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psnet.ahrq.gov/node/49872/psn-pdf
August 08, 2019 - Diagnosising diagnosis errors: lessons from a multi-institutional
collaborative project.
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psnet.ahrq.gov/perspective/adverse-events-dentistry
December 22, 2020 - Lessons learned from dental patient safety care reports. … One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the
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psnet.ahrq.gov/perspective/conversation-elsabeth-kalenderian-dds-mph-phd-and-muhammad-f-walji-phd
December 22, 2020 - One of the things we learned from a culture survey we did was that the two areas that we were particularly … The difference between medical and dental school that I learned when I came into the school is that the … Lessons learned from dental patient safety care reports.
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psnet.ahrq.gov/perspective/conversation-mary-dixon-woods-dphil
March 01, 2017 - RW : During my training years, I learned precisely nothing about culture. … MDW : I would probably challenge you and say you learned an awful lot about culture as a medical student … So articulating that, codifying it, and saying, "Here are the lessons you can learn from the pain we … s desire for more data was balanced with the intent to act on what they had already learned.
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integrationacademy.ahrq.gov/news-and-events/calendar
January 01, 2025 - Additionally, the session will reflect on significant lessons learned and discuss how these innovations …
- Apply effective strategies learned from the pandemic to strengthen integrated care models and … Although there are simple techniques that can be learned quickly, it takes time and practice to
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psnet.ahrq.gov/perspective/conversation-harlan-krumholz-md-sm
April 01, 2018 - themes of the last 20 years of improvement work has been unanticipated consequences, and we've now learned … RW : As a learning health system, what do you think the lessons are from readmission penalties? … What have we learned from that measure that is generalizable to our efforts to change the payment and … willing to work together and could collectively achieve a gain, then they could disseminate what they learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Murff.pdf
January 01, 2004 - An important lesson learned from this near miss
was that a lack of a reliable research-participant tracking … Based on lessons learned from this debriefing, a
clinical research sign-out system is being developed … Reporting and preventing
medical mishaps: lessons from non-medical near miss
reporting systems.
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digital.ahrq.gov/sites/default/files/docs/medicaid/health-it-implementation.pdf
December 01, 2005 - sponsors) that you are making a
difference and that your voice counts in policy
issues
– To share lessons … learned with others doing the
same thing across the country
– For future funding and sustainability … Advancing Excellence in Health Care
Cleveland Clinic
Many “lessons learned”
– Implemented CPOE in a
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www.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
January 01, 2022 - Version 0.1 of the CFER-DS, which incorporated what was
learned from usability testing, was reviewed … Diagnosing diagnosis errors: lessons
from a multi-institutional collaborative project.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/registries-forums_research_0.pdf
May 01, 2014 - , where invited speakers from existing Web-based forums and
CoPs discussed the concept of CoPs and lessons … learned from their experience managing CoPs
and Web-based forums. … The CoP
helps members “create self-representation” by deriving lessons and finding ways to represent … learned
• Legal and regulatory
issues
• Informed consent (e.g., for
those with disabilities)
• Data … 11:15-11:30 am Break
11:30 am-12:30 pm Lessons from Existing Web-based Forums
Presenters:
- Margaret
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www.ahrq.gov/patient-safety/reports/candor-demo-program/plan-grants/appa.html
August 01, 2022 - project culminated in an SDM train-the-trainer toolkit that integrates the processes developed and lessons … learned. … The researchers also learned through the project that the taxonomy used to classify errors could be streamlined … Implementing near-miss reporting and improvement tracking in primary care practices: Lessons learned. … There will be efforts to use what was learned to improve the claims reporting system, further the development
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www.ahrq.gov/hai/cusp/toolkit/content-calls/small-hospitals.html
April 01, 2013 - I know we’ve had several hospitals do that, and they’ve learned it hasn’t been an implementation issue … And then once you’ve indentified a defect, then you share and post lessons that you’ve learned. … So even within your hospital, if you’ve piloted something on one unit, you want to share the lessons … learned throughout the hospital. … I think from Denise and Lorna we learned about the fundamentals of CUSP.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015339-aranaydo-final-report-2007.pdf
January 01, 2007 - In this
report we summarize the participants, tasks completed, the challenges encountered and the
lessons … learned in introducing a commercial ambulatory EHR into various THP. … Substantial challenges were encountered, and the lessons learned fall into three general
categories: … What was learned was to create more time and resources in an already
underfunded clinic system to focus … The THP have learned that EHR
implementation actually never ends as software and clinic flow adjustments
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - teamwork and communication, variations in health
literacy among patients, a culture of blame that buries lessons … learned, and others. … structured so that course
attendees can return to their home institutions to teach others what they have learned … essential knowledge about patient safety, and it brings them up
to speed with regard to what has been learned
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Johnson_90.pdf
June 10, 2008 - On error management: Lessons learned
from aviation. Br Med J 2000; 320: 781-785.
2.
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/appendixa.html
December 01, 2017 - Lessons Learned and Suggestions for Data
Chapter 9.
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/factsheets/fullreports/CHIPRA205-Materials_II.pdf
June 02, 2025 - Implementing developmental screening and referrals: lessons learned from a national project.
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www.ahrq.gov/sites/default/files/wysiwyg/teamstepps-program/teamstepps-pocket-guide.pdf
May 01, 2023 - quick information exchange session
designed to improve team performance and
effectiveness through lessons … learned and
reinforcement of positive behaviors.
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psnet.ahrq.gov/node/33663/psn-pdf
September 15, 2008 - that others, particularly those in large, multisite systems,
might benefit from the experiences and lessons … learned along our journey.
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psnet.ahrq.gov/web-mm/good-catch-operating-room
August 27, 2017 - Spine Surgery
February 28, 2024
Understanding ultrarare adverse events - lessons … learned from a twelve-year review of intraoperative deaths at an academic medical center.