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41. Patient safety: what can medicine learn from aviation? | PSNet
    psnet.ahrq.gov/issue/patient-safety-what-can-medicine-learn-aviation
    October 30, 2008 - Newspaper/Magazine Article Patient safety: what can medicine learn from aviation? … Citation Text: Patient safety: what can medicine learn from aviation? O'Reilly KB. … Cite Citation Citation Text: Patient safety: what can medicine learn

42. Medical Mistakes and What Doctors Can Learn From Pilots | PSNet
    psnet.ahrq.gov/training-catalog/medical-mistakes-and-what-doctors-can-learn-pilots
    July 21, 2025 - Medical Mistakes and What Doctors Can Learn From Pilots Save Save to your library … medical mistakes, how to recognize cognitive biases that can lead to diagnostic error, and what we can learn … Weblink https://www.aao.org/education/audio/medical-mistakes-what-doctors-learn-from-pi

43. Tools To Improve Diagnostic Safety | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/tools/index.html
    June 01, 2025 - This resource provides structured exercises and tools to help clinicians learn from reviewing their clinical … Learn more about the importance of patient and family engagement with this infographic (PDF, 392 KB … Measure Dx : A Resource To Identify, Analyze, and Learn From Diagnostic Safety Events is a resource to … help healthcare organizations detect, analyze, and learn from diagnostic safety events. … When implementing TeamSTEPPS for Diagnosis Improvement, teams will learn about the four skills and how

44. What can we learn from coroners’ reports on preventable deaths? | PSNet
    psnet.ahrq.gov/issue/what-can-we-learn-coroners-reports-preventable-deaths
    October 28, 2020 - Commentary What can we learn from coroners’ reports on preventable deaths? … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943. … This article discusses an effort in the United Kingdom to learn from preventable deaths reported to … What can we learn from coroners’ reports on preventable deaths? BMJ. 2024;386:q1943.

45. Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report (pdf file)
    www.ahrq.gov/sites/default/files/2025-02/woods2-report.pdf
    January 01, 2025 - Final Progress Report: Leveraging Existing Assessments of Risk Now (LEARN) Final Report … Leveraging Existing Assessments of Risk Now (LEARN) Final Report PI: Donna Woods, … Methods: The LEARN method consists of a meta-analysis of existing risk assessment. … The LEARN review revealed common risks. … LEARN (Leveraging Existing Assessment of Risks Now) A Meta-Analysis of Risk Results.

46. A health system that won't learn from its mistakes. | PSNet
    psnet.ahrq.gov/issue/health-system-wont-learn-its-mistakes
    October 26, 2022 - Commentary A health system that won't learn from its mistakes. … A health system that won't learn from its mistakes. … A health system that won't learn from its mistakes.

47. Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/mvp/modules/cusp/learn-from-defects-fac-guide.html
    February 01, 2017 - Learn From Defects in Care of Mechanically Ventilated Patients: Facilitator Guide AHRQ Safety … Program for Mechanically Ventilated Patients Slide 1: Learn From Defects in Care of Mechanically Ventilated … This module focuses specifically on the fourth step, which is to learn from defects. … Asking people to read, learn, and apply the learning enables people to form memories of the process.

48. Learn About the Demonstration States | Agency for Healthcare Research and Quality
    www.ahrq.gov/policymakers/chipra/demoeval/demostates/index.html
    March 01, 2019 - Learn About the Demonstration States Find additional information about the grantees of the CHIPRA

49. Residents, responsibility, and error: how residents learn to navigate the intersection. | PSNet
    psnet.ahrq.gov/issue/residents-responsibility-and-error-how-residents-learn-navigate-intersection
    August 21, 2019 - Study Residents, responsibility, and error: how residents learn to navigate the intersection … Residents, responsibility, and error: how residents learn to navigate the intersection. … Canadian hospital participated in semi-structured interviews exploring how residents experience and learn … Residents, responsibility, and error: how residents learn to navigate the intersection. … December 13, 2023 How do we learn about error?

50. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/learn.html
    April 01, 2017 - Learn From Defects - Implementation Guide AHRQ Safety Program for Ambulatory Surgery Purpose

51. Learn From Defects - Implementation Guide | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/tools/ambulatory-surgery/sections/implementation/training-tools/defects.html
    May 01, 2017 - Learn From Defects - Implementation Guide Purpose: To identify the types of systems

52. Presentation: Program Overview
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/mvp/modules/cusp/learn-from-defects-slides.pptx
    January 01, 2017 - Presentation: Program Overview Learn From Defects in Care of Mechanically Ventilated Patients AHRQ … No. 16(17)-0018-34-EF January 2017 Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated … A practical tool to learn from defects in patient care. … Learn From Defects ‹#› AHRQ Safety Program for Mechanically Ventilated Patients 3 CUSP STEPS Educate … A practical tool to learn from defects in patient care.

53. A Model for Sustaining and Spreading Safety Interventions | Agency for Healthcare Research and Quality
    www.ahrq.gov/hai/cauti-tools/guides/sustainability-guide.html
    October 01, 2015 - Continue To Improve Interdisciplinary Teams Create and Sustain Effective Safety Practices Staff Learn … Clinicians investigated every infection to learn how it could have been prevented. … The five core elements of the CUSP model are— Learn about CUSP . Assemble the team . … Identify and learn from defects . … Learn More About CUSP, TeamSTEPPS, and the PDSA Model To learn more about the CUSP model, visit the

54. SDOH & Practice Improvement | Agency for Healthcare Research and Quality
    www.ahrq.gov/sdoh/practice-improvement.html
    August 01, 2023 - Learn about Federal sources of data that can inform health systems about the community context. … Learn about AHRQ's tools and resources on forming clinical-community linkages . … Learn about AHRQ's tools and resources on care coordination . … Learn about AHRQ's tools and resources for delivering health literate care . … Learn more on AHRQ’s About SDOH in Healthcare page.

55. Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/using-electronic-records-detect-and-learn-ambulatory-diagnostic-errors
    January 01, 2023 - Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors Project … were to: Apply and improve computerized triggers based on visit patterns to detect, measure, and learn … Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - 2010 × … Using Electronic Records to Detect and Learn from Ambulatory Diagnostic Errors - Final Report. … Principal Investigator: Thomas, Eric Project Name: Using Electronic Records to Detect and Learn from

56. Resources for Developers of Quality Reports for Consumers | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/resources/index.html
    September 01, 2019 - on the quality and costs of different kinds of health care providers Writing a Quality Report Learn … Designing a Quality Report Learn how to use design to draw people in and help them understand and interpret … Testing Quality Reports With Consumers Learn how you can use the  cognitive testing to elicit audience

57. Evaluating the Process of Creating and Promoting a Quality Report | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/assess/what-you-evaluate/process.html
    November 01, 2018 - Just as important, you can learn which ones did not work as well and what could or should be done differently … It is designed to help you learn and improve by answering a number of important questions. … Questions About the Development of the Report What did you learn about your audience? … Did you learn enough to target your report to their needs and preferences?

58. Cooperatives | Agency for Healthcare Research and Quality
    www.ahrq.gov/evidencenow/projects/heart-health/about/cooperatives/index.html
    April 01, 2022 - Learn more about the cooperatives below. … Serving : New York City Profile: Information about the NYC cooperative ( PDF , 1 MB) Learn about … Serving : Oklahoma Profile: Information about the Oklahoma cooperative ( PDF , 1.1 MB) Learn about … Colorado and New Mexico Profile: Information about the Southwest cooperative ( PDF , 5.3 MB) Learn … Serving : Virginia Profile: Information about the Virginia cooperative ( PDF , 1 MB) Learn about

59. Combining Quality Measures Into Composites | Agency for Healthcare Research and Quality
    www.ahrq.gov/talkingquality/translate/organize/composites.html
    November 01, 2018 - Learn more about Combining Measures Into Composites or Summary Scores . … Learn how to test alternative displays of composite scores with your audience in The Purpose and Process … Learn more about layering information in a report .

60. PSNet How-to Videos | PSNet
    psnet.ahrq.gov/curated-library/video-library
    November 03, 2025 - Audio-Described Version  (1 minute 24 seconds) Learn About PSNet’s CME Without a Fee Learn … Watch the video below to learn more about the Submit an Innovation process.     … Learn About PSNet New User Account Registration Learn more about how to register and create your … Watch the video below to learn more about the Submit a Case process. … Watch the video below to learn more about the Submit a Case process.