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Showing results for "learned".

  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47457/psn-pdf
    January 17, 2019 - Developing a reporting culture: learning from close calls and hazardous conditions. January 17, 2019 Developing a reporting culture: Learning from close calls and hazardous conditions. Sentinel Event Alert. 2018;(60):1-8. https://psnet.ahrq.gov/issue/developing-reporting-culture-learning-close-calls-and-hazardous-…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37114/psn-pdf
    October 04, 2011 - A descriptive study of morbidity and mortality conferences and their conformity to medical incident analysis models: results of the morbidity and mortality conference improvement study, phase 1. October 4, 2011 Aboumatar HJ, Blackledge CG, Dickson C, et al. A descriptive study of morbidity and mortality conference…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39063/psn-pdf
    December 17, 2009 - Safety and risk management interventions in hospitals: a systematic review of the literature. December 17, 2009 Dückers M, Faber M, Cruijsberg J, et al. Safety and risk management interventions in hospitals: a systematic review of the literature. Med Care Res Rev. 2009;66(6 Suppl):90S-119S. doi:10.1177/10775587093…
  4. www.ahrq.gov/hai/cusp/modules/nursing/alt-text.html
    April 01, 2013 - “Role of the Nurse Manager” Slide Content and Alternative Text Slide Number and Title Slide Content Content for Alternative Text (Illustration) Slide 1 Title Slide (CUSP logo) The “Role of the Nurse Manager” module of the Comprehensive Unit-based Safety Program (CUSP) Toolkit. The CUSP t…
  5. psnet.ahrq.gov/primer/simulation-training
    September 15, 2024 - Maternal Safety January 31, 2024 Quality improvement lessons learned
  6. www.ahrq.gov/pcor/at-a-glance/index.html
    October 01, 2024 - PCOR Trust Fund Investments At-A-Glance Patient-centered outcomes research (PCOR) provides decision-makers with objective, scientific evidence on the comparative effectiveness of treatments, services, and other interventions used in healthcare. The Patient-Centered Outcomes Research Trust Fund (PCORTF) is funde…
  7. www.ahrq.gov/policymakers/chipra/demoeval/demostates/ma.html
    March 01, 2019 - State at a Glance: Massachusetts Learn more about the CHIPRA quality demonstration projects being implemented in Massachusetts. Massachusetts is featured in the following reports: Evaluation Highlight No. 1: How are CHIPRA demonstration States approaching practice-level quality measurement and what are t…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35932/psn-pdf
    October 03, 2017 - authors discuss a high-profile clinical trial incident and how transparency and sharing of lessons learned
  9. www.ahrq.gov/sites/default/files/publications/files/sustainability-guide_2.pdf
    September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…
  10. www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/cauti-tools/guides/sustainability-guide.pdf
    September 01, 2015 - A Model for Sustaining and Spreading Safety Interventions: AHRQ Safety Program for Reducing CAUTI in Hospitals A Model for Sustaining and Spreading Safety Interventions Contents Background and Acknowledgments ............................................................................................... 2 How T…
  11. psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.218_slideshow.ppt
    May 01, 2010 - Spotlight Case [MONTH] 2003 Spotlight Case Fatal Error in Neonate: Does ‘Just Culture’ Provide an Answer? * * Source and Credits This presentation is based on the May 2010 AHRQ WebM&M Spotlight Case See the full article at http://webmm.ahrq.gov CME credit is available Commentary by: Sidney W.A. Dekker, Ph…
  12. www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apa_breathing.pdf
    June 02, 2025 - NICU Toolkit, Appendix A, How Can I Manage My Child’s Breathing Problems? How Can I Manage My Child’s Breathing Problems at Home? ■ Visit the NICU often, and help care for your baby as much as possible in the hospital. ■ Learn how to use equipment: pulse oximeter, oxygen tank, nasal canula. ■ Know the signs…
  13. digital.ahrq.gov/ahrq-funded-projects/enhanced-handoffs-echo/citation/machine
    January 01, 2024 - Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. Citation Mehta D, Gonzalez XT, Huang G, Abraham J. Machine learning-augmented interventions in perioperative care: A systematic review and meta-analysis. Br J Anaesth. 2024 Dec;133(6):1159-1172. doi:…
  14. digital.ahrq.gov/ahrq-funded-projects/enhancing-patient-matching-support-operational-health-information-exchange/citation/machine
    January 01, 2023 - Machine learning approaches to identify nicknames from a statewide Health Information Exchange. Citation Kasthurirathne SN, Grannis SJ. Machine learning approaches to identify nicknames from a statewide Health Information Exchange. AMIA Jt Summits Transl Sci Proc. 2019 May 6;2019:639-647. PMID: 312590…
  15. psnet.ahrq.gov/perspective/conversation-david-m-gaba-md
    March 01, 2013 - Years ago, physicians (and I'm sure this is true for nurses too) learned to be "it" in part at charity … However, much remains to be learned about how to optimally implement simulation-based education.
  16. digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
    June 01, 2012 - An Interactive Preventive Care Record c An Interactive Preventive Care Record Agency for Healthcare Research and Quality Advancing Excellence in Health Care www.ahrq.gov A Handbook for Using Patient-Centered Personal Health Records To Promote Prevention HEALTH IT An Interactive Preventive Care Record …
  17. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
    March 01, 2012 - Maine State at a Glance                                                                                                                                                                                                                                                                                               …
  18. www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mdstateataglance.pdf
    March 01, 2012 - Maryland State at a Glance                                                                                                                                                                                                                                                                                               …
  19. www.ahrq.gov/sites/default/files/wysiwyg/talkingquality/resources/checklist/checklist-promote-report.doc
    December 26, 2018 - Disseminate Complete Checklist Note: You must use the UP and DOWN ARROW instead of TAB or SHIFT + TAB to fill out this form. This document contains twenty-two links. TalkingQuality Your Project Checklist: Promote Your Health Care Quality Report to Consumers This document contains checklists for the following sectio…
  20. psnet.ahrq.gov/issue/learning-patient-safety-incidents-involving-acutely-sick-adults-hospital-assessment-units
    November 11, 2020 - Study Learning from patient safety incidents involving acutely sick adults in hospital assessment units in England and Wales: a mixed methods analysis for quality improvement. Citation Text: Urquhart A, Yardley S, Thomas E, et al. Learning from patient safety incidents involving acutely …