, 2015 - The Highlight focuses on lessons learned from nine States—Alaska, Florida, Idaho, Maine, Massachusetts
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Vane.pdf
February 01, 2005 - The lessons learned from
these situations can assist in patient safety in future operations. … Lessons learned related
to patient safety are extremely important to any Department of Defense (DOD) … Lessons learned in Operation
Iraqi Freedom 2003–2004 involved understanding and adapting to structural … Lessons learned
Cleaning and work traffic patterns
Preoperative concerns
Despite the stringent … The human element of infection control
One of the lessons learned was that OR and CMS staff need to
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digital.ahrq.gov/location/usa-md-columbia
January 01, 2023 - USA, MD, Columbia
Applying Lessons Learned in Community Collaboration
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/final-impact/fig1.html
October 01, 2015 - Methods
Model State Enhancement Efforts
Spreading the Model to Partner States
External Context
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
References
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-maine-state-snapshot.pdf
January 01, 2018 - CHIPRA Quality Demonstration Grant Program
January 2018
This brief highlights the major strategies, lessons … learned,
and outcomes from Maine’s experience from February
2010 to February 2016 with the quality … Partner States: Maine and Vermont implemented similar projects
and met regularly to discuss shared lessons … /highlight06.pdf
https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight11.html
https … /chipra/demoeval/what-we-learned/highlight13.html
https://www.ahrq.gov/policymakers/chipra/demoeval/what-we-learned
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www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/index.html
October 01, 2015 - transformation efforts that were studied and a summary of the key impacts and challenges, as well as the main lessons … learned and implications for others considering primary care transformation. … New York City Department of Health and Mental Hygiene
A Study of the Patient-Centered Medical Home: Lessons … 233 KB) | Robert Reid, MD, PhD, MPH; Group Health Cooperative
Transforming Primary Care Practice: Lessons
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www.ahrq.gov/ncepcr/reports/grants-impact/model.html
February 01, 2017 - Methods
Model State Enhancement Efforts
Spreading the Model to Partner States
External Context
Lessons … Learned From IMPaCT About PCEPs
Conclusions and Implications
References
Return
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psnet.ahrq.gov/node/46182/psn-pdf
June 28, 2017 - This
commentary outlines lessons learned by a team that implemented a multifaceted safety intervention … what-we-know-about-designing-effective-improvement-intervention-too-often-fail-put-practice
https://psnet.ahrq.gov/issue/ten-challenges-improving-quality-healthcare-lessons-health-foundations-programme-evaluations
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psnet.ahrq.gov/node/46543/psn-pdf
July 11, 2018 - A PSNet perspective assessed lessons learned about electronic health record safety. … reasons-computerised-provider-order-entry-cpoe-based-inpatient-medication-ordering-errors
https://psnet.ahrq.gov/perspective/assessing-safety-electronic-health-records-what-have-we-learned
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www.ahrq.gov/research/findings/final-reports/crcscreeningrpt/crcscreen6.html
April 01, 2018 - Lessons Learned
A key lesson learned from our experience with SATIS-PHI/CRC is that it is important … Transferability to Other Systems/Settings
Based on our assessment findings and our lessons learned,
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psnet.ahrq.gov/node/38692/psn-pdf
March 04, 2015 - clinical-impact-and-frequency-anatomic-pathology-errors-cancer-diagnoses
https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety … https://psnet.ahrq.gov/issue/errors-laboratory-medicine-practical-lessons-improve-patient-safety
https … ://psnet.ahrq.gov/issue/eight-ct-lessons-we-learned-hard-way-analysis-current-patterns-radiological-error-and
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psnet.ahrq.gov/issue/provider-perspectives-partnering-parents-hospitalized-children-improve-safety
November 30, 2016 - Participating in a multisite study exploring operational failures encountered by frontline nurses: lessons … learned. … February 2, 2011
Lessons learned for reducing the negative impact of adverse events on
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psnet.ahrq.gov/issue/digital-health-and-patient-safety
September 01, 2016 - May 4, 2022
Lessons learned implementing a complex and innovative patient safety learning … January 10, 2018
Changing smart pump vendors: lessons learned.
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psnet.ahrq.gov/issue/using-root-cause-analysis-reduce-falls-injury-community-settings
April 25, 2016 - April 25, 2016
Wrong-side thoracentesis: lessons learned from root cause analysis. … Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons … learned.